Epifisiólise proximal do úmero como causa rara de fratura no parto – Relato de caso

Bárbara Noronha Teles; João Carlos Castro; Joana Ovídeo

doi:10.1055/s-0044-1779330

Revista Brasileira de Ortopedia, Table of Contents

CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(S 02): e243-e246
DOI: 10.1055/s-0044-1779330

Relato de Caso

Proximal Humerus Epiphysiolysis as a Rare Cause of Fracture in Childbirth – A Case Report

Article in several languages: português | English

Authors

Bárbara Noronha Teles

¹Ortopedia e Traumatologia, Hospital Professor Fernando Fonseca, Lisboa, Portugal
João Carlos Castro

¹Ortopedia e Traumatologia, Hospital Professor Fernando Fonseca, Lisboa, Portugal
Joana Ovídeo

²Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisboa, Portugal

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

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References

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
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
3 Kim AE, Chi H, Swarup I. Proximal Humerus Fractures in the Pediatric Population. Curr Rev Musculoskelet Med 2021; 14 (06) 413-420
4 Caviglia H, Garrido CP, Palazzi FF, Meana NV. Pediatric fractures of the humerus. Clin Orthop Relat Res 2005; (432) 49-56
5 Sherk HH, Probst C. Fractures of the proximal humeral epiphysis. Orthop Clin North Am 1975; 6 (02) 401-413
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
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
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
9 Basha A, Amarin Z, Abu-Hassan F. Birth-associated long-bone fractures. Int J Gynaecol Obstet 2013; 123 (02) 127-130