Epihyseal Separation of Lower end Humerus in A Neonate-Diagnostic and Management Difficulty
نویسندگان
چکیده
INTRODUCTION Birth injuries are common phenomenon. But commonly encountered birth injuries are clavicle fracture, humerus fractures and uncommonly femur fracture. Incidence of Distal humerus Epiphyseal injuries as birth injury are rare. As the first secondary centre around elbow-capitellum appears at 3-9 months, its radilological assessment of alignment with elbow or the radius shaft is not possible in neonates. It is difficult to differentiate elbow dislocation from epiphyseal injury in neonates. CASE REPORT Here we are reporting a case of lower end humerus epiphyseal injury, as birth injury, detected in early neonatal period. This injury is unique for the reasons that detection by conventional radiography is difficult as it mimics elbow dislocation and on reduction it is unstable injury to treat by just closed reduction. The fine resolution sonography differentiates the epiphyseal separation from elbow dislocation. Till date few such cases are reported in English literature but only two in last 10 years. Though all the previously reported cases have been treated with just closed reduction, none have reported grossly unstable reduction. Here we are reporting the Lower end humerus epiphyseal injury in early neonatal period and use of thin k wire for stability for gross instability after reduction. CONCLUSION Epiphyseal injuries, though rare, are very deceptive. They have to be diagnosed properly and appropriately managed.
منابع مشابه
Investigating the supratrochlear foramen and septum in adult humerus bones: brief report
Background: The supratrochlear foramen (STF) is an important and relatively common anatomic variation in the lower end of the humerus in humans. In recent years it has become clear that STF should be emphasized because anatomical knowledge of STF is useful for anatomists, anthropologists, orthopedic surgeons, and radiologists. The anatomical structure of the humerus may play an important role i...
متن کاملAxillary artery injury with proximal humerus epiphyseal separation: a rare case report
Fracture of the proximal humerus associated with vascular injury has rarely been reported in children, and only two cases have been reported in the literature. In adults this combination has been reported more frequently. We present the case of a 14 year old boy with proximal humeral epiphyseal separation and axillary artery injury.
متن کاملTelangiectatic osteosarcoma of the rib: a rare entity and a potential diagnostic pitfall.
Osteosarcoma (OS) is a common primary malignant tumor of bones that produces osteoid matrix. Telangiectatic osteosarcoma (TOS) is a rare variant of OS. It affects the long bones especially the lower end of femur and the upper ends of tibia and humerus, a distribution similar to the conventional osteosarcoma. The rib involvement is very infrequent. We present a case of TOS of the rib that posed ...
متن کاملJuvenile Idiopathic Arthritis Onset in a Neonate: A Rare Case Report
Background: A common type of chronic arthritis in children and adolescents is juvenile idiopathic arthritis (JIA).According to the International League of Associations for Rheumatology (ILAR) classification, JIA diagnostic criteria include age under 16 years and disease duration of six-weeks. Based on the number of involved joints in the first sixmonths of disease onset, JIA is categorized into...
متن کاملMothers’ Experiences with Premature Neonates about Kangaroo Care: Qualitative Approaches
Introduction: Premature neonates admitted in NICU besides being separated from their mothers are prone to inevitably painful and stressful situations. Kangaroo care is the most effective method to get rid of this separation and its negative consequences. This study was performed to determine the experiences of mothers having premature neonates concerning Kangaroo care. Material and Methods: ...
متن کامل