Abstract
A case of epiphyseal separation of the proximal humerus was reported. The lesion occurred by a birth trauma at pelvic presentation. As the proximal humerus did not appear on X-ray, the diagnosis was established by clinical findings. The new-born was treated by skin traction at abduction of 70 degrees in an incubator, aligning the humeral shaft to the scapular glenoid with difficulties. On the 12th day, callus developed on the lateral aspect of the proximal humerus, and the skin traction was discontinued on the 15th day. The patient was discharged from the hospital without fixation of his arm on the 19th day.Remodelling of the callus was recognized in 2 months, and the humerus showed its normal shape on X-ray and no restriction of ROM of the shoulder was noticed in 6 months.
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