Unit of Paediatric Orthopaedics

Padova, Italy

Unit of Paediatric Orthopaedics

Padova, Italy
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Gigante C.,Unit of Paediatric Orthopaedics | Kini S.G.,Manipal Hospitals | Origo C.,Hospital C Arrigo | Volpin A.,Unit of Paediatric Orthopaedics
Chinese Journal of Traumatology - English Edition | Year: 2016

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. © 2017 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University.

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