The Journal of Bone and Joint Surgery (American). 2006;88:622-626.
doi:10.2106/JBJS.E.00280
© 2006 The Journal of Bone and Joint Surgery, Inc.
Correction of Rotational Deformity Following Proximal Humeral Epiphysiolysis in a Newborn
A Case Report with Twenty-Year Follow-Up
Kiyohisa Ogawa, MD1,
Satoshi Yamazaki, MD1,
Shuzo Kobayashi, MD1 and
Hiroyasu Ikegami, MD1
1 Department of Orthopedic Surgery (K.O., S.K., and H.I.) and Sports Medicine
(S.Y.), School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-Ku,
Tokyo 160-8582, Japan. E-mail address for K. Ogawa:
ogawa51@beige.plala.or.jp
Investigation performed at the Department of Orthopedic Surgery and
Sports Medicine, School of Medicine, Keio University, Tokyo, Japan
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Introduction
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The remodeling potential of a long bone to correct posttraumatic angular
deformities during infancy is widely
recognized1-5;
however, no consensus has yet been reached as to the remodeling potential of a
long bone to correct rotational
deformities4,6,7.
To the best of our knowledge, the present report is the first to document the
long-term radiographic and functional follow-up of a patient who had proximal
humeral epiphysiolysis with marked rotational deformity due to birth trauma.
Our patient was informed that data concerning the case would be submitted for
publication.
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Case Report
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Agirl weighing 3420 grams was delivered after thirty-nine weeks of
gestation to a primiparous mother in an obstetrics clinic. The baby presented
in the double footling breech position. The right upper extremity was forcibly
manipulated because it was caught by the umbilical cord during the vaginal
delivery. On the day following birth, the infant did not move the right arm
and . . . [Full Text of this Article]

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