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近端肱骨骨骺分离作为分娩骨折的罕见原因——一例报告

Proximal Humerus Epiphysiolysis as a Rare Cause of Fracture in Childbirth - A Case Report.

作者信息

Teles Bárbara Noronha, Castro João Carlos, Ovídeo Joana

机构信息

Ortopedia e Traumatologia, Hospital Professor Fernando Fonseca, Lisboa, Portugal.

Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisboa, Portugal.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Dec 27;59(Suppl 2):e243-e246. doi: 10.1055/s-0044-1779330. eCollection 2024 Nov.

Abstract

Proximal humeral epiphysiolysis (PHE) are rare at 10.1/100,000 births and there are few cases described in the literature. We present the case of a newborn diagnosed with PHE submitted to conservative treatment. In six weeks he had complete mobility and extensive bone callus. As a very rare situation, rapid diagnosis is imperative, for which ultrasound is decisive and the attitude must be conservative and expectant, given a very rapid and expected evolution towards consolidation for normal function. This case reinforces the previous knowledge that these lesions typically evolve favorably, and post-traumatic sequelae are not expected.

摘要

肱骨近端骨骺分离(PHE)在出生时的发病率很低,为10.1/100,000,文献中描述的病例很少。我们报告一例诊断为PHE的新生儿接受保守治疗的病例。六周后,他的关节活动完全恢复正常,骨痂大量形成。作为一种非常罕见的情况,快速诊断至关重要,超声检查在此过程中起着决定性作用。鉴于其向功能正常的愈合方向发展迅速且预期良好,治疗态度必须是保守和观察等待。该病例进一步证实了之前的认知,即这些损伤通常预后良好,预计不会出现创伤后后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e02/11679611/d0ed7e201d24/10-1055-s-0044-1779330-i2200332en-1.jpg

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