{"title":"Case Report: Traumatic obturator hip dislocation with subtrochanteric fracture in an 8-year-old child.","authors":"Shuming Huang, Kanghao Fang, Hailin Xing, Shuhua Lan, Quanzhou Wu","doi":"10.3389/fsurg.2025.1531518","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Obturator-type hip dislocation is a rare condition in pediatric patients, with the simultaneous occurrence of an ipsilateral subtrochanteric femoral fracture being exceptionally uncommon. Although various treatment methods have been described for hip dislocation or subtrochanteric femoral fractures, managing these injuries remains challenging due to the potential risk of femoral head avascular necrosis and concerns about fixation stability.</p><p><strong>Case presentation: </strong>An 8-year-old boy sustained a traumatic obturator hip dislocation and an ipsilateral subtrochanteric fracture following a fall from a height. Closed manual reduction of the hip dislocation was performed under general anesthesia, followed by internal fixation of the fracture using an adult proximal humerus locking plate. After 3 years of follow-up, the patient showed complete fracture healing and achieved a full, painless range of hip motion without any complications.</p><p><strong>Conclusion: </strong>This case describes a rare instance of traumatic obturator-type hip dislocation with an ipsilateral subtrochanteric femoral fracture in a child. It highlights an effective treatment approach for managing this complex injury.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1531518"},"PeriodicalIF":1.6000,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868055/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fsurg.2025.1531518","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
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Abstract
Background: Obturator-type hip dislocation is a rare condition in pediatric patients, with the simultaneous occurrence of an ipsilateral subtrochanteric femoral fracture being exceptionally uncommon. Although various treatment methods have been described for hip dislocation or subtrochanteric femoral fractures, managing these injuries remains challenging due to the potential risk of femoral head avascular necrosis and concerns about fixation stability.
Case presentation: An 8-year-old boy sustained a traumatic obturator hip dislocation and an ipsilateral subtrochanteric fracture following a fall from a height. Closed manual reduction of the hip dislocation was performed under general anesthesia, followed by internal fixation of the fracture using an adult proximal humerus locking plate. After 3 years of follow-up, the patient showed complete fracture healing and achieved a full, painless range of hip motion without any complications.
Conclusion: This case describes a rare instance of traumatic obturator-type hip dislocation with an ipsilateral subtrochanteric femoral fracture in a child. It highlights an effective treatment approach for managing this complex injury.
期刊介绍：
Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles.
Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery.
Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact.
The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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