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At least 19 recordsLinked to original sources
PubMed1980

Hip injuries in children and adolescents.

Hip injuries in children present a wide spectrum of problems. Frequently because of the severity of the trauma involved, other injuries may take precedence and may require modification of the usual approaches to treatment. However, certain precepts are essential to the successful treatment of these injuries and should be kept in mind regardless of the milieu in which they are found. In the child with a hip dislocation, the potential presence of an acetabular, femoral head, femoral shaft, patellar or tibial plateau fracture must always be considered. Specialized x-ray views are necessary for this evaluation. Laminography and arthrography may also be required. The essential feature of successful subsequent treatment is a gentle closed reduction performed within 24 hours of injury. Treatment of displaced fractures of the femoral neck remains an unresolved issue. Accurate reduction held with adequate internal fixation would appear to offer the best chance for a successful result. The possible complications of avascular necrosis, delayed union and non-union, coxa vara, premature closure of the epiphyseal plate, and shortening should be appreciated. Early institution of appropriate treatment may mitigate the ultimate effect of these potentially devastating problems.

Acetabulum↗
PubMedDate not supplied

[Traumatic hip injuries in the growth stage].

Injuries to the hip joint during growth are rare, but can nevertheless be problematic. Many of the complications described in the literature can be avoided by immediate, low-stress, but adequate therapy. With such an approach, however, fateful complications such as head necrosis cannot be avoided with absolute certainty. Therefore, management of such injuries must include correct enlightenment of the patient's parents and systematic follow-up of the patient, in order to identify complications which might have a negative influence on the prognosis and to treat them at an early stage.

Acetabulum↗
PubMedDate not supplied

Mechanics of the treatment of hip injuries.

When treated operatively, mechanical problems associated with intertrochanteric hip fracture include malunion and nonunion. Their frequency and severity are directly related to the mechanical effectiveness of internal fixation, which is determined by 5 independent variables: bone quality, fragment geometry, reduction, implant, and implant placement. While all 5 variables are of importance, bone quality and fragment geometry are the product of the patient and the trauma and cannot be significantly modified by the treating surgeon. Reduction, implant placement, and implant selection are the variables which the surgeon can manipulate. While all 3 are important, implant selection and implant placement are of relatively greater importance than reduction. Implant placement in the biomechanically ideal position for the individual patient is probably the single most important of the 5 variables.

Biomechanical Phenomena↗
PubMed1977

[Diagnosis and treatment of postoperative infections following hip injuries].

The authors studied the diagnosis and treatment of posttraumatic infections of the hip joint, based on their own material. In case of latent infection the increased sedimentation rate and taking of comparative X-ray films are held important, that shows a narrowing and disappearance of the sclerosed edge of the acetabulum. Following dislocation of the hip joint ankylosis may be attained, but after fractures of the proximal and of the femur the infection cannot be cured, unless the nail and the head of the femur are removed.

Adult↗
PubMed1989

Biomechanical aspects of pelvic and hip injuries in road traffic accidents.

The mechanism of pelvic fractures has been well documented from radiographs but little is known of the forces required to produce these injuries. We examined 40 cases of pelvic injury sustained in road traffic accidents where the direction of impact and the velocity differential was known. In frontal impacts, indirect shear injuries of the pelvis were prominent, while in side impacts, lateral compressive injuries occurred. With increasing velocity differentials and vehicle deformation and intrusion, more severe pelvic injury occurred, often in association with significant head, chest, and lower limb injuries. Side impacts were noted to produce more severe injuries at lower velocity differentials when compared with frontal crashes.

Accidents, Traffic↗
PubMed1969

Injuries to hip joint in car occupants.

Four varieties of fracture, of dislocation, or of fracture dislocation of the hip are described that occur in car occupants after road accidents. It is suggested that, whereas most hip injuries to car occupants are produced by application of force to the knee, one important variety (central fracture dislocation) is the result of the direct application of force to the great trochanter. Central fracture dislocations might be prevented, or their severity minimized, by strengthening the sides of cars and of car doors and by improving the energy absorption characteristics of the facia panel.

Accidents, Traffic↗
PubMed1984

Injuries of the pelvis and hip.

Pelvic, acetabular, and hip fractures have a very high incidence of catastrophic early and late complications. In the emergency department, attention should be focused on the prompt and judicious management of concurrent local visceral and systemic problems. The eventual outcome of any pelvic or hip injury reflects the adequacy of the emergency treatment.

Acetabulum↗