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

paythelady.612 shared this article with you from Inoreader Percutaneous fixation of neonatal humeral physeal fracture: A case report and review of the literature. Μέσω pubmed: "world j clin cases"... Percutaneous fixation of neonatal humeral physeal fracture: A case report and review of the literature. World J Clin Cases. 2020 Oct 06;8(19):4535-4543 Authors: Tan W, Wang FH, Yao JH, Wu WP, Li YB, Ji YL, Qian YP Abstract 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. PMID: 33083415 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.