Distal Humeral Epiphyseal Separation on a Premature Newborn
A 29 gestational week old premature newborn borned via caesarian delivery incharged to newborn ?ntensive care unit with prematurity and respiratuary distress syndrome. In the physical examination of patient, elbow deformity and decreased movement in the elbow and shoulder were observed (Fig.1). Radiographs and subsequent ultrasound were used to make the diagnosis of distal humeral epiphyseal separation. (Fig. 3-4) The diagnosis was made at 120. hours after delivery. Closed reduction and immobilization with long arm posterior plaster splint on elbow 110-degree flexion were performed by orthopaedic surgeon. After two weeks’ immobilization, plaster splint was removed. Postoperative follow-up with clinical and radiographic examination showed abundant bony healing and early restoration and functional recovery of left elbow and brachial plexus pseudoparalisis at the first month of follow up.