Complete distal humeral epiphyseal separation indicating a battered child syndrome: a case report
Background Complete distal humeral epiphysiolysis is a rare and uncommon injury and may result from severe trauma, e.g. birth injury or battered child syndrome. Case report This is a case report of a 5-month-old female child with distal humeral epiphysiolysis. In the course of clinical and radiologi...
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Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2008-09, Vol.128 (9), p.967-972 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Background
Complete distal humeral epiphysiolysis is a rare and uncommon injury and may result from severe trauma, e.g. birth injury or battered child syndrome.
Case report
This is a case report of a 5-month-old female child with distal humeral epiphysiolysis. In the course of clinical and radiological examinations, a battered child syndrome could be diagnosed. Open reduction and temporary transfixation of the distal humeral physis were performed. In the middle term follow-up, 1.5-years after the injury, the function of the elbow was nearly normal but the ulnar condyle showed growth disturbance with cubitus varus of 10°.
Conclusion
Correct diagnosis of complete distal humeral epiphysiolysis may be difficult and misinterpretation of the injury as elbow dislocation should be avoided. This particular lesion is a strong indicator of child abuse. Treatment options and the necessity of operative procedures are discussed. |
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ISSN: | 0936-8051 1434-3916 |
DOI: | 10.1007/s00402-007-0484-7 |