A Rare Case of Neglected Traumatic Anterior Dislocation of Hip in a Child
Aditya Krishna Mootha1, Kasi Viswanadam Mogali2
1Department of Orthopedics, Konaseema Institute of Medical Sciences, Amalapuram, India.
Introduction:
Post traumatic hip dislocations are very rare in children. Neglected anterior hip dislocations in children are not described in literature so far. Here, we present a case of 6 weeks old anterior hip dislocation successfully managed by open reduction.
Case Presentation:
A 9-year-old male child presented with neglected anterior hip dislocation on left side. Open reduction carried out through direct anterior approach to hip. Congruent reduction is achieved. At final follow up of 1 year, the child had unrestricted activities of daily living and no radiological signs of osteonecrosis or any joint space reduction.
Conclusion:
There is paucity of literature over neglected post traumatic anterior hip dislocations in children. The treatment options vary from closed reduction after heavy traction to sub trochanteric osteotomy. However, we feel that open reduction through direct anterior approach is the preferred mode of management whenever considered possible.
