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Year : 2019  |  Volume : 3  |  Issue : 2  |  Page : 231-234

A Case of proximal humeral physeal separation in a newborn: Is internal fixation justified?

1 Department of Orthopaedic Surgery, Division of Pediatric Orthopaedics, Faculty of Medicine, Ain-Shams University, Cairo, Egypt
2 Department of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt

Correspondence Address:
Dr. Khalid Nabil Youssef
Department of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, 11591 Abbasia, Cairo
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmsr.jmsr_49_18

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We aim to investigate the clinical and radiologic outcome of conservative management in a newborn with proximal humeral physeal separation (PHPS) on the intermediate term. PHPS is rare and occur typically in newborns. In general, the prognosis is satisfactory. The largest series of PHPS in neonates used routine open reduction and internal fixation for management. We treated a newborn girl with a severe PHPS conservatively with excellent intermediate-term results. The remodeling potential of the proximal humerus in neonates allows for conservative treatment. Closed reduction or operative fixation is not routinely justified. Based on the results of this case and the current literature, we caution against the potential hazards of overtreatment in such patients.

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