Deny Kurien Mathew1, Sangeet Gangadharan1, Venkatadass Krishnamoorthy1, Rajasekaran Shanmughanathan1.
Abstract
BACKGROUND: Distal humeral physeal separation is a rare injury and often missed during the initial presentation. They are usually associated with birth trauma or child abuse. These fractures are often misdiagnosed as infection or dislocation. CASE REPORT: We report a rare variant of distal humeral physeal separation with anterior displacement of the distal humeral epiphysis which was managed by open reduction and internal fixation.
CONCLUSION: Posteromedial displacement of the distal humeral epiphysis is the most common type. Anterior displacement is rare with very few cases described in literature. A high index of suspicion along with appropriate imaging is necessary to confirm the diagnosis. © Indian Orthopaedics Association 2020.
BACKGROUND: Distal humeral physeal separation is a rare injury and often missed during the initial presentation. They are usually associated with birth trauma or child abuse. These fractures are often misdiagnosed as infection or dislocation. CASE REPORT: We report a rare variant of distal humeral physeal separation with anterior displacement of the distal humeral epiphysis which was managed by open reduction and internal fixation.
CONCLUSION: Posteromedial displacement of the distal humeral epiphysis is the most common type. Anterior displacement is rare with very few cases described in literature. A high index of suspicion along with appropriate imaging is necessary to confirm the diagnosis. © Indian Orthopaedics Association 2020.
Entities:
Keywords:
Anterior humeral physeal separation; Distal humerus physeal; Physeal injury; Total physeal separation
Year: 2020
PMID： 33569116 PMCID： PMC7851191 DOI： 10.1007/s43465-020-00111-9
Source DB: PubMed Journal: Indian J Orthop ISSN： 0019-5413 Impact factor: 1.251