Transphyseal separation of the distal humerus in newborns

Cosimo Gigante; Sunil Gurpur Kini; Carlo Origo; Andrea Volpin

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Transphyseal separation of the distal humerus in newborns

机译：新生儿肱骨远端的经phy骨分离

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Obstetric traumatic separation of the distal humeral epiphysis is a very uncommon injury,which presents a diagnostic challenge.These case serials reviewed the functional outcomes of 5 patients who had sustained a fracture-separation of the distal humeral epiphysis at birth.The diagnosis was made at a mean time of 40.8 h after delivery.All the patients were treated with gentle close manipulation,reduction under fluoroscopy and above-elbow cast application.After discharge,the patients were followed up for a mean of 30 months.Clinico-radiological results were excellent in four patients.One case necessitated closed reduction and percutaneous K-wire fixation at one week follow-up due to failed reduction.Cubitusvarus deformity was the only complication noted in 1 case.Good functional outcome can be expected in newborns with fracture-separation of the distal humeral epiphysis wherein the physis is anatomicallv reduced.

机译：肱骨远端骨physi的产科创伤性分离是非常罕见的损伤，提出了诊断挑战。这些病例系列回顾了5例出生时肱骨远端distal骨骨折分离的患者的功能结局。分娩后平均时间为40.8 h。所有患者均接受了温和的严密操作，透视下的复位术以及肘上石膏的应用。出院后平均随访30个月。临床放射学结果极佳4例患者中有1例因复位失败而需要闭合复位并在一周后进行经皮K线固定，其中1例是唯一的并发症是肘内翻畸形。肱骨远端骨physi，其中的骨an在解剖上减少。

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来源
《中华创伤杂志（英文版）》 |2017年第3期|183-186|共4页
作者
Cosimo Gigante; Sunil Gurpur Kini; Carlo Origo; Andrea Volpin;
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作者单位

Unit of Paediatric Orthopaedics, Azienda Ospedaliera di Padova, 35128, Padova, Italy;

Department of Orthopaedics, Manipal Hospitals, Bangalore, India;

Department of Paediatric Orthopaedics, Hospital C Arrigo, Alessandria, Italy;

Unit of Paediatric Orthopaedics, Azienda Ospedaliera di Padova, 35128, Padova, Italy;

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收录信息中国科学引文数据库(CSCD);中国科技论文与引文数据库(CSTPCD);
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正文语种 eng
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Transphyseal separation of the distal humerus in newborns

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