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双侧创伤性髋关节后脱位——病例报告

Bilateral Traumatic Posterior Hip Dislocation - A Case Report.

作者信息

Paul Nirvin, Sharma Ajay, Sarkar Bhaskar, Bhakhar Anurag, Yadav Arvind Kumar, Azam Md Quamar

机构信息

Department of Trauma Surgery, AIIMS, Rishikesh, Uttarakhand, India.

出版信息

J Orthop Case Rep. 2024 Dec;14(12):52-56. doi: 10.13107/jocr.2024.v14.i12.5016.

Abstract

INTRODUCTION

Although posterior dislocation of the hip is common, bilateral posterior hip dislocation in children is an infrequent presentation. Early diagnosis and treatment are of paramount importance to prevent complications. Here, we report a case of traumatic bilateral posterior hip dislocation following a high-velocity motor vehicle accident.

CASE REPORT

A 13-year-old boy was brought to the emergency department following high-energy trauma due to a motor vehicular accident. He was in considerable pain with both hips in flexion, adduction, and internal rotation. There was a restriction to the range of movement at bilateral hip joints. Clinical and radiological examination revealed a bilateral posterior hip dislocation.

CONCLUSION

Posterior hip dislocation is the most common type of hip dislocation. However, bilateral posterior hip dislocation is quite rare. This clinical presentation in the pediatric population is rarer still with very little published literature. Diagnosis and emergent treatment of the same is essential to prevent complications.

摘要

引言

虽然髋关节后脱位很常见,但儿童双侧髋关节后脱位并不常见。早期诊断和治疗对于预防并发症至关重要。在此,我们报告一例高速机动车事故后创伤性双侧髋关节后脱位的病例。

病例报告

一名13岁男孩因机动车事故导致高能创伤后被送往急诊科。他双髋处于屈曲、内收和内旋位,疼痛剧烈。双侧髋关节活动范围受限。临床和影像学检查显示双侧髋关节后脱位。

结论

髋关节后脱位是最常见的髋关节脱位类型。然而,双侧髋关节后脱位相当罕见。这种临床表现在儿科人群中更为罕见, published literature (此处可能有误,推测为“published literature”,意为“已发表的文献”)很少。对其进行诊断和紧急治疗对于预防并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2caa/11632479/7b0ecfb5b8c2/JOCR-14-52-g001.jpg

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