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| Cosimo Gigante,Sunil Gurpur Kini,Carlo Origo,Andrea Volpin.[J].Chin J Traumatol,2017,20(3):183-186. [doi] |
| Transphyseal separation of the distal humerus in newborns |
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| DOI： |
| KeyWord: Infant, newbornHumerusSeparation of epiphysis |
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| Author Name | Affiliation | | Cosimo Gigante | Unit of Paediatric Orthopaedics, Azienda Ospedaliera di Padova, 35128, Padova, Italy | | Sunil Gurpur Kini | Department of Orthopaedics, Manipal Hospitals, Bangalore, India | | Carlo Origo | Department of Paediatric Orthopaedics, Hospital C. Arrigo, Alessandria, Italy | | Andrea Volpin | Unit of Paediatric Orthopaedics, Azienda Ospedaliera di Padova, 35128, Padova, Italy |
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| Abstract: |
| 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 manipulation, reduction under fluoroscopy and above-elbow cast application. After discharge, the patients were followed up for a mean of 30 months. Clinico-radiological results were excellent in four patients. One case necessitated closed reduction and percutaneous K-wire fixation at one week follow-up due to failed reduction. Cubitusvarus deformity was the only complication noted in 1 case. Good functional outcome can be expected in newborns with fracture-separation of the distal humeral epiphysis wherein the physis is anatomically reduced. |
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