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Case ReportPractice

Delayed diagnosis of hip dislocation in a young child

J. Alexandra Mortimer and Anne Dzus
Canadian Family Physician October 2016; 62 (10) 815-817;
J. Alexandra Mortimer
Resident in the Division of Orthopedic Surgery at the University of Saskatchewan in Saskatoon.
MD
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  • For correspondence: mortimer.alexandra@gmail.com
Anne Dzus
Director of Pediatric Surgical Services in the Division of Orthopedic Surgery at the University of Saskatchewan.
MD FRCSC
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    Figure 1.

    Plain film radiographs of the patient’s left knee at the time of injury revealing normal findings: A) anteroposterior view; B) lateral view.

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    Figure 2.

    Plain film radiograph of the anteroposterior view of the pelvis 6 weeks after injury confirming a left hip dislocation

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    Figure 3.

    Intraoperative photograph demonstrating a positive Galeazzi sign

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    Figure 4.

    Intraoperative photograph demonstrating markedly decreased abduction of the left hip

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    Figure 5.

    Femoral head buttonholed through the posterior hip capsule during the open reduction of the left hip using the posterior approach

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    Figure 6.

    Postoperative plain film radiograph of the anteroposterior view of the hip in the spica cast with the left hip concentrically reduced

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    Figure 7.

    Plain film radiograph of the anteroposterior view of the pelvis at 9 months’ follow-up: There is medial joint space widening with slight lateral subluxation of the hip and flattening of the femoral epiphysis. Note the disruption in Shenton line.

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Canadian Family Physician: 62 (10)
Canadian Family Physician
Vol. 62, Issue 10
1 Oct 2016
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Delayed diagnosis of hip dislocation in a young child
J. Alexandra Mortimer, Anne Dzus
Canadian Family Physician Oct 2016, 62 (10) 815-817;

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Delayed diagnosis of hip dislocation in a young child
J. Alexandra Mortimer, Anne Dzus
Canadian Family Physician Oct 2016, 62 (10) 815-817;
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