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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 02): e243-e246
DOI: 10.1055/s-0044-1779330
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Proximal Humerus Epiphysiolysis as a Rare Cause of Fracture in Childbirth – A Case Report

Article in several languages: português | English
Bárbara Noronha Teles 
1   Ortopedia e Traumatologia, Hospital Professor Fernando Fonseca, Lisboa, Portugal
,
João Carlos Castro
1   Ortopedia e Traumatologia, Hospital Professor Fernando Fonseca, Lisboa, Portugal
,
Joana Ovídeo
2   Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisboa, Portugal
› Author Affiliations Financial Support The authors declare that the present research did not receive any specific grant from funding agencies in the public, commercial, or notfor-profit sectors.
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Abstract

Proximal humeral epiphysiolysis (PHE) are rare at 10.1/100,000 births and there are few cases described in the literature. We present the case of a newborn diagnosed with PHE submitted to conservative treatment. In six weeks he had complete mobility and extensive bone callus. As a very rare situation, rapid diagnosis is imperative, for which ultrasound is decisive and the attitude must be conservative and expectant, given a very rapid and expected evolution towards consolidation for normal function. This case reinforces the previous knowledge that these lesions typically evolve favorably, and post-traumatic sequelae are not expected.

Keywords

epiphyses, slipped - fractures, bone - humeral fractures - infant, newborn

Work developed in the Pediatric Orthopedics service of Dona Estefânia Hospital, Central Lisbon Hospital Centre, Lisbon, Portugal.




Publication History

Received: 12 November 2022

Accepted: 10 August 2023

Article published online:
27 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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  • Referências

  • 1 von Heideken J, Thiblin I, Högberg U. The epidemiology of infant shaft fractures of femur or humerus by incidence, birth, accidents, and other causes. BMC Musculoskelet Disord 2020; 21 (01) 840
    CrossrefPubMedSearch in Google Scholar
  • 2 Sherr-Lurie N, Bialik GM, Ganel A, Schindler A, Givon U. Fractures of the humerus in the neonatal period. Isr Med Assoc J 2011; 13 (06) 363-365
    PubMedSearch in Google Scholar
  • 3 Kim AE, Chi H, Swarup I. Proximal Humerus Fractures in the Pediatric Population. Curr Rev Musculoskelet Med 2021; 14 (06) 413-420
    CrossrefPubMedSearch in Google Scholar
  • 4 Caviglia H, Garrido CP, Palazzi FF, Meana NV. Pediatric fractures of the humerus. Clin Orthop Relat Res 2005; (432) 49-56
    CrossrefPubMedSearch in Google Scholar
  • 5 Sherk HH, Probst C. Fractures of the proximal humeral epiphysis. Orthop Clin North Am 1975; 6 (02) 401-413
    CrossrefPubMedSearch in Google Scholar
  • 6 Jones GP, Seguin J, Shiels 2nd WE. Salter-Harris II fracture of the proximal humerus in a preterm infant. Am J Perinatol 2003; 20 (05) 249-253
    Thieme ConnectPubMedSearch in Google Scholar
  • 7 Ackermann O, Eckert K, Rülander C, Endres S, von Schulze Pellengahr C. Ultraschallbasierte Therapiesteuerung bei subkapitalen Humerusfrakturen im Wachstumsalter. [Ultrasound-based treatment of proximal humerus fractures in children] Z Orthop Unfall 2013; 151 (01) 48-51
    PubMedSearch in Google Scholar
  • 8 Ackermann O, Sesia S, Berberich T. et al. Sonographische Diagnostik der subkapitalen Humerusfraktur im Wachstumsalter [Sonographic diagnostics of proximal humerus fractures in juveniles] [published correction appears in Unfallchirurg. 2010 Nov;113(11):965. Sesia, S [added]; Berberich, T [added]; Liedgens, P [added]; Eckert, K [added]; Grosser, K [added]; Roessler, M [added]; Rülander, C [added]; Vogel, T [added]]. Unfallchirurg 2010; 113 (10) 839-844
    CrossrefPubMedSearch in Google Scholar
  • 9 Basha A, Amarin Z, Abu-Hassan F. Birth-associated long-bone fractures. Int J Gynaecol Obstet 2013; 123 (02) 127-130
    CrossrefPubMedSearch in Google Scholar