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Published on: July 4, 2017
[Traumatic distal humerus epiphysiolysis in a newborn child]
Zaid Al-Aubaidi1, Keld Daubjerg Nielsen
1Ortopaedkirurgisk Afdeling, Odense Universitetshospital, 5000 Odense C, Denmark. zaubaidi@hotmail.com
Ugeskrift for Laeger
|August 24, 2010
Summary
Traumatic distal humerus epiphysiolysis (TDHE) is a rare infant birth injury. Early diagnosis requires high suspicion due to similar presentations to humeral dislocation.
Area of Science:
- Pediatric Orthopedics
- Neonatal Trauma
- Radiology
Background:
- Traumatic distal humerus epiphysiolysis (TDHE) is a rare infant injury, occurring in approximately 1:35,000 births.
- It is often associated with birth trauma but can also be a sign of non-accidental injury (battered child syndrome).
Observation:
- TDHE presents diagnostic challenges due to its rarity and potential for misdiagnosis.
- Clinical presentation and radiological findings are crucial for diagnosis, often requiring a high index of suspicion.
Findings:
- Radiological features of TDHE can mimic traumatic humeral dislocation, leading to incorrect initial diagnoses.
- Accurate diagnosis relies on recognizing subtle radiological changes and clinical context.
Implications:
- Increased awareness of TDHE is vital for clinicians to avoid misdiagnosis in infants.
- Prompt and accurate diagnosis is essential for appropriate management and to rule out non-accidental injury.
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