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TRANSEPIPHYSEAL FRACTURE OF THE FEMORAL NECK WITH DISLOCATION OF THE FEMORAL HEAD AND FRACTURE OF THE POSTERIOR COLUMN OF THE ACETABULUM IN A CHILD

Spinal Deformity Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.

A. Port, BSc, FRCS (Trauma & Orth), Consultant Orthopaedic Surgeon

R. J. Montgomery, FRCS Ed, Consultant Orthopaedic Surgeon

Department of Orthopaedics, Middlesborough General Hospital, Ayresome Green Lane, Middlesborough, Cleveland TS5 5AZ, UK.

Correspondence should be sent to Mr S. Mohammad at the Spinal Unit, Hope Hospital, Stott Lane, Salford M6 8HD, UK.

We describe a 15-year-old boy with a posterior dislocation of the hip, fracture of the posterior column of the acetabulum and separation of the femoral capital epiphysis. To our knowledge no previous case in a child has been reported. Such high-energy injuries are extremely rare, and a poor outcome is expected.

We advocate early referral to a specialised tertiary centre, and the use of a modification of Delbet’s classification to reflect the complexity and displacement which may occur with this injury.

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