![]() Madsen ET (1955) Fractures of the extremities in the newborn. Ulus Travma Acil Cerrahi Derg 15(1):99–102 Söyüncü Y, Cevikol C, Söyüncü S, Yildirim A, Akyildiz F (2009) Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: a case report. Sabat D, Maini L, Gautam VK (2011) Neonatal separation of distal humeral epiphysis during Caesarean section: a case report. Jacobsen S, Hansson G, Nathorst-Westfelt J (2009) Traumatic separation of the distal epiphysis of the humerus sustained at birth. Regardless of the treatment choice, such lesions are in most cases associated with a good prognosis.īrown J, Eustace S (1997) Neonatal transphyseal supracondylar fracture detected by ultrasound. Transphyseal elbow fractures are rare among newborns. The most common complication was cubitus varus. A relationship between the type of treatment (conservative or surgical, with attempt of reduction or not) and results at follow-up could not be demonstrated. At follow-up, 88 % recovered completely the carrying angle and 80 % range of motion. An attempt of reduction was reported in 23 cases (69 %). Four patients (12 %) underwent surgical treatment, whilst 29 (88 %) were managed without surgery. A posteromedial displacement of the radioulnar complex was found in 21 elbows (64 %). Twenty case reports or small retrospective case series reporting a total of 33 cases were included. The work-up methods, treatments, results at follow-up and the rate of complications were collected. A bibliographic search was conducted accessing usual medical databases. A review of the literature of the last century about distal transphyseal fracture of the humerus in newborns was performed. Radiography, arthrography, magnetic resonance, ultrasound or a combination of these have already been described to make diagnosis, but guidelines for the management of this injury in the neonate are not well established. The differential diagnosis with elbow dislocation can be challenging. Such fractures occur more often in emergency Caesarian section or vaginal delivery. ![]() doi:10.1016/B978-1-78242-449-9.Transphyseal elbow fracture is a rare entity in newborns, and in the last century, only case reports or small case series have been published however, precise epidemiological data lack. In: Shoulder and Elbow Trauma and Its Complications. Tobacco and bone fractures: a review of the facts and issues that every orthopaedic surgeon should know. Proximal humerus fracture (broken shoulder). Journal of the American Academy of Orthopaedic Surgeons. doi:10.1007/978-0-3_19Ĭarroll EA, Schweppe M, Langfitt M, Miller AN, Halvorson JJ. Springer International Publishing 2015:133-152. In: Biberthaler P, Kirchhoff C, Waddell JP, eds. Toepfer A, Lenze U, Pohlig F, von Eisenhart-Rothe R. Pediatric and adolescent t-type distal humerus fractures. Radial nerve palsy in humeral shaft fractures with internal fixation: analysis of management and outcome. Schwab TR, Stillhard PF, Schibli S, Furrer M, Sommer C. How age and gender influence proximal humerus fracture management in patients older than fifty years. ![]() Loss of normal range of motion and weakness can also occur if there is muscle or connective tissue damage. Elbow problems are common after a distal humerus fracture. Shoulder or elbow stiffness or weakness: Problems with the shoulder joint are common after a proximal humerus fracture.Injuring the radial nerve can make wrist and finger movement difficult and cause numbness in that area. The nerve may recover within a few months. It also helps with wrist and finger movement. Nerve injury: The radial nerve provides feeling to the back of the hand.Surgery may be needed to correct the position of the bone. Malunion: A malunion occurs when the bone heals, but not in the proper position. Malunions can occur if the bone was not kept still for long enough, if bones weren't properly aligned, or if medical treatment was delayed.There are many reasonsthis may happen. One of the most common causes of nonunion is smoking tobacco. Nonunion: A nonunion occurs when the broken bone does not heal.
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