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Neonatal distal femoral epiphyseal dislocation: an ultrasound diagnosis

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Abstract

Traumatic epiphyseal dislocation related to birth injury is uncommon. The authors report a case of slipped distal femoral epiphysis during a breech presentation in a twin pregnancy birthing process, diagnosed by ultrasonography. This type of separation could be difficult to detect in the newborn on plain radiographs because of the non-ossification of the epiphysis. Therefore, the use of sonography is helpful to make an early and accurate diagnosis in order to avoid malunion and deformities of the affected limb. Through this case report we will see the diagnostic value of high-resolution ultrasonography in diagnosing newborn injuries of the limbs, and particularly in the diagnosis of radiographically occult epiphyseal separation.

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References

  1. Benson M, Fixsen J, Macnicol M, et al. Children’s orthopaedics and fractures. 3rd ed. London: Springer; 2010.

    Google Scholar 

  2. Parker LA. Part 1: early recognition and treatment of birth trauma: injuries to the head and face. Adv Neonatal Care. 2005;5:288–97.

    Article  PubMed  Google Scholar 

  3. Eliahou R, Simanovsky N, Hiller N, et al. Fracture-separation of the distal femoral epiphysis in a premature neonate. J Ultrasound Med. 2006;25:1603–5.

    PubMed  Google Scholar 

  4. Pressler JL. Classification of major newborn birth injuries. J Perinat Neonatal Nurs. 2008;22:60–7.

    PubMed  Google Scholar 

  5. Bolink SAAN, Kerens B, Staal HM, et al. Neonatal distal femoral epiphysiolysis—a case report and review of the literature. J Orthop. 2010;7(1)e4.

  6. Naderi S, Bolandgray A, Ardekani MS, et al. Evaluation of knee joint ossification centers for the assessment of fetal maturity in a developing country. Eur J Obstet Gynecol Reprod Biol. 1975;5/3:167–70.

    Article  Google Scholar 

  7. Mangurten HH, Puppala B, Knuth A. Neonatal distal femoral physeal fracture requiring closed reduction and pinning. J Perinatol. 2005;25:216–9.

    Article  PubMed  Google Scholar 

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Acknowledgments

We are thankful to Ms. Bensaid Fatima Zohra for her meticulous advice and help.

Conflict of interest

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Authors and Affiliations

  1. Department of Radiology, CHU Hassan II Fez, Km 2.200, Route Sidi Hrazem, 30000, Fez, Morocco

    Youssef Alaoui Lamrani, Mustapha Maâroufi, Imane Kamaoui, Hicham Ammor, Nadia Sqalli Houssaini & Siham Tizniti

Authors
  1. Youssef Alaoui Lamrani
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  2. Mustapha Maâroufi
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  3. Imane Kamaoui
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  4. Hicham Ammor
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  5. Nadia Sqalli Houssaini
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  6. Siham Tizniti
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Corresponding author

Correspondence to Youssef Alaoui Lamrani.

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Lamrani, Y.A., Maâroufi, M., Kamaoui, I. et al. Neonatal distal femoral epiphyseal dislocation: an ultrasound diagnosis. J Med Ultrasonics 38, 221–223 (2011). https://doi.org/10.1007/s10396-011-0312-0

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  • DOI: https://doi.org/10.1007/s10396-011-0312-0

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