Complex Birth Injury: Distal Humeral Epiphyseal Separation and Erb's Palsy Following Difficult Extraction in a Late Preterm Infant: A Case Report
DOI:
https://doi.org/10.48047/bqak6r56Keywords:
Distal humeral epiphyseal separation, Erb’s palsy, Brachial plexus birth injury, Neonatal fracture, Breech extraction, Cesarean section, Birth trauma, Placenta previa.Abstract
We present a rare case with co-occurrence of distal humeral epiphyseal separation and Erb’s palsy in a late preterm infant following a complicated breech extraction through cesarean section. Clinical evaluation revealed absent Moro reflex on the right side and Erb’s palsy, while imaging (X-ray and ultrasound) confirmed a transphyseal fracture of the distal humerus with posterior epiphyseal displacement. Management included closed reduction with K-wire fixation, and multidisciplinary follow-up for neurological and orthopedic rehabilitation. This case report highlights the risks of traumatic birth injuries during difficult breech deliveries, even in cesarean sections, highlighting the need for thorough postnatal evaluation.
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References
Louis, D., Sundaram, V., & Samujh, R. (2010). An unusual case of Erb’s palsy in a neonate: a case report. Journal of child neurology, 25(10), 1261-1264.
Raducha, J. E., Cohen, B., Blood, T., & Katarincic, J. (2017). A review of brachial plexus birth palsy: injury and rehabilitation. Rhode Island medical journal, 100(11), 17-21.
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