Traumatic Hip Dislocation in Pediatric with Incarcerated Fragments: Case Series

Abstract

Two instances were mentioned. The first was a 9-year-old Saudi girl who suffered a right posterior hip dislocation as a result of a car accident. Initial reduction with skeletal traction (2 kg) was performed, but a post-reduction CT revealed imprisoned pieces in the right hip joint, necessitating immediate surgery. In the second case, a 9-year-old Saudi girl was transferred to the ER from another hospital with left hip pain following a reduction of posterior hip dislocation. X-rays and CT revealed an imprisoned fragment in the left hip joint. The Kocher-Langenbeck method was used to remove two portions of femoral head cartilage and tendon, measuring 2 mm and 3 cm, respectively. Postoperative MRI revealed no lingering loose bodies, and a broomstick cast with 45-degree hip abduction was used to prevent re-dislocation. The patient was recommended to remain on bed rest for 6 weeks before beginning physiotherapy. There were no neurovascular problems observed. This case emphasizes the need of early diagnosis, modern imaging, and a multidisciplinary approach in addressing children hip dislocations, as well as the efficacy of surgical and conservative postoperative treatment.