Pseudo-Acetabulum due to Heterotopic Ossification in a Child with Post Traumatic Neglected Posterior Hip Dislocation-Abstract

What to Learn from this Article?

 1. A very unusual radiological appearance of pseudo-acetabulum by bone formed by heterotopic ossification

 

2. Surgical management of neglected hip dislocation with heterotopic ossification


Case Report

Volume 2 | Issue 4 | JOCR Oct-Dec 2012 | Page 14-18 | Pathak AC, Patil A, Sheth B, Bansal R


Pseudo-Acetabulum due to Heterotopic Ossification in a Child with Post Traumatic Neglected Posterior Hip Dislocation


 Authors: Aditya C Pathak [1], Atul K Patil [2], Binoti Sheth [2], Rohan Bansal [3]

[1] Dr LH Hiranandani Hospital, Powaii, Mumbai, [2] Department of Orthopaedics, Lokmanya Tilak Medical College & Sion Hospital, Mumbai.India. [3] Department Of Orthopaedics, Government Medical College, Miraj and PVPGH, Sangli. India

Address of Correspondence:  Dr Aditya C Pathak.Fellow in Advanced Joint Replacement, Dr LH Hiranandani Hospital, Powaii, Mumbai 400061. Email: dr_acp18@yahoo.co.in


 Abstract

Introduction: Traumatic neglected dislocations of hip in children are rare entity. Neglected traumatic dislocations of hip in children along with heterotopic ossification are still rare. Post traumatic neglected hip dislocations are to be diagnosed as early as possible and have to be treated with precision and aggression as the outcome of treatment for the same is not predictable.

Case Report: 5 year female with post-traumatic neglected hip dislocation with heterotopic ossification forming a pseudoacetabulum postero-superiorly in which femur head was lodged. The girl was operated by open reduction using Moore’s Posterior approach and showed good results. Here is a mention of a rare case with a good 18 months follow up with no complication .

Conclusion: Post-traumatic neglected posterior hip dislocation mostly requires open reduction and relocation of femoral head in original acetabulum with concentric reduction. Heterotopic ossification is a rare but known complication of traumatic dislocation of hip in children. Good results can be achieved in such cases and regular follow-up of patient is required post-operatively.

 Keywords: Neglected Post-traumatic, hip dislocation,heterotopic ossification.


 

How to Cite This Article:Pathak AC, Patil A, Sheth B, Bansal R. Pseudo-Acetabulum due to Heterotopic Ossification in a Child with Post Traumatic Neglected Posterior Hip Dislocation. Journal of Orthopaedic Case reports Oct-Dec 2012: 2(4);14-18.Available from:http://www.jocr.co.in/wp/wp-content/uploads/2013/01/jocr-oct-dec-2012-6-Pseudo-Acetabulum-due-to-Heterotopic-Ossification.pdf


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