Epiphyseal Fracture-Separation of the Distal Humerus Suspected Brachial Plexus Injury : A case report.
- Author:
Sung Kyun MOK
1
;
Han Yong LEE
;
Joon Sung KIM
;
Bo Young HONG
;
Jeong Yi KWON
Author Information
1. Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea. jeong_yi@hotmail.com
- Publication Type:Case Report
- Keywords:
Epiphyseal separation;
Brachial plexopathy;
Neonate
- MeSH:
Brachial Plexus Neuropathies;
Brachial Plexus*;
Brain;
Cerebral Palsy;
Dislocations;
Elbow;
Electromyography;
Epiphyses;
Humans;
Humerus*;
Infant, Newborn;
Magnetic Resonance Imaging;
Orthopedics;
Specialization
- From:Journal of the Korean Academy of Rehabilitation Medicine
2006;30(4):409-412
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The epiphyseal fracture-separation of the distal humerus is extremely rare injury in neonates. It is frequently misdiagnosed as a elbow dislocation owing to the invisible cartilagenous portion of the distal humerus in roentgenograms. We described a case, 9-day-old neonate with finally diagnosed the Salter-Harris type 1 injury of the distal humeral epiphysis. He was referred for further evaluation of 'refusal to use the left arm' from a local clinic. The injury had initially misdiagnosed as normal roentgenograms by a locaorthopedic specialist, so we preferentially give an impression of the brachial plexus injury or the hemiplegic cerebral palsy. But electromyography and brain magnetic resonance imaging were negative findings. A neonate was referred to the pediatric orthopedic subspecialist and properly diagnosed. He was treated with the closed reduction and the percutaneous pinning. No complication has occurred.
