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Am J Perinatol 2003; 20(5): 249-254
DOI: 10.1055/s-2003-42339
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Salter-Harris II Fracture of the Proximal Humerus in a Preterm Infant

Gregory P. Jones1,2 , John  Seguin2 , William E. Shiels II3,4
  • 1Department of Pediatrics, Columbus Children's Hospital, Columbus, Ohio
  • 2Department of Pediatrics, Ohio State University Hospitals, Columbus, Ohio
  • 3Department of Radiology, Ohio State University Hospitals, Columbus, Ohio
  • 4Department of Radiology, Medical College of Ohio, Toledo, Ohio
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Publication History

Publication Date:
18 September 2003 (online)

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ABSTRACT

A premature twin infant presented with clinical signs of shoulder injury shortly after birth. He had been delivered by cesarean section due to malpresentation. Bony abnormality was not initially recognized on plain radiographs, but ultrasound revealed a Salter-Harris II fracture of the proximal humerus. Plain radiographs are limited in the premature newborn because of lack of calcification of the epiphysis. Ultrasound examination in these infants can be helpful in determining the true extent of skeletal injury. Immobilization and pain control are then indicated to optimize the outcome.

KEYWORDS

Premature infant - humerus fracture - ultrasound

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