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Journals / Journal of Clinical and Experimental Investigations / 2026 / Cilt: 2 Sayı: 2

A very rare case with neglected hip dislocation coexisted with posterior acetabular lip fracture

Asetabulum posterior dudağında kırık birlikteliğinde ihmal edilmiş travmatik kalça çıkığı: Çok nadir bir olgu

Vedat Uruç
Samet Karabulut
Pages
228–231
Publication Date
2011-06-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

After 6 months avascular necrosis (AVN) developed on her right femoral head, the range of motion (ROM) of the hip was restricted and she had minimal pain on her right hip.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Neglected hip dislocation is a rare situation among children.
📊
Key Findings & Data:Pelvipedal cast was applied after the operation for 6 weeks.
💡
Conclusion & Impact:After 6 months avascular necrosis (AVN) developed on her right femoral head, the range of motion (ROM) of the hip was restricted and she had minimal pain on her right hip.
🔬Design:Makale
📍Scope:Comprehensive Sample
⚙️Variables:İhmal edilmiş · çocuklarda · travmatik kalça çıkığı

Abstract

Neglected hip dislocation is a rare situation among children. The coexistence of acetabulum fracture is less common. The result of treatment depends on the time of diagnosis. Early treatment is mandatory in such cases. Seven years old female brought to our outpatient clinic with the complaints of right hip pain and walking difficulty. Her parents said that she had fallen from a horse one month ago. X-ray and CT showed a posterior dislocation of her right hip and a fracture on her right posterior acetabular lip. We performed an open reduction via posterior approach. Because the hip was unstable we fixed the femoral head to the acetabulum by a Kirshner wire. Pelvipedal cast was applied after the operation for 6 weeks. After 6 months avascular necrosis (AVN) developed on her right femoral head, the range of motion (ROM) of the hip was restricted and she had minimal pain on her right hip.

Özet

Çocuklarda ihmal edilmiş kalça çıkığı nadir görülen bir durumdur. Kalça çıkığına asetabulum kırığının da eşlik etmesi daha da nadir görülür. Ne kadar geç teşhis konursa hastanın yapılacak müdahaleden göreceği yarar aynı oranda azalır. Dolayısıyla bu hastalara erken müdahale etmek hayati önem taşır. 7 yaşında bir kız çocuğu yürüyememe ve sağ kalça ağrısıyla polikliniğimize getirildi. Ailesi hastanın 1 ay önce attan düştüğünü ifade etti. Çekilen düz grafi ve BT'de hastanın sağ kalçasında posteriora çıkık olduğu ve aynı taraf asetabulumun posterior dudağının kırık olduğu tespit edildi. Hastaya posterior yaklaşımlı açık redüksiyon yapıldı. Bir adet kirşner teli ile femur başı asetabuluma tespit edildi. Ameliyat sonrası 6 hafta süreyle pelvipedal alçı uygulandı. Hastanın 6 aylık takibinde femur başında avasküler nekroz (AVN) geliştiği, kalça hareketlerinde kısıtlılık olduğu, hastanın hafif derecede kalça ağrısının olduğu görüldü.

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Cite This Article

Uruç, V., Karabulut, S. (2011). A very rare case with neglected hip dislocation coexisted with posterior acetabular lip fracture. Journal of Clinical and Experimental Investigations, Cilt: 2 Sayı: 2, 228–231. https://doi.org/10.5799/ahinjs.01.2011.02.0246

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