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Year : 2020  |  Volume : 4  |  Issue : 4  |  Page : 232-235

Birth-related distal humerus epiphyseal separation: Outcome following surgical management

1 Department of Orthopedic Surgery, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia
2 King Saud University, College of Medicine and King Khalid University Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Bander S Alrashedan
Department of Orthopedic Surgery, Ministry of Health, King Saud Medical City, Ulaishah, 7790 Al Imam Abdul Aziz Ibn Muhammad Ibn Saud, Riyadh 12746 3617
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmsr.jmsr_44_20

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Distal humerus epiphyseal separation is a rare entity that can present as a birth-related injury. It commonly presents in children younger than 2 years of age and can be a result of a fall or forceful manipulation during delivery. It commonly presents with elbow swelling and decreased movement in newborns. It can be misinterpreted as elbow dislocations due to the lack of ossification in the distal part of the humerus on plain radiographs. Several treatment approaches have been reported in the literature including surgical and nonsurgical treatment modalities. We present a 2-day-old girl with a right distal humerus epiphyseal separation following spontaneous vaginal delivery. An anatomical and a stable reduction of the fracture was the aim in the management of this injury and was achieved using an arthrogram-assisted closed reduction and a single percutaneous Kirschner wire fixation. The patient was followed for 12 months and showed a satisfactory outcome.

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