Proximal humerus fracture in a newborn-like a thief in the night

Abstract

Epiphysiolysis of the shoulder is rare in newborns. The radiographic evaluation may be limited due to the non-ossification of the epiphyses, and it can be misdiagnosed as a dislocation. Ultrasonography and MRI provide a better answer in the diagnosis of these lesions. We describe a clinical case of an epiphysiolysis of the shoulder in a newborn baby after caesarean section. A premature born with 26 weeks and 660 g shows oedema and ecchymosis of the right shoulder. Radiographies and ultrasound show a fracture-epiphysiolysis of the proximal humerus. She was treated in a conservatory way. At 8 months old, she has no complaints and has a normal range of motion of the shoulder.