Distal Humerus Physeal Separation: Diagnostic Challenges and Implications

Area of Science:

• Pediatric Orthopedics
• Pediatric Traumatology
• Pediatric Radiology

Background:

• Distal humerus physeal separation is an uncommon pediatric injury.
• Often misdiagnosed, leading to delayed treatment and potential complications.
• Early recognition is crucial for optimal management outcomes.

Observation:

• Three pediatric cases of distal humerus physeal separation are presented.
• Varied clinical presentations and management strategies were employed.
• Cases included delayed diagnosis, concurrent medical conditions, and neonatal presentation.

Findings:

• Conservative management in one case resulted in successful remodeling and full range of motion.
• Delayed surgical intervention in another case led to cubitus varus deformity.
• Neonatal case showed fracture union with varus deformity but full range of motion.

Implications:

• Highlights diagnostic challenges and varied management approaches for distal humerus physeal separation.
• Emphasizes the importance of vigilant follow-up for remodeling and residual deformities.
• Delayed treatment may yield favorable results, but requires long-term observation.