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Case Reports in Orthopedics
Volume 2017, Article ID 6873484, 4 pages
https://doi.org/10.1155/2017/6873484
Case Report

Locked Central Fracture Dislocation of the Hip in a Child after Low-Energy Trauma

1Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon
2Orthopedic Surgery Department, University of Illinois at Chicago, Chicago, IL, USA

Correspondence should be addressed to Alexandre H. Nehme; moc.liamg@emhenha

Received 8 August 2017; Accepted 1 November 2017; Published 27 November 2017

Academic Editor: Johannes Mayr

Copyright © 2017 Alexandre H. Nehme et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present the case of a 13-year-old boy who sustained a locked central fracture dislocation of the right acetabulum following a bicycle fall. Immediate external reduction maneuvers under general anesthesia were unsuccessful due to intrapelvic entrapment of the femoral head. Open reduction internal fixation was achieved 48 hours later. After an initial satisfactory postoperative course, the patient ended up developing severe hip osteoarthritis 16 months after the procedure. The rarity of this injury in children is discussed, with its possible implications on joint congruity and potential growth injury.