Epiphysiolysis of the femoral neck due to closed reduction of an adolescent hip dislocation with a 4-year follow-up: a case report and review of the literature. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Rajani, Rajiv; Wise, Brent; Oswald, Tim; Roberson, James
• Is Part Of: Journal of pediatric orthopedics. Volume 24:Issue 1(2015)
• Publication Date: 2015-01
• Subjects: adolescent hip dislocation -- displaced Salter Harris II fracture -- femoral neck fracture; Pediatric orthopedics -- Periodicals; 618.927005
• DOI: 10.1097/BPB.0000000000000118
• Languages: English
• ISSNs: 1060-152X

Abstract

Abstract : This case study discusses a 13-year-old girl diagnosed with a displaced Salter Harris II fracture of the proximal femoral epiphysis post reduction of a dislocated hip. Radiographs before reduction revealed a small fracture of the inferomedial femoral head. This, however, did not induce concern before reduction. The patient underwent reparative surgery of the epiphysis only to develop a collapsed femoral head, which was remedied through total hip arthroplasty. A decrease in blood flow, the delicacy in reduction, and unknown predispositions might have been contributing factors toward the unique development in this case.