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

作　　者：Wei Tan Fu-Hua Wang Jing-Hui Yao Wei-Ping Wu Yi-Bin Li Yue-Lun Ji Yue-Peng Qian 

机构地区：[1]Department of Pediatric Orthopedics,The Third Affiliated Hospital of Southern Medical University,Guangzhou 510630,Guangdong Province,China [2]The First School of Clinical Medicine,Southern Medical University,Guangzhou 510515,Guangdong Province,China [3]Department of Orthopaedics and Traumatology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2020年第19期4535-4543,共9页世界临床病例杂志

摘　　要：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.

关 键 词：Physeal fracture of the distal humerus Manual reduction Percutaneous pin fixation NEONATE Case report 

分 类 号：R726.8[医药卫生—儿科]