[Traumatic distal humerus epiphysiolysis in a newborn child].

[child syndrome]

Traumatic distal humerus epiphysiolysis (TDHE ) is a rare injury in infants with an incidence of about 1 :35 ,000 births . It is primarily a birth injury , but it is also seen in cases of battered child syndrome . Because of its rare occurrence and the diagnostic difficulties , the lesion may be overlooked or misdiagnosed on initial presentation . The diagnosis is made on the basis of a high index of suspicion , clinical signs and symptoms and awareness of radiological changes . Traumatic humeral dislocation will produce the same radiological picture as TDHE and is consequently a common , incorrect initial diagnosis . We present a case of TDHE as a birth injury .