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Revista Portuguesa de Ortopedia e Traumatologia

Print version ISSN 1646-2122

Abstract

MONTEIRO, Georgina et al. Luxação traumática da anca na criança: Entidade rara a recordar. Rev. Port. Ortop. Traum. [online]. 2014, vol.22, n.3, pp.318-324. ISSN 1646-2122.

Traumatic hip dislocation in children is a rare lesion that can result in avascular necrosis of the femur. Implies a rapid diagnosis and intervention and the posterior management remains a subject of debate. The authors intend to review the best treatment after reduction, regarding a clinical case. A female child of 6 years-old came to the emergency room after a fall, from her height, complaining of gait disability and pain on the left hip joint. The hip radiography revealed a posterior dislocation of the hip join, confirmed by magnetic resonance imaging. She underwent closed reduction under general anesthesia and stayed one week in traction of the member. On the 2nd week immobilization with plaster was carried out and maintained for 4 weeks. The control radiography was normal and all she recovered all functions and integral gait at 3 months after treatment. Conclusion: traumatic hip dislocation should be treated with closed fast reduction, followed by traction and immobilization for a minimum of three weeks to avoid complications.

Keywords : Hip dislocation; traumatic; children.

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