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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 2,
240-241.
doi: 10.1302/0301-620X.89B2.18248 Copyright © 2007 by British Editorial Society of Bone and Joint Surgery Near-fatal air embolus during arthrography of the hip in a baby aged four monthsR. Lamdan, MD, Orthopaedic Surgeon1; A. Sadun, MD, Orthopaedic Surgeon1; and M. Y. Shamir, MD, Anaesthesiologist11 Department of Orthopaedics, Hassadah University Hospital, Hebrew University School of Medicine, PO Box 12000, Jerusalem 91120, Israel. Correspondence should be sent to Dr R. Lamdan; e-mail: nrlamdan{at}bezeqint.net
We describe a near-fatal event, probably due to air embolism, following an air arthrogram for developmental hip dysplasia in a baby aged four months. The sequence of events and the subsequent treatment are described. There is little information about this complication in the literature. The presumed mechanism and alternative methods for confirmation of placement of the needle are discussed. We no longer use air arthrography in children.
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