Yıl: 2009 Cilt: 15 Sayı: 1 Sayfa Aralığı: 99 - 102 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report

Öz:
Doğum travmasına bağlı meydana gelen distal humerus epifiz ayrılması oldukça seyrek görülen bir durumdur ve sıklıkla dirsek ekleminin arkaya çıkığı ile karıştırılır. Acil tıp ve ortopedi doktorları, yenidoğanlardaki dirsek travmalarını değerlendirirken distal humerus epifiz ayrılması konusunda son derece dikkatli davranmalıdırlar. Manyetik rezonans görüntüleme (MRG) ayırıcı tanıda önemli yer tutar. Bu yazıda, yenidoğanda ultrasonografi ve MRG tekniklerinden yararlanarak distal humerus epifiz ayrılmasının tam olarak görüntülenmesi ve orta dönem cerrahi sonucunun verilmesi amaçlandı.
Anahtar Kelime: Manyetik rezonans görüntüleme Tedavi sonucu Humerus kırıkları Erkek Doğum yaralanmaları Dirsek eklemi Çıkıklar Epifiz Süt çocuğu, yenidoğan

Konular: Cerrahi

Yenidoğanda travmatik distal humerus epifiz ayrılmasının tanı ve tedavisi: Olgu sunumu

Öz:
Traumatic separation of the distal humeral epiphysis during delivery is an uncommon injury in neonates and usually mimics elbow dislocation. Emergency medicine physicians and orthopedic surgeons must have a high index of suspicion for distal humeral epiphysis separation when evaluating elbow trauma in neonates. Magnetic resonance imaging (MRI) scan is an important diagnostic tool for this purpose. We report a case in which fracture-separation of the distal humeral epiphysis in a newborn was diagnosed with the help of ultrasonography and MRI scan, which provided a clear delineation of the injury.
Anahtar Kelime: Male Birth Injuries Elbow Joint Dislocations Epiphyses Infant, Newborn Magnetic Resonance Imaging Treatment Outcome Humeral Fractures

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Davidson RS, Markowitz RI, Dormans J, Drummond DS. Ultrasonographic evaluation of the elbow in infants and young children after suspected trauma. J Bone Joint Surg [Am] 1994;76:1804-13.
  • 2. Raupp P, Haas D, Lovasz G. Epiphyseal separation of the distal humerus. J Perinat Med 2002;30:528-30.
  • 3. Sawant MR, Narayanan S, O’Neill K, Hudson I. Distal humeral epiphysis fracture separation in neonates - diagnosis using MRI scan. Injury 2002;33:179-81.
  • 4. Ziv N, Litwin A, Katz K, Merlob P, Grunebaum M. Definitive diagnosis of fracture-separation of the distal humeral epiphysis in neonates by ultrasonography. Pediatr Radiol 1996;26:493-6.
  • 5. Paige ML, Port RB. Separation of the distal humeral epiphysis in the neonate. Acombined clinical and roentgenographic diagnosis. Am J Dis Child 1985;139:1203-5.
  • 6. Dias JJ, Lamont AC, Jones JM. Ultrasonic diagnosis of neonatal separation of the distal humeral epiphysis. J Bone Joint Surg [Br] 1988;70:825-8.
  • 7. Downs DM, Wirth CR. Fracture of the distal humeral chondroepiphysis in the neonate. A case report. Clin Orthop Relat Res 1982;(169):155-8.
  • 8. Barrett WP, Almquist EA, Staheli LT. Fracture separation of the distal humeral physis in the newborn. J Pediatr Orthop 1984;4:617-9.
  • 9. DeLee JC, Wilkins KE, Rogers LF, Rockwood CA. Fractureseparation of the distal humeral epiphysis. J Bone Joint Surg [Am] 1980;62:46-51.
  • 10.Holda ME, Manoli A2nd, LaMont RI. Epiphyseal separation of the distal end of the humerus with medial displacement. J Bone Joint Surg [Am] 1980;62:52-7.
  • 11.Howard CB, Einhorun MS. Ultrasound in the detection of subperiosteal abscesses. J Bone Joint Surg [Br] 1991;73:175-6.
  • 12.Ekengren K, Bergdahl S, Ekström G. Birth injuries to the epiphyseal cartilage. Acta Radiol Diagn (Stockh) 1978;19(1B):197-204.
APA Söyüncü Y, ÇEVİKOL C, SÖYÜNCÜ S, YILDIRIM A, AKYILDIZ F (2009). Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. , 99 - 102.
Chicago Söyüncü Yetkin,ÇEVİKOL Can,SÖYÜNCÜ Seçkin,YILDIRIM Aydin,AKYILDIZ Feyyaz Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. (2009): 99 - 102.
MLA Söyüncü Yetkin,ÇEVİKOL Can,SÖYÜNCÜ Seçkin,YILDIRIM Aydin,AKYILDIZ Feyyaz Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. , 2009, ss.99 - 102.
AMA Söyüncü Y,ÇEVİKOL C,SÖYÜNCÜ S,YILDIRIM A,AKYILDIZ F Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. . 2009; 99 - 102.
Vancouver Söyüncü Y,ÇEVİKOL C,SÖYÜNCÜ S,YILDIRIM A,AKYILDIZ F Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. . 2009; 99 - 102.
IEEE Söyüncü Y,ÇEVİKOL C,SÖYÜNCÜ S,YILDIRIM A,AKYILDIZ F "Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report." , ss.99 - 102, 2009.
ISNAD Söyüncü, Yetkin vd. "Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report". (2009), 99-102.
APA Söyüncü Y, ÇEVİKOL C, SÖYÜNCÜ S, YILDIRIM A, AKYILDIZ F (2009). Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. Ulusal Travma ve Acil Cerrahi Dergisi, 15(1), 99 - 102.
Chicago Söyüncü Yetkin,ÇEVİKOL Can,SÖYÜNCÜ Seçkin,YILDIRIM Aydin,AKYILDIZ Feyyaz Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. Ulusal Travma ve Acil Cerrahi Dergisi 15, no.1 (2009): 99 - 102.
MLA Söyüncü Yetkin,ÇEVİKOL Can,SÖYÜNCÜ Seçkin,YILDIRIM Aydin,AKYILDIZ Feyyaz Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. Ulusal Travma ve Acil Cerrahi Dergisi, vol.15, no.1, 2009, ss.99 - 102.
AMA Söyüncü Y,ÇEVİKOL C,SÖYÜNCÜ S,YILDIRIM A,AKYILDIZ F Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. Ulusal Travma ve Acil Cerrahi Dergisi. 2009; 15(1): 99 - 102.
Vancouver Söyüncü Y,ÇEVİKOL C,SÖYÜNCÜ S,YILDIRIM A,AKYILDIZ F Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report. Ulusal Travma ve Acil Cerrahi Dergisi. 2009; 15(1): 99 - 102.
IEEE Söyüncü Y,ÇEVİKOL C,SÖYÜNCÜ S,YILDIRIM A,AKYILDIZ F "Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report." Ulusal Travma ve Acil Cerrahi Dergisi, 15, ss.99 - 102, 2009.
ISNAD Söyüncü, Yetkin vd. "Detection and treatment of traumatic separation of the distal humeral epiphysis in a neonate: A case report". Ulusal Travma ve Acil Cerrahi Dergisi 15/1 (2009), 99-102.