Al-Aubaidi Zaid, Nielsen Keld Daubjerg
Ortopaedkirurgisk Afdeling, Odense Universitetshospital, 5000 Odense C, Denmark.
Ugeskr Laeger. 2010 Aug 16;172(33):2231-2.
Traumatic distal humerus epiphysiolysis (TDHE) is a rare injury in infants with an incidence of about 1:35,000 births. It is primarily a birth injury, but it is also seen in cases of battered child syndrome. Because of its rare occurrence and the diagnostic difficulties, the lesion may be overlooked or misdiagnosed on initial presentation. The diagnosis is made on the basis of a high index of suspicion, clinical signs and symptoms and awareness of radiological changes. Traumatic humeral dislocation will produce the same radiological picture as TDHE and is consequently a common, incorrect initial diagnosis. We present a case of TDHE as a birth injury.
创伤性肱骨远端骨骺分离（TDHE）在婴儿中是一种罕见损伤，发病率约为1:35000活产儿。它主要是一种产伤，但也可见于受虐儿童综合征病例。由于其罕见性及诊断困难，该病变在初次就诊时可能被忽视或误诊。诊断基于高度的怀疑指数、临床症状和体征以及对放射学改变的认识。创伤性肱骨脱位会产生与TDHE相同的放射学表现，因此是常见的错误初始诊断。我们报告一例作为产伤的TDHE病例。
