Isolated quadrilateral plate fracture with central hip dislocation after epileptic seizure in a postpartum patient: A case report

• Published in: 中华创伤杂志英文版 Vol. 27; no. 6; pp. 410 - 413
• Main Authors: Gulija Jana, igman Tomislav, Dobri? Ivan, Bobovec Dino, Gusi? Nadomir
• Format: Journal Article
• Language: Chinese
• Published: School of Medicine, University of Zagreb, Zagreb, 10000, Croatia%Department of Surgery, University Hospital Centre Zagreb, Zagreb, 10000, Croatia%Department of Surgery, Pula General Hospital, Pula, 52100, Croatia 2024
• Subjects: Postpartum period; Surgical traumatology; Acetabulum; Pelvis; Trauma
• ISSN: 1008-1275
• DOI: 10.1016/j.cjtee.2023.06.006

Isolated quadrilateral plate fractures are extremely rare and their treatment is complex. The postpartum period and recent caesarean section additionally increase already significant risks of surgical treatment. Modified Stoppa approach and the use of infrapectineal plate represent the optimal surgical treatment method. One case of central hip dislocation and isolated quadrilateral plate fracture was reported during an epileptic seizure 1 day postpartum, which was treated with open reduction and internal fixation. A 25-year-old female patient had given birth via cesarean section. One day postpartum, she had multiple generalized tonic clonic seizures. Arteriovenous malformation was identified as the cause of seizures by MRI. The patient complained of left hip pain and inability to move the left leg which prompted clinical and radiological examination. A pelvic CT scan verified multifragmentary fracture of the quadrilateral plate without fracture of the acetabular columns. The central hip dislocation was verifi