Proximal humerus fracture in a newborn-like a thief in the night

Authors

  • Sofia Madeira Department of Orthopaedics, Hospital Garcia de Orta, Almada, Lisboa, Portugal
  • Carolina Escalda Department of Pediatric Orthopaedics, Hospital Garcia de Orta, Almada, Lisboa, Portugal

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20240431

Keywords:

Epiphysiolysis, Newborn, Proximal humerus fracture

Abstract

Epiphysiolysis of the shoulder is rare in newborns. The radiographic evaluation may be limited due to the non-ossification of the epiphyses, and it can be misdiagnosed as a dislocation. Ultrasonography and MRI provide a better answer in the diagnosis of these lesions. We describe a clinical case of an epiphysiolysis of the shoulder in a newborn baby after caesarean section. A premature born with 26 weeks and 660 g shows oedema and ecchymosis of the right shoulder. Radiographies and ultrasound show a fracture-epiphysiolysis of the proximal humerus. She was treated in a conservatory way. At 8 months old, she has no complaints and has a normal range of motion of the shoulder.

References

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Sferopoulos N. Traumatic Separation of the Distal Humeral Epiphysis. ARC J Orthope. 2017;2(1):24-8.

Söyüncü Y, Çevikol C, Oyüncü S, Yildirim SA, Akyildiz F. Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: a case report. Turk J Trauma Emergency Surg. 2009;15(1):99-102.

Sabat D, Maini L, Gautam VK. Neonatal separation of distal humeral epiphysis during Caesarean section: a case report. J Orthop Surg. 2011;19(3):376-8.

Varghese J, Teng M, Huang M, Balsam D. Birth injuries to growth plates: A sheep in wolves' clothing. J Clin Ultrasound. 2017;45(8):511-4.

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Published

2024-02-26

Issue

Section

Case Reports