Transphyseal separation of the distal humerus in newborns

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Transphyseal separation of the distal humerus in newborns

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 manipula...

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Transphyseal Fracture of the Distal Humerus in a Neonate

An 18-hour-old neonate was found to have absent movement of the left arm and a mildly edematous elbow following precipitous delivery with observed traction applied to the left arm. Radiographs (Figure 1) showed abnormal elbow alignment without osseous fracture and a moderate joint effusion. Magnetic resonance imaging (MRI) [Figure 2] revealed a transverse fracture through the distal left humera...

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Distal humerus fractures.

Fractures of the distal humerus in adults have traditionally presented a treatment challenge for the orthopedic surgeon. The combination of anatomic complexity, multifragmentary comminution, and a short distal segment, often in the setting of osteoporotic bone, renders these fractures difficult to treat successfully and often make a full restoration of function uncertain. Multiple methods of tr...

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

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...

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Treatment of distal humerus fractures.

The elbow is a complex joint and is vital in positioning the hand in space. We believe that open reduction internal fixation offers the best chance for return to function following intra-articular fractures of the distal humerus. We advocate the following principles for the effective treatment of these injuries: identification and protection of the ulnar nerve followed by transposition, broad e...

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ژورنال

عنوان ژورنال: Chinese Journal of Traumatology

سال: 2017

ISSN: 1008-1275

DOI: 10.1016/j.cjtee.2017.04.003