Ipsilateral obturator type of hip dislocation with fracture shaft femur in a child: a case report and literature review

J Pediatr Orthop B. 2016 Sep;25(5):484-8. doi: 10.1097/BPB.0000000000000324.

Abstract

The incidence of traumatic hip dislocations in children is rising in this fast developing world along with increasing numbers of high-velocity road traffic accidents. Anterior dislocation of the hip has a lower incidence compared with posterior dislocation of the hip. We encountered a rare case of the obturator type of anteriorly dislocated hip associated with ipsilateral fracture of the shaft femur in an 11-year-old child. This is a highly unusual injury combination and the mechanism of injury is obscure. Only two similar cases have been reported in the English literature to date. Closed reduction of the hip using a hitherto undescribed technique and an intramedullary interlocking nail was performed in this case. At 6 months of follow-up, the fracture shaft femur has united and the child is bearing full weight on the limb.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Accidents, Traffic
  • Child
  • Femoral Fractures / surgery*
  • Follow-Up Studies
  • Fracture Fixation, Internal / methods*
  • Hip Dislocation / surgery*
  • Humans
  • Pelvic Bones / surgery*
  • Postoperative Period
  • Range of Motion, Articular
  • Weight-Bearing