Traumatic Anterior Hip Dislocation in a 7-Year-Old Pediatric Patient
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Published:
Oct 27, 2025
Keywords:
Pediatric hip dislocation, avascular necrosis of the femoral head, traumatic dislocation, anterior hip dislocation
Main Article Content
Abstract
Traumatic hip dislocation in children is extremely rare, and the anterior type is exceptional. It is considered an emergency due to the high risk of complications, the most serious being avascular necrosis of the femoral head. We report the case of a 7-year-old child who sustained a fall from a height of five meters, resulting in an anterior hip dislocation. The diagnosis was confirmed with computed tomography, and closed reduction was performed eight hours after the accident. Radiographic follow-up at three and six months showed no signs of avascular necrosis; however, given the risk of its occurrence, continued monitoring is warranted.
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How to Cite
Dávila-Godínez, G. E., Jorba-Elguero, P., Zárate-de la Torre, M., Dorantes-Díez, M. Ángel, Fernández-Gutiérrez, J. A., & Osorio-Gómez, N. (2025). Traumatic Anterior Hip Dislocation in a 7-Year-Old Pediatric Patient. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 90(5), 481-488. https://doi.org/10.15417/issn.1852-7434.2025.90.5.2101
Section
Case Presentations
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References
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11. Baumann AN, Ndjonko LCM, Schoenecker JG, Baldwin KD. Clinical outcomes and associated pathologies following pediatric traumatic hip dislocations: A systematic review of the literatura. J Pediatr Orthop 2024;44(1):e97-e105. https://doi.org/10.1097/BPO.0000000000002563
12. Mehlman CT, Hubbard GW, Crawford AH, Roy DR, Wall EJ. Traumatic hip dislocation in children: Long-term follow-up of 42 patients. Clin Orthop Relat Res 2000;(376):68-79. PMID: 10906860
13. Başaran SH, Bilgili MG, Erçin E, Bayrak A, Öneş HN, Avkan MC. Treatment and results in paediatric traumatic hip dislocation: Case series and review of the literature. Ulus Travma Acil Cerrahi Derg 2014;20:437-42. https://doi.org/10.5505/tjtes.2014.52822
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16. Sahin V, Karakas ES, Aksu S, Atlihan D, Turk CY, Halici M. Traumatic dislocation and fracture-dislocation of the hip: A long-term follow-up study. J Trauma Acute Care Surg 2003;54(3):520-9. https://doi.org/10.1097/01.TA.0000020394.32496.52
17. Hung NN. Traumatic hip dislocation in children. J Pediatr Orthop B 2012;21(6):542-51. https://doi.org/10.1097/BPB.0b013e328356371b
18. Offierski CM. Traumatic dislocation of the hip in children. J Bone Joint Surg Br 1981;63(2):194-7. https://doi.org/10.1302/0301-620X.63B2.7217141
19. Barbhaiya M, Dong Y, Sparks JA, Losina E, Costenbader KH, Katz JN. Administrative algorithms to identify avascular necrosis of bone among patients undergoing upper or lower extremity magnetic resonance imaging: A validation study. BMC Musculoskelet Disord 2017;18(1):268. https://doi.org/10.1186/s12891-017-1628-2
20. Baig SA, Baig MN. Osteonecrosis of the femoral head: Etiology, investigations, and management. Cureus
2018;10(8):e3171. https://doi.org/10.7759/cureus.3171
21. Manenti G, Altobelli S, Pugliese L, Tarantino U. The role of imaging in diagnosis and management of femoral head avascular necrosis. Clin Cases Miner Bone Metab 2015;12(Suppl 1):31-8. https://doi.org/10.11138/ccmbm/2015.12.3s.031
22. Tripathy SK, Goyal T, Sen RK. Management of femoral head osteonecrosis: Current concepts. Indian J Orthop
2015;49(1):28-45. https://doi.org/10.4103/0019-5413.143915
23. Palencia J, Alfayez S, Serro F, Algahtani J, Alharbi H, Alhinai H. A case report of the management and the outcome of a complete epiphyseal separation and dislocation with left anterior column fracture of the acetabulum. Int J Surg Case Rep 2016;23:173-6. https://doi.org/10.1016/j.ijscr.2016.04.036
24. Chaudhary S, Garg V, Mishra D, Yasam R, Barik S, Sinha SK, et al. Risk factors for avascular necrosis of the femoral head in pediatric femoral neck fractures. Cureus 2021;13(7):e16776. https://doi.org/10.7759/cureus.16776
25. Suominen EN, Saarinen AJ. Traumatic hip dislocation in pediatric patients: Clinical case series and a narrative
review of the literature with an emphasis on primary and long-term complications. Children (Basel) 2023;10(1):107. https://doi.org/10.3390/children10010107
2. Ayadi K, Trigui M, Gdoura F, Elleuch B, Zribi M, Keskes H. Les luxations traumatiques de la hanche chez l’enfant.
Rev Chir Orthop Repar Appar Mot 2008;94(1):19-25. https://doi.org/10.1016/j.rco.2007.10.001
3. Bressan S, Steiner IP, Shavit I. Emergency department diagnosis and treatment of traumatic hip dislocations in children under the age of 7 years: A 10-year review. Emerg Med J 2014;31:425-31. https://doi.org/10.1136/emermed-2012-201957
4. Mahindra P, Soni A, Yamin M, Selhi HS, Soni V. Open posterior dislocation of hip in a 6-year-old boy: A rare case report. J Pediatr Orthop B 2015;24(4):296-8. https://doi.org/10.1097/BPB.0000000000000128
5. Braun ME, Loose O, Schmittenbecher P, Schneidmüller D, Strüwind C, Schwerk P, et al. Epidemiology and injury morphology of traumatic hip dislocations in children and adolescents in Germany: a multi-centre study. Eur J Trauma Emerg Surg 2023;49(4):1897-1907. https://doi.org/10.1007/s00068-023-02280-2
6. Methol G, Dupont M, Rey R, Cuneo A. Luxación anterior obturatriz traumática de cadera en la edad pediátrica.
Anfamed 2019;6(2):66-71. https://doi.org/10.25184/anfamed2019v6n2a8
7. Archer JE, Balakumar B, Odeh A, Bache CE, Dimitriou R. Traumatic hip dislocation in the paediatric population: A case series from a specialist centre. Injury 2021;52:3660-5. https://doi.org/10.1016/j.injury.2021.04.010
8. Thana Charoenpanich S, Bixby S, Breen MA, Kim YJ. MRI is better than CT scan for detection of structural pathologies after traumatic posterior hip dislocations in children and adolescents. J Pediatr Orthop 2020;40(2):86-92. https://doi.org/10.1097/BPO.0000000000001127
9. Ahmad S, Devkota P, Mamman KG. Traumatic anterior dislocation of hip in a child - Case report. Malays Orthop J 2015;9(1):30-1. https://doi.org/10.5704/MOJ.1503.003
10. Vialle R, Odent T, Pannier S, Pauthier F, Laumonier F, Glorion C. Traumatic hip dislocation in childhood. J Pediatr Orthop 2005;25(2):138-44. https://doi.org/10.1097/01.bpo.0000151059.85227.ea
11. Baumann AN, Ndjonko LCM, Schoenecker JG, Baldwin KD. Clinical outcomes and associated pathologies following pediatric traumatic hip dislocations: A systematic review of the literatura. J Pediatr Orthop 2024;44(1):e97-e105. https://doi.org/10.1097/BPO.0000000000002563
12. Mehlman CT, Hubbard GW, Crawford AH, Roy DR, Wall EJ. Traumatic hip dislocation in children: Long-term follow-up of 42 patients. Clin Orthop Relat Res 2000;(376):68-79. PMID: 10906860
13. Başaran SH, Bilgili MG, Erçin E, Bayrak A, Öneş HN, Avkan MC. Treatment and results in paediatric traumatic hip dislocation: Case series and review of the literature. Ulus Travma Acil Cerrahi Derg 2014;20:437-42. https://doi.org/10.5505/tjtes.2014.52822
14. Strüewind CM, Von Rüden C, Thannheimer A, Bühren V, Schneidmueller D. [Relevance of MRI after closed reduction of traumatic hip dislocation in children.] Z Orthop Unfall 2018;156(6):586-91. https://doi.org/10.1055/a-0600-2979
15. Delgado L, González N, Soto N, Rosselli P, Cely L. Luxación traumática anterior de cadera en niños: reporte de caso. Rev Mex Ortop Pediatr 2022;24(1-3):50-3. https://doi.org/10.35366/106979
16. Sahin V, Karakas ES, Aksu S, Atlihan D, Turk CY, Halici M. Traumatic dislocation and fracture-dislocation of the hip: A long-term follow-up study. J Trauma Acute Care Surg 2003;54(3):520-9. https://doi.org/10.1097/01.TA.0000020394.32496.52
17. Hung NN. Traumatic hip dislocation in children. J Pediatr Orthop B 2012;21(6):542-51. https://doi.org/10.1097/BPB.0b013e328356371b
18. Offierski CM. Traumatic dislocation of the hip in children. J Bone Joint Surg Br 1981;63(2):194-7. https://doi.org/10.1302/0301-620X.63B2.7217141
19. Barbhaiya M, Dong Y, Sparks JA, Losina E, Costenbader KH, Katz JN. Administrative algorithms to identify avascular necrosis of bone among patients undergoing upper or lower extremity magnetic resonance imaging: A validation study. BMC Musculoskelet Disord 2017;18(1):268. https://doi.org/10.1186/s12891-017-1628-2
20. Baig SA, Baig MN. Osteonecrosis of the femoral head: Etiology, investigations, and management. Cureus
2018;10(8):e3171. https://doi.org/10.7759/cureus.3171
21. Manenti G, Altobelli S, Pugliese L, Tarantino U. The role of imaging in diagnosis and management of femoral head avascular necrosis. Clin Cases Miner Bone Metab 2015;12(Suppl 1):31-8. https://doi.org/10.11138/ccmbm/2015.12.3s.031
22. Tripathy SK, Goyal T, Sen RK. Management of femoral head osteonecrosis: Current concepts. Indian J Orthop
2015;49(1):28-45. https://doi.org/10.4103/0019-5413.143915
23. Palencia J, Alfayez S, Serro F, Algahtani J, Alharbi H, Alhinai H. A case report of the management and the outcome of a complete epiphyseal separation and dislocation with left anterior column fracture of the acetabulum. Int J Surg Case Rep 2016;23:173-6. https://doi.org/10.1016/j.ijscr.2016.04.036
24. Chaudhary S, Garg V, Mishra D, Yasam R, Barik S, Sinha SK, et al. Risk factors for avascular necrosis of the femoral head in pediatric femoral neck fractures. Cureus 2021;13(7):e16776. https://doi.org/10.7759/cureus.16776
25. Suominen EN, Saarinen AJ. Traumatic hip dislocation in pediatric patients: Clinical case series and a narrative
review of the literature with an emphasis on primary and long-term complications. Children (Basel) 2023;10(1):107. https://doi.org/10.3390/children10010107