Brachial Plexus Birth Injury due to Proximal Humeral Physeal Separation: A Case Report.
| Autor: | Shah MM; Orthokids Clinic, Ahmedabad, Gujarat, India., Jain M, Ponugoti G, Bansal S, Shah S, Sangole C |
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| Jazyk: | angličtina |
| Zdroj: | JBJS case connector [JBJS Case Connect] 2023 Sep 14; Vol. 13 (3). Date of Electronic Publication: 2023 Sep 14 (Print Publication: 2023). |
| DOI: | 10.2106/JBJS.CC.23.00254 |
| Abstrakt: | Case: A 9-day-old male neonate presented with swelling over his left shoulder and reduced movements of the left upper extremity since birth. Radiographs raised a suspicion of a shoulder dislocation. Ultrasonography confirmed the diagnosis of proximal humeral physeal separation. Magnetic resonance imaging (MRI) revealed edema of the infraclavicular part of the brachial plexus. Conservative management was followed, and the injury remodeled completely at 2 years. Conclusion: Neonatal proximal humeral physeal separation poses a diagnostic challenge. Ultrasonography is helpful for diagnosis. MRI is indicated when concurrent brachial plexus birth injury is suspected. Conservative management yields good outcome in the absence of entrapped nerves and tendons. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C202). (Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
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