Traumatic separation of the distal epiphysis of the humerus sustained at birth

Author:

Jacobsen S.1,Hansson G.2,Nathorst-Westfelt J.2

Affiliation:

1. Department of Orthopaedic Surgery The Marshfield Clinic, 1000 North Oak Avenue, Marshfield, Wisconsin 54449, USA.

2. Department of Pediatric Surgery The Queen Silvia Children’s Hospital, SE-41685, Gothenburg, Sweden.

Abstract

We reviewed the clinical and radiological results of six patients who had sustained traumatic separation of the distal epiphysis of the humerus at birth. The correct diagnosis was made from plain radiographs and often supplemented with ultrasonography, MRI and arthrography. An orthopaedic surgeon saw two patients within two days of birth, and the other four were seen at between nine and 30 days. The two neonates underwent unsuccessful attempts at closed reduction. In the remaining patients, seen after the age of eight days, no attempt at reduction was made. All six displaced fractures were immobilised in a cast with the elbow at 90° of flexion and the forearm pronated. When seen at a mean of 58 months (16 to 120) after injury, the clinical and radiological results were excellent in five patients, with complete realignment of the injury. In one patient the forearm lay in slightly reduced valgus with the elbow in full extension. Traumatic separation of the distal epiphysis of the humerus may be missed on the maternity wards and not diagnosed until after discharge from hospital. However, even when no attempt is made to reduce the displaced epiphysis, a good clinical result can be expected.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Reference37 articles.

1. Observations on disjunction of the lower epiphysis of the humerus

2. Kasser J, Beaty J. Fractures involving the entire distal humeral physis. In: Rockwood and Wilkin’s fractures in children. Sixth edition. Philadelphia: Lippincott Williams and Wilkins, 2006:623–28.

3. Peterson HA. Physeal fractures. In: Morrey F, ed. The elbow and its disorders. Philadelphia: W.B Saunders, 1985:222–36.

4. Yoo C, Suh J, Suh K, et al. Avascular necrosis after fracture-separation of the distal end of the humerus in children. Orthopedics 1992;15:959–63.

5. Fractures of the Extremities in the Newborn

Cited by 41 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3