Bilateral asymmetric traumatic hip dislocation associated with epiphysiolysis of the femoral head in an adolescent patient

Alfredo Sánchez-Vergel; Milán Fernando Zarate Leal; Andrés Felipe Fonseca Arias; Alejandro Gallego Álvarez

doi:10.1016/j.tcr.2023.100882

Bilateral asymmetric traumatic hip dislocation associated with epiphysiolysis of the femoral head in an adolescent patient

Trauma Case Rep. 2023 Aug 7:47:100882. doi: 10.1016/j.tcr.2023.100882. eCollection 2023 Oct.

Authors

Alfredo Sánchez-Vergel^{1

2}, Milán Fernando Zarate Leal¹, Andrés Felipe Fonseca Arias¹, Alejandro Gallego Álvarez³

Affiliations

¹ Fundación Valle del Lili, Departamento de Ortopedia, Cra 98 No. 18-49, Cali 760032, Colombia.
² Universidad Icesi, Calle 18 No. 122-135, Cali, Colombia.
³ Fundación Valle del Lili, Centro de Investigaciones Clínicas, Cra 98 No. 18-49, Cali 760032, Colombia.

Abstract

Background: Bilateral asymmetric hip dislocation is uncommon in childhood, even more when associated with epiphyseal slippage, leading to catastrophic complications of the affected joints, requiring additional surgical interventions, and increasing patient morbidity. In this article, we present the case of a 15 years-old patient with a post-traumatic bilateral hip dislocation with epiphyseal slippage, initially managed with open reduction and fixation, with subsequent need of total hip arthroplasty. Afterward, the patient presented satisfactory outcomes.

Conclusion: Hip dislocation associated with transphyseal fracture is an injury that leads to joint destruction, and despite timely management, the prognosis is poor; however, efforts should be made to provide opportune care to obtain the best outcome.

Keywords: Adolescent; Avascular necrosis; Bilateral hip dislocation; Epiphyseal slippage.

Publication types

Case Reports