RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0044-1779330
Proximal Humerus Epiphysiolysis as a Rare Cause of Fracture in Childbirth – A Case Report
Artikel in mehreren Sprachen: português | EnglishFinancial Support The authors declare that the present research did not receive any specific grant from funding agencies in the public, commercial, or notfor-profit sectors.
Abstract
Proximal humeral epiphysiolysis (PHE) are rare at 10.1/100,000 births and there are few cases described in the literature. We present the case of a newborn diagnosed with PHE submitted to conservative treatment. In six weeks he had complete mobility and extensive bone callus. As a very rare situation, rapid diagnosis is imperative, for which ultrasound is decisive and the attitude must be conservative and expectant, given a very rapid and expected evolution towards consolidation for normal function. This case reinforces the previous knowledge that these lesions typically evolve favorably, and post-traumatic sequelae are not expected.
Work developed in the Pediatric Orthopedics service of Dona Estefânia Hospital, Central Lisbon Hospital Centre, Lisbon, Portugal.
Publikationsverlauf
Eingereicht: 12. November 2022
Angenommen: 10. August 2023
Artikel online veröffentlicht:
27. Dezember 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 von Heideken J, Thiblin I, Högberg U. The epidemiology of infant shaft fractures of femur or humerus by incidence, birth, accidents, and other causes. BMC Musculoskelet Disord 2020; 21 (01) 840
- 2 Sherr-Lurie N, Bialik GM, Ganel A, Schindler A, Givon U. Fractures of the humerus in the neonatal period. Isr Med Assoc J 2011; 13 (06) 363-365
- 3 Kim AE, Chi H, Swarup I. Proximal Humerus Fractures in the Pediatric Population. Curr Rev Musculoskelet Med 2021; 14 (06) 413-420
- 4 Caviglia H, Garrido CP, Palazzi FF, Meana NV. Pediatric fractures of the humerus. Clin Orthop Relat Res 2005; (432) 49-56
- 5 Sherk HH, Probst C. Fractures of the proximal humeral epiphysis. Orthop Clin North Am 1975; 6 (02) 401-413
- 6 Jones GP, Seguin J, Shiels 2nd WE. Salter-Harris II fracture of the proximal humerus in a preterm infant. Am J Perinatol 2003; 20 (05) 249-253
- 7 Ackermann O, Eckert K, Rülander C, Endres S, von Schulze Pellengahr C. Ultraschallbasierte Therapiesteuerung bei subkapitalen Humerusfrakturen im Wachstumsalter. [Ultrasound-based treatment of proximal humerus fractures in children] Z Orthop Unfall 2013; 151 (01) 48-51
- 8 Ackermann O, Sesia S, Berberich T. et al. Sonographische Diagnostik der subkapitalen Humerusfraktur im Wachstumsalter [Sonographic diagnostics of proximal humerus fractures in juveniles] [published correction appears in Unfallchirurg. 2010 Nov;113(11):965. Sesia, S [added]; Berberich, T [added]; Liedgens, P [added]; Eckert, K [added]; Grosser, K [added]; Roessler, M [added]; Rülander, C [added]; Vogel, T [added]]. Unfallchirurg 2010; 113 (10) 839-844
- 9 Basha A, Amarin Z, Abu-Hassan F. Birth-associated long-bone fractures. Int J Gynaecol Obstet 2013; 123 (02) 127-130