Transphyseal separation of the distal humerus in newborns.
10.1016/j.cjtee.2017.04.003
- Author:
Cosimo GIGANTE
1
;
Sunil Gurpur KINI
2
;
Carlo ORIGO
3
;
Andrea VOLPIN
1
Author Information
1. Unit of Paediatric Orthopaedics, Azienda Ospedaliera di Padova, 35128, Padova, Italy.
2. Department of Orthopaedics, Manipal Hospitals, Bangalore, India. Electronic address: sunil.kini@manipalhospitals.com.
3. Department of Paediatric Orthopaedics, Hospital C. Arrigo, Alessandria, Italy.
- Publication Type:Journal Article
- Keywords:
Humerus;
Infant, newborn;
Separation of epiphysis
- From:
Chinese Journal of Traumatology
2017;20(3):183-186
- CountryChina
- Language:English
-
Abstract:
Obstetric traumatic separation of the distal humeral epiphysis is a very uncommon injury, which presents a diagnostic challenge. These case serials reviewed the functional outcomes of 5 patients who had sustained a fracture-separation of the distal humeral epiphysis at birth. The diagnosis was made at a mean time of 40.8 h after delivery. All the patients were treated with gentle close manipulation, reduction under fluoroscopy and above-elbow cast application. After discharge, the patients were followed up for a mean of 30 months. Clinico-radiological results were excellent in four patients. One case necessitated closed reduction and percutaneous K-wire fixation at one week follow-up due to failed reduction. Cubitusvarus deformity was the only complication noted in 1 case. Good functional outcome can be expected in newborns with fracture-separation of the distal humeral epiphysis wherein the physis is anatomically reduced.
