@article{ref1,
title="Presentation of distal humerus physeal separation",
journal="Pediatric emergency care",
year="2007",
author="Gilbert, Shawn R. and Conklin, Michael J.",
volume="23",
number="11",
pages="816-819",
abstract="OBJECTIVES: The study was undertaken to describe the presenting features of children with physeal separation of the distal humerus and review the radiographic features of the diagnosis. METHODS: The charts of all children with elbow injuries aged 3 or younger were reviewed to find those with distal humerus physeal separation. Presenting complaint, initial diagnosis, and time to correct diagnosis were recorded. RESULTS: Of 101 children aged 3 or younger with elbow fractures, 7 were noted to have distal humerus physeal separation. All patients presented with pain, swelling, or disuse. Two cases resulted from suspected or confirmed nonaccidental injury. In no case was a diagnosis of distal humerus physeal separation assigned by the emergency physician or radiologist. Delay in assignment of final diagnosis ranged from 2 to 14 days. CONCLUSIONS: Physeal separation of the distal humerus is an unusual injury but accounts for a significant number of elbow fractures in children 3 or younger. Attention to the radiographic relationship of the ulna and humerus and an appropriate index of suspicion are keys to diagnosis. Nonaccidental injury should be considered as an etiology.<p /><p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0b013e31815a060b",
url="http://dx.doi.org/10.1097/PEC.0b013e31815a060b"
}