Spontaneous Healing of a Bucket-Handle Posterior Labral Detachment After Hip Dislocation in a Five-Year-Old Child: A Case Report

JBJS Case Connect. 2018 Apr-Jun;8(2):e28. doi: 10.2106/JBJS.CC.17.00133.


Case: We report the case of a 5-year-old girl who sustained a traumatic hip dislocation and a spontaneous reduction that was complicated by nonconcentric reduction and a large bucket-handle labral detachment. This injury was managed, via an anterior approach, with capsulotomy and reduction of the large interposed labral tear with an attached osteochondral fragment from the posterior aspect of the acetabulum. No additional surgical treatment was employed for the labral tear.

Conclusion: The patient ultimately demonstrated radiographic healing and an asymptomatic, clinically stable hip. This case illustrates the spontaneous healing of a large posterior labral detachment in a young pediatric patient with a good outcome at 2.5 years after injury.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Cartilage, Articular* / diagnostic imaging
  • Cartilage, Articular* / physiopathology
  • Child, Preschool
  • Female
  • Hip / diagnostic imaging
  • Hip / physiopathology
  • Hip / surgery
  • Hip Dislocation* / complications
  • Hip Dislocation* / diagnostic imaging
  • Hip Dislocation* / physiopathology
  • Hip Dislocation* / surgery
  • Humans
  • Plastic Surgery Procedures / instrumentation
  • Plastic Surgery Procedures / methods