He Mingzhe,Sun Yishuo,Zhang Fang..Diagnosis and treatment of distal humeral epiphyseal separation in neonates.[J].Journal of Clinical Pediatric Surgery,,17():787-789.
Diagnosis and treatment of distal humeral epiphyseal separation in neonates.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 10
Page:
787-789
Column:
论著
Date of publication:
2018-10-25
- Document code:
- A
- Abstract:
- ObjectiveTo explore the diagnosis and treatment of distal humeral epiphyseal separation in neonates.MethodsFive neonates of distal humeral epiphyseal separation were admitted from 2015 to 2017.The age was 3 days (n=2),5 days (n=1),6 days (n=1) and 10 days (n=1).Except for suppurative infection,all cases were examined by magnetic resonance imaging (MRI).One case underwent open reduction and internal fixation,the remainder had closed reduction and external splint fixation.ResultsOne case of callus appeared at the end of fracture.After a failure of closed reduction,open reduction and internal fixation were performed subsequently.And the remainder had closed reduction.The average followup period was 20(12-30) months.According to the Mayos elbow scoring standard,elbow function was excellent (n=4) and good (n=1).ConclusionSeparation of distal humeral epiphysis is easily misdiagnosed in neonates.A definite diagnosis depends upon MRI or ultrasound.Reliable and lightweight fixation is vital for treatment.
Last Update:
2018-10-24