Humerus epiphyseal displacement in a newborn due to intrapartum trauma: a case report
DOI:
https://doi.org/10.11606/issn.1679-9836.v100i3p306-311Keywords:
Cesarean section, Epiphyses, Humeral fractures, NewbornAbstract
Introduction: Traumatic intrapartum separation of the distal humerus epiphysis is an extremely rare fracture. This injury results from rotational shear forces employed on the distal humerus which results in a Salter-Harris type I fracture by vigorous forearm rotation with the elbow flexed or hyperextended. Objective: To report a case of a humerus distal transphyseal fracture in a newborn male. Case description: Newborn male, twin, late preterm, born by surgical delivery, in pelvic presentation, diagnosed in his 5th day of life with postero-medial epiphyseal displacement of the right distal humerus (Salter-Harris type I) and subjected to closed reduction with percutaneous fixation with Kirschner wire. Conclusion: Type I Salter-Harris fracture in newborns has a high potential for bone remodeling and rapid recovery when diagnosed early and properly managed, even though it is a rare lesion, difficult to diagnose with complex radiological interpretation and nonspecific signs.
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Copyright (c) 2021 Bruna Fernandes, Dagna Karen Oliveira, Dyayne Carla Banovski, Sadana Hillary Dal’Negro, Diana Loch Duessmann, Renata Bragato Futagami, Paula Bragato Futagami, Karin Erdmann, Suelin Pereira
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