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新生儿肱骨远端骨骺移位：一例报告

Epiphyseal displacement of the distal humerus in a neonate: a case report.

作者信息

Generoso Talissa Oliveira, Braga Susana Dos Reis, Blumetti Francesco Camara, Pegoraro Maurício, Ramalho Júnior Amancio

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Instituto Brasil de Tecnologias da Saúde, Rio de Janeiro, RJ, Brazil.

出版信息

Einstein (Sao Paulo). 2024 Dec 16;22:eRC0868. doi: 10.31744/einstein_journal/2024RC0868. eCollection 2024.

DOI:10.31744/einstein_journal/2024RC0868
PMID:39699406
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11634329/
Abstract

Epiphyseal displacement of the distal humerus is rare and difficult to diagnose. In addition, the literature on the prognosis and treatment is limited. Here, we present a case of distal humeral physeal separation with significant displacement in a neonate. A favorable outcome was obtained following closed reduction and percutaneous fixation with Kirschner wires assisted by arthrography. This report adds valuable information on this subject to the existing literature.

摘要

肱骨远端骨骺移位罕见且诊断困难。此外，关于其预后和治疗的文献有限。在此，我们报告一例新生儿肱骨远端骨骺分离并伴有明显移位的病例。在关节造影辅助下，通过闭合复位及克氏针经皮固定获得了良好疗效。本报告为现有文献增添了关于该主题的宝贵信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3fb/11634329/e781f35b4076/2317-6385-eins-22-eRC0868-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3fb/11634329/2d85185834c2/2317-6385-eins-22-eRC0868-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3fb/11634329/e781f35b4076/2317-6385-eins-22-eRC0868-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3fb/11634329/2d85185834c2/2317-6385-eins-22-eRC0868-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3fb/11634329/e781f35b4076/2317-6385-eins-22-eRC0868-gf02.jpg

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引用本文的文献

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J Clin Med. 2025 Mar 17;14(6):2037. doi: 10.3390/jcm14062037.

本文引用的文献

1
Long-term outcomes of distal humeral epiphyseal separations treated via closed reduction and pinning under arthrogram.关节造影下闭合复位克氏针固定治疗肱骨远端骺分离的远期疗效。
Injury. 2020 Feb;51(2):207-211. doi: 10.1016/j.injury.2019.11.038. Epub 2019 Nov 27.
2
Using the Medial and Lateral Humeral Lines as an Adjunct to Intraoperative Elbow Arthrography to Guide Intraoperative Reduction and Fixation of Distal Humerus Physeal Separations Reduces the Incidence of Postoperative Cubitus Varus.使用肱骨内外侧线作为术中肘关节造影的辅助手段，以指导肱骨远端骨骺分离的术中复位和固定，可降低术后肘内翻的发生率。
J Pediatr Orthop. 2018 May/Jun;38(5):e262-e266. doi: 10.1097/BPO.0000000000001156.
3
Distal humeral epiphyseal separation in young children: an often-missed fracture-radiographic signs and ultrasound confirmatory diagnosis.
幼儿肱骨远端骨骺分离：一种常被漏诊的骨折——影像学征象及超声确诊
AJR Am J Roentgenol. 2015 Feb;204(2):W192-8. doi: 10.2214/AJR.14.12788.
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Traumatic separation of the distal epiphysis of the humerus sustained at birth.
J Bone Joint Surg Br. 2009 Jun;91(6):797-802. doi: 10.1302/0301-620X.91B6.22140.
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Presentation of distal humerus physeal separation.肱骨远端骨骺分离的表现。
Pediatr Emerg Care. 2007 Nov;23(11):816-9. doi: 10.1097/PEC.0b013e31815a060b.
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Fracture-separation of the distal humeral epiphysis.肱骨远端骨骺骨折分离
J Bone Joint Surg Br. 1991 Jan;73(1):143-6. doi: 10.1302/0301-620X.73B1.1991750.