Nonunion of Diaphyseal Humerus Fracture in an Infant: A Case Report.
Journal
JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828
Informations de publication
Date de publication:
01 04 2023
01 04 2023
Historique:
medline:
20
4
2023
entrez:
18
4
2023
pubmed:
19
4
2023
Statut:
epublish
Résumé
A 9-month-old infant girl with Down syndrome presented with an atrophic nonunion of the right humerus diaphysis secondary to birth trauma. Surgical intervention included open reduction and external fixation plus cadaveric cancellous bone allograft and platelet-rich plasma and then was changed to an external fixator in axial compression. At 16 months after surgery, bone healing was achieved. Nonunions in infants are rare, and their treatment is a challenge; an adequate vascular supply with good stabilization and reduction are keys to management. We believe that the improvement in reduction and stability under axial compression were the keys to achieve consolidation.
Identifiants
pubmed: 37071735
doi: 10.2106/JBJS.CC.22.00764
pii: 01709767-202306000-00012
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.
Déclaration de conflit d'intérêts
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C87).
Références
Von Heideken J, Thiblin I, Högberg U. The epidemiology of infant shaft fractures of femur or humerus by incidence, birth, accidents, and other causes. BMC Musculoskelet Disord. 2020;21(1):840-11.
Shrader MW. Proximal humerus and humeral shaft fractures in children. Hand Clin. 2007;23(4):431-5.
Husain SN, King EC, Young JL, Sarwark JF. Remodeling of birth fractures of the humeral diaphysis. J Pediatr Orthop. 2008;28(1):10-3.
Sommerfeldt DW, Schmittenbecher PP. Failure analysis and recommendations for treatment of posttraumatic non-unions of the distal humerus during childhood. Eur J Trauma Emerg Surg. 2021;47(2):313-24.
Mills LA, Simpson AH. The risk of non-union per fracture in children. J Child Orthop. 2013;7(4):317-22.
Ekegren CL, Edwards ER, de Steiger R, Gabbe BJ. Incidence, costs and predictors of non-union, delayed union and mal-union following long bone fracture. Int J Environ Res Public Health. 2018;15(12):2845.
González-Agüero A, Vicente-Rodríguez G, Moreno LA, Casajús JA. Bone mass in male and female children and adolescents with Down syndrome. Osteoporos Int. 2011;22(7):2151-7.
Sherman KM, Williams DK, Welsh CA, Cooper AM, Falck A, Huggins S, Bokhari RS, Gaddy D, McKelvey KD, Dawson LA, Suva LJ. Low bone mass and impaired fracture healing in mouse models of Trisomy21 (Down syndrome). Bone. 2022;162:116471.
Dias E. Bilateral humerus fracture following birth trauma. J Clin Neonatol. 2012;1(1):44-5.
Arslan H, Subaşý M, Kesemenli C, Ersuz H. Occurrence and treatment of nonunion in long bone fractures in children. Arch Orthop Trauma Surg. 2002;122(9-10):494-8.
Shrader MW, Stans AA, Shaughnessy WJ, Haidukewych GJ. Nonunion of fractures in pediatric patients: 15-year experience at a level I trauma center. Orthopedics. 2009;32(6):410.
Sommerfeldt DW, Schmittenbecher PP. Failure analysis and recommendations for treatment of posttraumatic non-unions of the distal humerus during childhood. Eur J Trauma Emerg Surg. 2021;47(2):313-24.