Sherr-Lurie Nir, Bialik Gad M, Ganel Abraham, Schindler Amos, Givon Uri
Pediatric Orthopedic Unit, Safra Hospital for Children, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel.
Isr Med Assoc J. 2011 Jun;13(6):363-5.
Fractures of the humerus in neonates can pose a diagnostic challenge, especially when the fracture occurs in the proximal or distal epiphysis.
To review our experience in the diagnosis and treatment of birth-related humeral fractures.
Between the years 2001 and 2009, seven newborn patients and two patients treated in the neonatal intensive care unit sustained a fracture of the humerus. Four of the fractures occurred in the humeral shaft, three in the proximal epiphysis and two in the distal epiphysis. In all the newborn patients the diagnosis was made on the first day of life using radiography and ultrasonography. The fractures of the shaft and of the distal epiphysis were treated by gentle manipulation and casting, and the fractures of the proximal epiphysis were treated by swaddling.
All of the patients demonstrated fracture union within 2 weeks, and radiographs at the age of 6 months demonstrated complete remodeling of the fracture.
Ultrasonography is a simple, readily available and inexpensive modality for the diagnosis of birth-related fractures of the humerus, especially in the yet unossified epiphyses.
新生儿肱骨骨折可能带来诊断挑战，尤其是骨折发生在近端或远端骨骺时。
回顾我们在诊断和治疗与出生相关的肱骨骨折方面的经验。
在2001年至2009年期间，七名新生儿患者和两名在新生儿重症监护病房接受治疗的患者发生了肱骨骨折。其中四例骨折发生在肱骨干，三例在近端骨骺，两例在远端骨骺。所有新生儿患者均在出生第一天通过X线摄影和超声检查确诊。肱骨干和远端骨骺骨折通过轻柔手法复位和石膏固定治疗，近端骨骺骨折通过襁褓包裹治疗。
所有患者在2周内均显示骨折愈合，6个月时的X线片显示骨折完全重塑。
超声检查是诊断与出生相关的肱骨骨折的一种简单、便捷且廉价的方法，尤其适用于尚未骨化的骨骺。
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