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December 1985

Separation of the Distal Humeral Epiphysis in the Neonate: A Combined Clinical and Roentgenographic Diagnosis

Author Affiliations

From the Department of Diagnostic Radiology, Evanston Hospital-Northwestern University, Evanston, III.

Am J Dis Child. 1985;139(12):1203-1205. doi:10.1001/archpedi.1985.02140140037022

• Separation of the distal humeral epiphysis in the neonate or young child can be diagnosed confidently by combining roentgenographic and clinical information. Such diagnosis is critical, as two abnormalities included in the differential diagnosis—irreducible elbow dislocation and fracture to the lateral humeral condyle—often require open reduction, unlike distal humeral epiphyseal separation, which can be treated conservatively. We describe two patients and review the pertinent literature.

(AJDC 1985;139:1203-1205)