Knee pain after a trivial fall in a child: Don't forget the hip

Research output: Contribution to journalArticle

Abstract

Traumatic posterior hip dislocation is a rare injury in children. The incidence is about less than 10% of all traumatic hip dislocation. As compared to adult, pediatric cases occurred even after trivial injuries, which make initial diagnosis commonly missed. We report a rare case of posterior hip dislocation of the right hip in a 3-year old girl, presented with a right knee pain and refusal to bear weight for three days' duration. On examination, her right lower limb appeared shorter than the left. Serial knee radiographs were reported normal, and she was initially treated for soft tissue injury. Emergency manipulation and reduction under anesthesia were performed after pelvic radiograph showed posterior dislocation. She was put under hip spica for six weeks. Follow-up revealed complete recovery with full range of motion and full weight bearing. There were no signs and symptoms of avascular necrosis. It certainly demonstrated the importance of a prompt diagnosis and treatment of any child with complaining of knee pain, as this may be due to a referred pain from the hip.

Original languageEnglish
Pages (from-to)271-272
Number of pages2
JournalInternational Medical Journal
Volume19
Issue number3
Publication statusPublished - Sep 2012

Fingerprint

Hip Dislocation
Hip
Knee
Pain
Referred Pain
Soft Tissue Injuries
Wounds and Injuries
Weight-Bearing
Articular Range of Motion
Signs and Symptoms
Lower Extremity
Emergencies
Necrosis
Anesthesia
Pediatrics
Weights and Measures
Incidence
Therapeutics

Keywords

  • Children
  • Delayed diagnosis
  • Knee pain
  • Traumatic hip dislocation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Knee pain after a trivial fall in a child : Don't forget the hip. / Abd Rashid, Abdul Halim; Muhamad Ariffin, Mohd Hisam; Abd Aziz, Noorazah; Hamid, M. Z A.

In: International Medical Journal, Vol. 19, No. 3, 09.2012, p. 271-272.

Research output: Contribution to journalArticle

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