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Epiphyseal Separation of Distal Humerus in Newborn: A Case Report

Issue: 
DOI: 
10.7727/wimjopen.2014.039
Pages: 
22–5

ABSTRACT

Complete distal humeral epiphyseal separation which is similar to elbow dislocation is a rare injury in neonates. Whereas ultrasonography and magnetic resonance imaging (MRI) are helpful, plain radiographs are ineffective when diagnosing this disorder. We report a case in which a fracture-separation of the distal humeral epiphysis was diagnosed in a newborn via ultrasonography and MRI. A clear delineation of the injury was provided. The fractured distal humerus was treated by internal fixation with percutaneous Kirschner wires. A follow-up observation revealed a good recovery. Traumatic separation of the distal epiphysis may be missed in maternity wards and not diagnosed until the patient is discharged from hospital. However, a good clinical result can be expected even when no attempt is made to reduce the dislocated epiphysis.

Accepted: 
February 24, 2014
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