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[Fracture of the acetabulum]
J Lechevallier1, C Durand, I Fall
1Clinique chirurgicale Infantile, CHU de Rouen.
Chirurgie Pediatrique
|January 1, 1988
Summary
Severe acetabular trauma in children, though rare, can lead to serious complications. Early diagnosis and treatment of acetabular fractures and avulsions are crucial to prevent long-term issues like coxa magna.
Area of Science:
- Pediatric Orthopedics
- Pediatric Trauma Surgery
- Pediatric Radiology
Background:
- Severe acetabular trauma is uncommon in pediatric patients.
- Acetabular injuries in children can present with subtle radiographic findings but may lead to significant complications.
Observation:
- A study reviewed 31 children under 16 with acetabular lesions.
- 15 children had acetabular fractures or fracture-dislocations, and 4 had marginal avulsions.
- Two cases of Y cartilage epiphysiodesis were noted, one leading to dysplasia.
Findings:
- Three of four marginal avulsion cases involved intra-articular incarceration, with two initially missed.
- Secondary surgical intervention resulted in good functional recovery.
- Radiological sequelae, specifically coxa magna, were observed post-treatment.
Implications:
- Highlights the potential for severe complications from seemingly minor pediatric acetabular injuries.
- Emphasizes the importance of vigilant diagnosis for marginal avulsions to avoid missed intra-articular incarceration.
- Underscores the need for long-term monitoring for radiological sequelae such as coxa magna following treatment.