{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:59:29Z","timestamp":1763463569765,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nTraumatic hip dislocation is a relatively rare entity in children. Posterior cruciate ligament (PCL) avulsion is also very rare in children and only a few cases have been reported. Because of the mechanism of injury, coexistent PCL avulsion with posterior dislocation of the hip is frequently seen in adults. This coexistence, however, has not hitherto been reported in children. We present an eight-year-old boy with traumatic posterior dislocation of hip and PCL avulsion. He was brought to hospital after a car accident in which his knee hit to the front part of the car when he was driving a bicycle. He had limitation of motion in the left hip with adduction and flexion deformity and a mild swelling and ecchymosis on the popliteal fossa of the left knee. Pelvic X-ray showed posterior dislocation of the left hip. Closed reduction was performed under general anesthesia. Six weeks later, he presented again with a complaint of limitation of motion in the left knee. On a knee radiograph, an avulsed bony fragment was noted near the medial femoral condyle. Three-dimensional computed tomography with reconstruction showed avulsion of a 0.5-cm fragment from the medial femoral condyle. Because of delay, no surgical intervention was attempted and he received physical therapy for quadriceps strengthening and improvement in the range of motion of the knee. One month after physical therapy, he had 120 degrees of knee flexion with no flexion contracture. Twelve months after injury, the patient had a normal hip and near-full knee flexion. He had no rotary instability and was active in sport\n\n\u00d6zet\n\nTravmatik kal\u00e7a \u00e7\u0131k\u0131\u011f\u0131 \u00e7ocuklarda nadir rastlanan bir durumdur. Arka \u00e7apraz ba\u011f (A\u00c7B) avulsiyonu da \u00e7ocuklarda sadece birka\u00e7 olguda bildirilmi\u015ftir. Yaralanma mekanizmas\u0131na ba\u011fl\u0131 olarak, eri\u015fkinlerde posterior kal\u00e7a \u00e7\u0131k\u0131klar\u0131yla birlikte A\u00c7B avulsiyonu s\u0131k g\u00f6r\u00fclmesine kar\u015f\u0131n, bu birliktelik \u00e7ocuklarda bildirilmemi\u015ftir. Bu yaz\u0131da, travmatik posterior kal\u00e7a \u00e7\u0131k\u0131\u011f\u0131 ve A\u00c7B avulsiyonunun birarada g\u00f6r\u00fcld\u00fc\u011f\u00fc sekiz ya\u015f\u0131nda bir erkek \u00e7ocuk sunuldu. Hasta, bisiklet s\u00fcrerken bir araban\u0131n \u00f6nden \u00e7arpmas\u0131 sonucu hastaneye getirildi. Sol kal\u00e7ada adduksiyon ve fleksiyon deformitesiyle birlikte hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 ve sol dizde popliteal \u00e7ukur \u00fczerinde hafif \u015fi\u015flik ve ekimoz vard\u0131. Pelvis grafisinde sol kal\u00e7ada posterior \u00e7\u0131k\u0131k g\u00f6r\u00fcld\u00fc. Hastaya genel anestezi alt\u0131nda kapal\u0131 red\u00fcksiyon uyguland\u0131. Alt\u0131 hafta sonra, sol dizindeki hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 nedeniyle tekrar ba\u015fvuran hastan\u0131n diz grafisinde, medial femoral kondil kenar\u0131nda avulsiyon g\u00f6r\u00fcld\u00fc. \u00dc\u00e7boyutlu bilgisayarl\u0131 tomografi rekonstr\u00fcksiyonunda, medial femoral kondilden 0.5 cm\u2019lik bir par\u00e7an\u0131n s\u0131yr\u0131ld\u0131\u011f\u0131 g\u00f6zlendi. Tan\u0131daki gecikme nedeniyle hastaya cerrahi giri\u015fimde bulunulmad\u0131 ve kuadriseps g\u00fc\u00e7lendirme ve diz hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n iyile\u015ftirilmesi i\u00e7in fizik tedavi uyguland\u0131. Bir ayl\u0131k fizik tedavi sonunda, hastan\u0131n diz fleksiyonu 120 dereceye y\u00fckseldi ve fleksiyon kontrakt\u00fcr\u00fc g\u00f6r\u00fclmedi. Kazadan 12 ay sonra yap\u0131lan kontrollerde hastan\u0131n kal\u00e7as\u0131 normal bulundu, diz fleksiyonu tama yak\u0131nd\u0131. Rotasyon instabilitesi olmaks\u0131z\u0131n spor etkinliklerine kat\u0131labiliyordu.<\/jats:p>","DOI":"10.3944\/aott.2009.532","type":"journal-article","created":{"date-parts":[[2010,2,3]],"date-time":"2010-02-03T15:23:57Z","timestamp":1265210637000},"page":"532-534","source":"Crossref","is-referenced-by-count":6,"title":["Posterior dislocation of the hip and posterior cruciate ligament avulsion in an 8yearold boy"],"prefix":"10.5152","volume":"43","author":[{"given":"Fradin","family":"Mirzatolooei","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2330\/2287","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:56:57Z","timestamp":1763463417000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2009,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.532","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}