Percutaneous fixation of neonatal humeral physeal fracture: A case report and review of the literature

被引:0
|
作者
Wei Tan [1 ]
Fu-Hua Wang [2 ]
Jing-Hui Yao [1 ]
Wei-Ping Wu [1 ]
Yi-Bin Li [1 ]
Yue-Lun Ji [1 ]
Yue-Peng Qian [3 ]
机构
[1] Department of Pediatric Orthopedics,The Third Affiliated Hospital of Southern Medical University
[2] The First School of Clinical Medicine, Southern Medical University
[3] Department of Orthopaedics and Traumatology, Nanfang Hospital, Southern Medical University
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中图分类号
R726.8 [小儿骨科学];
学科分类号
100202 ;
摘要
BACKGROUND Neonatal distal humeral physeal fractures are rare and difficult to diagnose. Thus, missed diagnoses and delayed healing are possible. Few studies have reported surgical treatment, because a callus may develop at the fracture site 5 d after the fracture, resulting in difficult reduction, and reduction of the limb may cause further physeal injury. Other surgical challenges include the provision of adequate anesthesia and complexity of the operation. However, without appropriate reduction and fixation, a varus elbow deformity may develop. Manual reduction and percutaneous pin fixation are ideal treatment options.CASE SUMMARY A 4-day-old neonate with left elbow pain accompanied by limited movement for 4 d was admitted, and diagnosed with delayed physeal fracture of the distal humerus based on physical examination, ultrasonography, and magnetic resonance imaging. The patient was treated by manual reduction combined with percutaneous pin fixation under arthrography. Postoperatively, the reduction was successful. The upper limbs could have been lifted and the fingers could have been moved freely on the second day after the operation.CONCLUSION The techniques of manual reduction and percutaneous pin fixation, to treat neonatal distal humeral physeal fractures, are safe and reliable.
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页码:4535 / 4543
页数:9
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