Percutaneous fixation of neonatal humeral physeal fracture: A case report and review of the literature

Figure 1 Anteroposterior and lateral radiographs of the elbow joint from the primary hospital, indicating dislocation of the elbow joint.

Figure 2 Ultrasonograms of the elbow joint from the primary hospital, indicating physeal fracture of the left distal humerus.

Figure 3 Magnetic resonance imaging of the elbow joint from the primary hospital, indicating physeal fracture of the left distal humerus without callus formation.

Figure 4 On admission, physical examination revealed considerable swelling of the elbow, tenderness, and upper limb dysfunction.

Figure 5 Arthrography of the elbow during the operation revealed physeal fracture of the distal humerus, and posteromedial displacement of the distal epiphysis (A and B).

Figure 6 Sketch of manual reduction.

Figure 7 Internal fixation was performed using Kirschner wire (A and B). Subsequent arthrography revealed satisfactory reduction of the fracture.

Figure 8 Postoperative anteroposterior and lateral radiographs of the elbow joint indicated the alignment of the humeral-ulnar joint with satisfactory reduction and fixation of the physeal fracture of the distal humerus (A and B).