[Bilateral Dislocation of the Hip Joints after a Car Accident?]
1I. Ortopedicko-traumatologická klinika Lekárskej fakulty Univerzity Komenského a Univerzitnej nemocnice, Bratislava.
Insights
A rare case of bilateral hip dislocation in a 5-year-old girl highlights missed screening for developmental dysplasia of the hip (DDH). Differences in European screening protocols may lead to delayed diagnosis and treatment of childhood hip dislocations.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
- Public Health Screening
Background:
- Developmental Dysplasia of the Hip (DDH) screening is standard for newborns in the Slovak Republic up to 4-6 weeks.
- Early diagnosis and treatment of DDH are crucial for preventing long-term complications.
Observation:
- A 5-year-old foreign girl presented with bilateral hip dislocation following a car accident.
- An attempted closed reduction by emergency department surgeons was unsuccessful.
Findings:
- This case represents a rare instance of late-diagnosed hip dislocation, likely due to variations in DDH screening protocols across Europe.
- The patient's age and trauma mechanism suggest a missed or delayed diagnosis of underlying DDH.
Implications:
- Highlighting discrepancies in European DDH screening practices is essential.
- Improved and standardized screening may reduce the incidence of misdiagnosed and late-presenting hip dislocations in children.
- This case underscores the importance of considering DDH in pediatric trauma patients, even with seemingly late presentations.
Abstract:
The authors describe a case report of a 5-year-old foreign girl with a rare bilateral hip dislocation after a car accident. Young surgeons at the emergency department performed an unsuccessful closed reduction. Since the clinical and ultrasound screening of DDH of all newborns in the Slovak Republic is carried out until the age of 4-6 weeks, the treatment of dislocated hips starts early and the late diagnosed dislocations occur rarely. The aim of the study is to point at differences in DDH screening all over Europe resulting in an increased risk of misdiagnosed patients. Key words:hip dislocation, childhood, trauma, DDH, screening.
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