Faculty Collaboration Database

Posterior Wall Acetabular Fracture After Low-Energy Trauma Masquerading as Infection: A Case Report. JBJS Case Connect 2023 Jul 01;13(3)

Date

08/24/2023

Pubmed ID

37616416

DOI

10.2106/JBJS.CC.23.00228

Scopus ID

2-s2.0-85168737652 (requires institutional sign-in at Scopus site)

Abstract

CASE: A 12-year-old adolescent boy presented after a low-energy fall with groin pain, inability to bear weight, painful passive range of motion, fever, elevated inflammatory markers, and upper respiratory symptoms. Initial radiographs did not demonstrate any abnormality, and magnetic resonance imaging suggested infection. Posterior wall acetabular fracture was not diagnosed until a computed tomography-guided biopsy was performed.

CONCLUSION: Pediatric acetabular fractures are exceedingly rare. They can be difficult to diagnose after low-energy trauma as symptoms mimic infectious hip pathologies. Children presenting with infectious hip symptomology and a history of trauma may benefit from more extensive trauma imaging before costly and invasive infectious diagnostic procedures.

Author List

Compton T, Credille K, Loeffler T, Graf A, Van Valin S

Author

Scott Van Valin MD Associate Professor in the Orthopaedic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Child
Hip Fractures
Humans
Image-Guided Biopsy
Male
Pain
Spinal Fractures
Tomography, X-Ray Computed