Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate:  a case report

S�y�nc�, Yetkin; �evikol, Can; S�y�nc�, Se�gin; Y�ld�r�m, Ayd�n; Aky�ld�z, Feyyaz

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Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: a case report [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2009; 15(1): 99-102

Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: a case report

Yetkin S�y�nc�¹, Can �evikol², Se�gin S�y�nc�³, Ayd�n Y�ld�r�m⁴, Feyyaz Aky�ld�z¹
¹Akdeniz University, Faculty of Medicine, Dept. of Orthopedics and Traumatology,Antalya
²Akdeniz University, Faculty of Medicine, Dept. of Radiology,Antalya
³Akdeniz University, Faculty Of Medicine, Dept. Of Emergency,antalya
⁴Manavgat State Hospital, Antalya

Traumatic separation of the distal humeral epiphysis during delivery is an uncommon injury in neonates and usually mimics elbow dislocation. Emergency medicine physicians and orthopedic surgeons must have a high index of suspicion for distal humeral epiphysis separation when evaluating elbow trauma in neonates. Magnetic resonance imaging (MRI) scan is an important diagnostic tool for this purpose. We report a case in which fracture-separation of the distal humeral epiphysis in a newborn was diagnosed with the help of ultrasonography and MRI scan, which provided a clear delineation of the injury.

Keywords: Delivery; distal humeral epiphysis; fracture; neonate.

Yenido�anda travmatik distal humerus epifiz ayr�lmas�n�n tan� ve tedavisi: Olgu sunumu

Yetkin S�y�nc�¹, Can �evikol², Se�gin S�y�nc�³, Ayd�n Y�ld�r�m⁴, Feyyaz Aky�ld�z¹
¹Akdeniz �niversitesi T�p Fak�ltesi,Ortopedi ve Travmatoloji ABD,Antalya
²Akdeniz �niversitesi T�p Fak�ltesi, Radyoloji ABD,Antalya
³Akdeniz �niversitesi T�p Fak�ltesi, Acil Ve �lk Yard�m Abd,antalya
⁴Manavgat Devlet Hastanesi,Antalya

Do�um travmas�na ba�l� meydana gelen distal humerus epifiz ayr�lmas� olduk�a seyrek g�r�len bir durumdur ve s�kl�kla dirsek ekleminin arkaya ��k�� ile kar��t�r�l�r. Acil t�p ve ortopedi doktorlar�, yenido�anlardaki dirsek travmalar�n� de�erlendirirken distal humerus epifiz ayr�lmas� konusunda son derece dikkatli davranmal�d�rlar. Manyetik rezonans g�r�nt�leme (MRG) ay�r�c� tan�da �nemli yer tutar. Bu yaz�da, yenido�anda ultrasonografi ve MRG tekniklerinden yararlanarak distal humerus epifiz ayr�lmas�n�n tam olarak g�r�nt�lenmesi ve orta d�nem cerrahi sonucunun verilmesi ama�land�.

Anahtar Kelimeler: Do�um; distal humerus epifizi; k�r�k; yenido�an.

Yetkin S�y�nc�, Can �evikol, Se�gin S�y�nc�, Ayd�n Y�ld�r�m, Feyyaz Aky�ld�z. Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: a case report. Ulus Travma Acil Cerrahi Derg. 2009; 15(1): 99-102

Corresponding Author: Yetkin S�y�nc�, T�rkiye
Manuscript Language: English

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