Humerus diaphyisis fracture ina neonate after vaginal delivery

Hamilçıkan, Şahin; Yılmaz, Kübra; Can, Emrah

doi:10.5350/semb.20161130050112

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…The incidence of birth-related long bone injuries is 0.23–4/1000 live births with humeral fracture incidence as 0.05/1000 live births [ 4 , 5 , 6 ]. Three-fourths of delivery-related long bone fractures occur during vaginal breech deliveries [ 2 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Diaphyseal Fracture of the Humerus during Elective Cesarean Section – A Rare Case Report

Goyal¹,

Pahwa²,

Rathod³

et al. 2021

JOCR

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Introduction: Humeral fractures are the second common long bone fractures of the neonatal period after clavicle. Most cases of birth-related humerus fracture are reported during a vaginal breech delivery. The cesarean section does not eliminate the risk of long bone fractures. A humerus fracture is less common but still can happen due to forceful maneuvers like traction during cesarean which can go unnoticed to operating obstetrician or misinterpreted as brachial plexus injury by an inexperienced orthopedic surgeon. Case Report: We received a call from the neonatal intensive care unit (NICU) for a 2-day-old 2.4 kg male baby delivered to primigravida at 37 weeks by elective cesarean for transverse lie, for not moving his right upper limb. On examination by orthopedic surgeon, swelling, contusion, crepitus, and abnormal mobility at the right arm were noticed. Gentle manipulation made the neonate cry. Range of movements (ROMs) of wrist, elbow, and hand were within normal limit without any neurovascular deficit. Hence, the initial diagnosis of brachial plexus injury/Erb’s palsy was revised. X-ray of the right upper limb was ordered which showed an isolated mid-shaft humerus bicortical fracture. A high above elbow slab was applied with an arms chest bandage for a week and the baby was discharged with proper advice to the mother to follow-up on the next week. Conclusion: Obstetricians and pediatricians should remain vigilant for the rare occurrence of humerus fracture during cesarean so that they are not missed and managed timely to prevent future disability and deformity. Keywords: Humerus, neonate, long bone, fractures, brachial plexus injury.

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Section: Discussionmentioning

confidence: 99%

Diaphyseal Fracture of the Humerus during Elective Cesarean Section – A Rare Case Report

Goyal¹,

Pahwa²,

Rathod³

et al. 2021

JOCR

View full text Add to dashboard Cite

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Percutaneous fixation of neonatal humeral physeal fracture: A case report and review of the literature

Tan

Wang

Yao

et al. 2020

WJCC

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BACKGROUND Neonatal distal humeral physeal fractures are rare and difficult to diagnose. Thus, missed diagnoses and delayed healing are possible. Few studies have reported surgical treatment, because a callus may develop at the fracture site 5 d after the fracture, resulting in difficult reduction, and reduction of the limb may cause further physeal injury. Other surgical challenges include the provision of adequate anesthesia and complexity of the operation. However, without appropriate reduction and fixation, a varus elbow deformity may develop. Manual reduction and percutaneous pin fixation are ideal treatment options. CASE SUMMARY A 4-day-old neonate with left elbow pain accompanied by limited movement for 4 d was admitted, and diagnosed with delayed physeal fracture of the distal humerus based on physical examination, ultrasonography, and magnetic resonance imaging. The patient was treated by manual reduction combined with percutaneous pin fixation under arthrography. Postoperatively, the reduction was successful. The upper limbs could have been lifted and the fingers could have been moved freely on the second day after the operation. CONCLUSION The techniques of manual reduction and percutaneous pin fixation, to treat neonatal distal humeral physeal fractures, are safe and reliable.

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Humerus diaphyisis fracture ina neonate after vaginal delivery

Cited by 2 publications

References 5 publications

Diaphyseal Fracture of the Humerus during Elective Cesarean Section – A Rare Case Report

Diaphyseal Fracture of the Humerus during Elective Cesarean Section – A Rare Case Report

Percutaneous fixation of neonatal humeral physeal fracture: A case report and review of the literature

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