Epiphyseal Fracture-Separation of the Distal Humerus Suspected Brachial Plexus Injury : A case report
Journal of the Korean Academy of Rehabilitation Medicine
;
: 409-412, 2006.
Article
in Korean
| WPRIM
| ID: wpr-723318
ABSTRACT
The epiphyseal fracture-separation of the distal humerus is extremely rare injury in neonates. It is frequently misdiagnosed as a elbow dislocation owing to the invisible cartilagenous portion of the distal humerus in roentgenograms. We described a case, 9-day-old neonate with finally diagnosed the Salter-Harris type 1 injury of the distal humeral epiphysis. He was referred for further evaluation of 'refusal to use the left arm' from a local clinic. The injury had initially misdiagnosed as normal roentgenograms by a locaorthopedic specialist, so we preferentially give an impression of the brachial plexus injury or the hemiplegic cerebral palsy. But electromyography and brain magnetic resonance imaging were negative findings. A neonate was referred to the pediatric orthopedic subspecialist and properly diagnosed. He was treated with the closed reduction and the percutaneous pinning. No complication has occurred.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orthopedics
/
Specialization
/
Brachial Plexus
/
Brain
/
Magnetic Resonance Imaging
/
Cerebral Palsy
/
Brachial Plexus Neuropathies
/
Joint Dislocations
/
Elbow
/
Electromyography
Limits:
Humans
/
Infant, Newborn
Language:
Korean
Journal:
Journal of the Korean Academy of Rehabilitation Medicine
Year:
2006
Type:
Article
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