Paediatric Hip Dislocations

Incidence

 

Very rare

 

Associated Injuries

 

SH type 1 femoral epiphysis most common

 

Paediatric Hip Dislocation

 

Management

 

Closed Reduction

 

Assess concentric reduction

Assess stability

Apply spica / traction for 2 weeks

Imaging to ensure no fracture fragments

 

Open Reduction

 

Indication

- displaced femoral epiphysis

 

Technique

- anterior approach / digastric osteotomy

- reduce eiphysis and neck

- long screw crossing physis

 

Results

 

Nirmal et al Arch Orthop Trauma Surg 2009

- 5 cases, 2 with redislocation

- recommended extreme caution post operatively in children < 10 years