02 July 2019 : Case report
Hip Arthroscopy as Part of a Salvage Procedure for Avascular Necrosis (AVN) in a 7-Year-Old Child
Unusual setting of medical care
Ioannis Delniotis1ABCDEF*, Benedikt Leidinger1ACDEFGDOI: 10.12659/AJCR.916804
Am J Case Rep 2019; 20:941-947
Abstract
BACKGROUND: Avascular necrosis of the femoral head (AVN) is one of the most serious complications following developmental dysplasia of the hip (DDH). Treatment options focus mainly on improving the biomechanics and kinematics of the affected hip joint. In the past, femoral and pelvic osteotomies were the mainstay of treatment. Over the last years, the use of hip arthroscopy has also grown and allows reconstructive treatments in pediatric hip disorders.
CASE REPORT: We present a 7-year old patient with AVN of the proximal femoral head after open reduction of her dislocated hip (DDH). The patient presented to our department with limb length discrepancy, limited internal rotation of the right hip and groin pain. We performed a two-stage procedure including a) valgus proximal femur osteotomy combined with Dega acetabuloplasty and b) hip arthroscopy to address the formation of CAM impingement that was the result of excessive femoral head necrosis and our re-orientation procedure.
CONCLUSIONS: AVN following closed or open reduction for DDH is a potentially devastating complication. Hip arthroscopy can be an extremely useful tool that can be used in addition to the well-known osteotomy procedures to improve joint congruency. Hip arthroscopy in the pediatric population is a new growing field that can be used in managing disorders of the pediatric hip, as the indications will continue to evolve.
Keywords: Arthroscopy, Femur Head Necrosis, Hip Dislocation, Congenital, Osteotomy, Acetabuloplasty, Child, Femur, Hip Joint, Leg Length Inequality, Salvage Therapy
In Press
12 Feb 2024 : Case report
Diagnostic Challenges and Imaging Considerations for Intraparotid Facial Nerve Schwannoma: A Case Report an...Am J Case Rep In Press; DOI: 10.12659/AJCR.942870
12 Feb 2024 : Case report
Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PETAm J Case Rep In Press; DOI: 10.12659/AJCR.941169
12 Feb 2024 : Case report
Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942839
13 Feb 2024 : Case report
Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel HematomaAm J Case Rep In Press; DOI: 10.12659/AJCR.943519
Most Viewed Current Articles
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
05 Mar 2022 : Case report
Acute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...DOI :10.12659/AJCR.935336
Am J Case Rep 2022; 23:e935336
02 Apr 2022 : Case report
Infective Endocarditis Caused by Pseudomonas luteola in a Pediatric Patient. A Case Report and Review of Li...DOI :10.12659/AJCR.935743
Am J Case Rep 2022; 23:e935743