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{ "pk": 643, "title": "Emergency Physician Reduction of Pediatric Hip Dislocation", "subtitle": null, "abstract": "Traumatic hip dislocation in children is relatively rare but presents a true emergency, as a delay in reduction can result in avascular necrosis of the femoral head and long-term morbidity. After sustaining a traumatic posterolateral hip dislocation, a seven-year-old boy presented to an outside facility where no attempt was made at reduction. The patient was transferred to our emergency department (ED) where he was promptly sedated and the dislocation was reduced in a timely manner. Emergency physicians have demonstrated high success rates with dislocation reduction. ED reduction should occur immediately to reduce the likelihood of long-term complications. While timely consultation with a pediatric orthopedist is recommended, that should not delay reduction. The reduction should ideally be performed before the patient leaves the department or is transferred to another facility.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Reports", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/24t7p7g4", "frozenauthors": [ { "first_name": "Seth", "middle_name": "", "last_name": "Capehart", "name_suffix": "", "institution": "West Virginia University School of Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Brenden", "middle_name": "J.", "last_name": "Balcik", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Rosanna", "middle_name": "", "last_name": "Sikora", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Melinda", "middle_name": "", "last_name": "Sharon", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia", "department": "None" }, { "first_name": "Joseph", "middle_name": "", "last_name": "Minardi", "name_suffix": "", "institution": "West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West Virginia; West Virginia University School of Medicine, Department of Medical Education, Morgantown, West Virginia", "department": "None" } ], "date_submitted": "2019-01-23T03:32:22Z", "date_accepted": "2019-01-23T03:32:22Z", "date_published": "2019-02-26T20:20:06Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/643/galley/403/download/" } ] }