Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the Literature

We report the case of a 15-year-old boy brought to the emergency department after a bike accident, complaining of an isolated left hip pain. The X-rays showed an obturator hip dislocation treated by closed reduction under general anaesthesia, followed by 6 weeks of discharge. The follow-up MRI perfo...

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Main Authors: Yoann Durand, Clémence Bruyère, Marco Saglini, Aurélien Michel-Traverso
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/7268032
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author Yoann Durand
Clémence Bruyère
Marco Saglini
Aurélien Michel-Traverso
author_facet Yoann Durand
Clémence Bruyère
Marco Saglini
Aurélien Michel-Traverso
author_sort Yoann Durand
collection DOAJ
description We report the case of a 15-year-old boy brought to the emergency department after a bike accident, complaining of an isolated left hip pain. The X-rays showed an obturator hip dislocation treated by closed reduction under general anaesthesia, followed by 6 weeks of discharge. The follow-up MRI performed 6 weeks after the trauma showed an avascular femoral head necrosis, for which we performed multiple retrograde femoral head drilling, completed by the injection of autologue stem cells from the iliaq crest. One year later, the patient has no hip pain, no joint limitation, and can practice BMX at a high level again. The purpose of this report is to make the physicians aware of this rare problem that may be damaging for hip function, especially in young people.
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publishDate 2018-01-01
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series Case Reports in Orthopedics
spelling doaj-art-3b7e31e1ed324468bc090f659ef6e5912025-08-20T02:08:03ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/72680327268032Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the LiteratureYoann Durand0Clémence Bruyère1Marco Saglini2Aurélien Michel-Traverso3Department of Orthopaedics and Traumatology Surgery, Riviera-Chablais Hospital, Monthey, SwitzerlandDepartment of Radiology, University Hospital Geneva (HUG), Geneva, SwitzerlandCabinet de Chirurgie Orthopédique, Préverenges, SwitzerlandDepartment of Orthopaedics and Traumatology Surgery, University Hospital of Lausanne (CHUV), Lausanne, SwitzerlandWe report the case of a 15-year-old boy brought to the emergency department after a bike accident, complaining of an isolated left hip pain. The X-rays showed an obturator hip dislocation treated by closed reduction under general anaesthesia, followed by 6 weeks of discharge. The follow-up MRI performed 6 weeks after the trauma showed an avascular femoral head necrosis, for which we performed multiple retrograde femoral head drilling, completed by the injection of autologue stem cells from the iliaq crest. One year later, the patient has no hip pain, no joint limitation, and can practice BMX at a high level again. The purpose of this report is to make the physicians aware of this rare problem that may be damaging for hip function, especially in young people.http://dx.doi.org/10.1155/2018/7268032
spellingShingle Yoann Durand
Clémence Bruyère
Marco Saglini
Aurélien Michel-Traverso
Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the Literature
Case Reports in Orthopedics
title Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the Literature
title_full Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the Literature
title_fullStr Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the Literature
title_full_unstemmed Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the Literature
title_short Traumatic Obturator Hip Dislocation with Marginal Femoral Head Fracture in a 15-Year-Old Adolescent: A High-Energy Trauma—A Case Report and a Review of the Literature
title_sort traumatic obturator hip dislocation with marginal femoral head fracture in a 15 year old adolescent a high energy trauma a case report and a review of the literature
url http://dx.doi.org/10.1155/2018/7268032
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