Journal of Musculoskeletal Surgery and Research

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

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


John F Amen1, Khalid Nabil Youssef2 
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
Egypt

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.


How to cite this article:
Amen JF, Youssef KN. A Case of proximal humeral physeal separation in a newborn: Is internal fixation justified?.J Musculoskelet Surg Res 2019;3:231-234


How to cite this URL:
Amen JF, Youssef KN. A Case of proximal humeral physeal separation in a newborn: Is internal fixation justified?. J Musculoskelet Surg Res [serial online] 2019 [cited 2019 Jul 22 ];3:231-234
Available from: http://www.journalmsr.com/article.asp?issn=2589-1219;year=2019;volume=3;issue=2;spage=231;epage=234;aulast=Amen;type=0