Acta Chir Orthop Traumatol Cech. 2012; 79(2):165-168 | DOI: 10.55095/achot2012/026

Fracture-Separation of the Distal Humeral Epiphysis in a Four-Month-Old Infant. Case ReportCase report

Ľ. SÝKORA*, J. TRNKA
Klinika detskej chirurgie DFNsP a LFUK, Bratislava

We report the case of a 4-month-old infant with fracture-separation of the distal humeral epiphysis diagnosed on the basis of X-ray examination. Closed reduction was performed under ultrasound guidance. The effect of reduction was checked by computer tomography and magnetic resonance imaging and, under general anaesthesia, the arm was immobilised using a collar-and-cuff. Subsequently, percutaneous osteosynthesis with two 1.2-mm Kirschner wires through the radial condyle was carried out. The fracture was allowed to heal in a normal elbow position with plaster cast for 5 weeks. The duration of immobilisation had to be prolonged and removal of the wires postponed because the infant acquired a respiratory infection; the usual time for fracture union is 3 weeks. At 23 months after injury the outcome was excellent and the baby remained registered for a long-term follow-up.

Keywords: epiphyseal separation, paediatric fractures, distal humerus

Published: April 1, 2012  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
SÝKORA Ľ, TRNKA J. Fracture-Separation of the Distal Humeral Epiphysis in a Four-Month-Old Infant. Case Report. Acta Chir Orthop Traumatol Cech. 2012;79(2):165-168. doi: 10.55095/achot2012/026. PubMed PMID: 22538110.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. ABE, M., ISHIZU, T., NAGAOKA, T., ONOMURA, T.: Epiphyseal separation of the distal end of the humeral epiphysis: a follow-up note. J. Pediatr. Orthop., 15: 426-434, 1995. Go to original source... Go to PubMed...
    2. BEATY, J. H., KASSER, J. R.: The elbow region: general concepts in the pediatric patient and the elbow: physeal fractures, apophyseal injuries of the distal humerus, avascular necrosis of the trochlea, and t-condylar fractures. In: BEATY, J. H., KASSER, J. R.: Fractures in children, Philadelphia, Lippincott Williams@Wilkins 2001.
    3. BRTKOVÁ, J., REJTAR, P., DĚDEK, T., PREIS, J.: Zobrazovací metody při úrazech loketního kloubu. Acta Chir. orthop. Traum. čech., 72: 254-258, 2005.
    4. CHAPMAN, V. M., ALBRIGHT, M., GROTTKAU, B. E., JARAMILLO, D.: Multidetector computed tomography of fracture-separation of the distal humeral epiphysis. J. Comput. Assist. Tomogr., 29: 336-338, 2005. Go to original source... Go to PubMed...
    5. DELEE, J. C., WILKINS, K. E., ROGERS, L. F., ROCKWOOD, C. A.: Fracture separation of the distal humeral epiphysis. J. Bone Jt Surg., 62-A: 46-51, 1980. Go to original source...
    6. HAVRÁNEK, P.: Dětské zlomeniny, Praha, Corvus 1991.
    7. HANSEN, M., WELTZIEN, A., BLUM, J., BOTTERILL, N. J., ROMMENS, P. M.: Complete distal humeral epiphyseal separation indicating a battered child syndrome: a case report. Arch. Orthop. Trauma Surg., 28: 967-972, 2008. Go to original source... Go to PubMed...
    8. JAGER, L. T., HOFFMAN, E. B.: Fracture-separation of the distal humeral epiphysis. J. Bone Jt Surg., 73-B: 143-146, 1991. Go to original source... Go to PubMed...
    9. KUNDRÁT, J.: Epiphyseolysis distalis humeri. Acta Chir. orthop. Traum. čech., 51: 50-64, 1984.
    10. NIMKIN, K., KLEINMAN, P. K., TEEGER, S., SPEVAK, M. R.: Distal humeral physeal injuries in child abuse: MR imaging and ultrasonography findings. Pediatr. Radiol., 25: 562-565, 1995. Go to original source... Go to PubMed...
    11. OH, C. W., PARK, B. C., IHN, J. C., KYUNG, H. S.: Fracture separation of the distal humeral epiphysis in children younger than three years old. J. Pediatr. Orthop., 20: 173-176, 2000. Go to original source...
    12. SAWANT, M. R., NARAYANAN, S., O ŃEILL, K., HUDSON, I.: Distal humeral epiphysis separation in neonates - diagnosis using MRI scan. Injury, Int. J. Care Injured, 33: 179-181, 2002. Go to original source... Go to PubMed...
    13. SEN, R. K., BEDI, G. S., NAGI, O. N.: Fracture epiphyseal separation of the distal humerus. Australas. Radiol., 42: 271-274, 1998. Go to original source... Go to PubMed...
    14. TRNKA, J., SÝKORA, Ľ., BIBZA, J.: Kostný mostík po fyzárnom poranení distálnej časti tíbie so spontánnou korekciou. Acta Chir. orthop. Traum. čech., 75: 471-473, 2008. Go to original source...
    15. TUDISCO, C., MANCINI, F., DEMAIO, F., IPPOLITO, E.: Fracture-separation of the distal humeral epiphysis. Long term follow-up of five cases. Injury, 37: 843-848, 2006. Go to original source... Go to PubMed...
    16. YOO, C. I., SUH, J. T., SUH, K. T., KIM, Y. J., KIM, H. T., KIM, Y. H.: Avascular necrosis after fracture-separation of the distal end of the humerus in children. Orthopedics, 15: 959-963, 1992. Go to original source... Go to PubMed...
    17. ZIV, N., LITWIN, A., KATZ, K., MERLOB, P., GRUNEBAUM, M.: Definitive diagnosis of fracture-separation of the distal humeral epiphysis in neonates by ultrasonography. Pediatr. Radiol., 26: 493-496, 1996. Go to original source... Go to PubMed...

    Return to the content