Table 3 Summary of the literature published in the last 15 years on patients treated for transphyseal distal humerus fracture sustained at birth
From: Neonatal upper limb fractures – a narrative overview of the literature
Author | Case(s) | Delivery | Age at Diagnosis (days) | Imaging | Treatment | Follow-up (months) | Complications/Remarks/Follow-up |
|---|---|---|---|---|---|---|---|
Jacobsen [59] (2009) | 6 | Protrusion of arm | 12 | XR, arthrogram | Cast (no reduction) | 16 | - Callus on initial radiographs - Normal alignment |
Normal | 2 | XR,US | Traction + closed reduction + cast | 78 | - Normal alignment | ||
Breech twin arm stuck | 14 | XR | Cast (no reduction) | 60 | - Callus on initial radiographs - Normal alignment - Slightly reduced ROM | ||
Cephalic fast delivery | 9 | XR,US | Cast (no reduction) | 54 | - Callus on initial radiographs - Normal alignment | ||
Long | 1 | XR,US,MRI | Closed reduction + cast | 21 | - Slightly reduced valgus | ||
Normal | 30 | XR | Cast (no reduction) | 120 | - Callus on initial radiographs - Normal alignment | ||
Söyüncü [81] (2009) | 1 | VD | 5 | XR,US,MRI | Open reduction + K-wire + posterior splint | 16 | - Complete ROM; Normal alignment |
Catena [75] (2009) | 1 | CS | 1 | XR,US | Closed Reduction + cast | 12 | - Complete ROM; Normal alignment |
Sherr-Lurie [22] (2011) | 2 | CS: n=1 VD: n=1 | - | XR,US | Closed Reduction + cast | 6 | - Complete ROM; Normal alignment |
Sabat [79] (2011) | 1 | CS | 5 | XR,MRI | Closed reduction + posterior plaster slab | 1 | - Complete ROM; Normal alignment |
Navallas [80] (2013) | 1 | cs | 1 | XR,US | Closed Reduction + cast | 4 | - Complete ROM - 10º of varus |
Kamaci [82] (2014) | 1 | CS | 2 | - | Closed reduction + percutaneus K-wire + long arm splint | 6 | - Complete ROM; Normal alignment |
Patil [91] (2015) | 1 | VD | 2 | XR,US | Closed reduction + percutaneus K-wire + immobilization | 2.5 | - Complete ROM |
Lin [83] (2016) | 1 | CS | 5 | XR,MRI, Arthrogram | Open reduction + K-wire + cast | 2 | - Complete ROM; Normal alignment |
Tharakan [84] (2016) | 1 | VD | XR,MRI, Arthrogram | Closed reduction + percutaneus K-wire + posterior plaster splint | 12 | - Complete ROM; Normal alignment | |
Kay [65] (2017) | 4 | CS | 1 | XR | Immobilization | - | Normal alignment |
4 | XR, Arthrogram | Closed reduction + percutaneus K-wire + immobilization | - | Normal alignment | |||
7 | XR,US | Immobilization | - | Normal alignment | |||
1 | XR, MRI | Immobilization | - | Normal alignment | |||
Gigante [76] (2017) | 5 | VD | 3 | XR | Closed Reduction + cast | 60 | Complete ROM |
VD | 1 | XR,US | Closed reduction + percutaneus K-wire + cast | 15 | Complete ROM | ||
VD | 2 | XR | Closed Reduction + cast | 27 | Complete ROM | ||
CS | 2 | XR,US | Closed Reduction + cast | 36 | Complete ROM | ||
VD | 1 | XR | Closed Reduction + cast | 12 | 5º of cubitus varus | ||
Hariharan [87] (2019) | 9 | CS: n=6 VD: n=3 | - | - | Surgery | - | - |
Tan [85] (2022) | 1 | - | 4 | XR,US,MRI, Arthrogram | Closed reduction + percutaneus K-wire + cast | - | - |
Galeotti [86] (2023) | 10 | CS: n=1 VD: n=9 | 1 | XR | Closed reduction + cast | 120 | -Loss of reduction – 2nd treatment: Closed reduction + cast - Complete ROM - Normal alignment - episodes of 5th finger paresthesia |
8 | XR,US,MRI | Closed reduction + cast | 120 | - Complete ROM; Normal alignment - elbow pain (occasional) | |||
3 | XR,US,MRI | Closed reduction + cast | 12 | - Complete ROM - Normal alignment | |||
2 | XR,US | Closed reduction + cast | 15 | -Loss of reduction - Second treatment: Closed reduction + percutaneus K-wire - Complete ROM - Normal alignment | |||
6 | XR,US, Arthrogram | Closed reduction + cast | 16 | - Complete ROM - Normal alignment | |||
6 | XR,US, Arthrogram | Closed reduction + percutaneus K-wire | 24 | - Complete ROM - Normal alignment | |||
9 | XR,US, Arthrogram | Closed reduction + percutaneus K-wire | 21 | - Complete ROM - Normal alignment | |||
9 | XR,US, Arthrogram | Closed reduction + percutaneus K-wire | 16 | - Complete ROM - Normal alignment | |||
3 | XR,US, Arthrogram | Closed reduction + percutaneus K-wire | 14 | - Complete ROM - Normal alignment | |||
2 | XR,US, Arthrogram | Closed reduction + percutaneus K-wire | 12 | - Complete ROM - Normal alignment |