Anterior Physeal Separation of Distal Humerus: Report of a Rare Case with Review of Literature.

Abstract

Distal humeral physeal separation is a rare injury and often missed during the initial presentation. They are usually associated with birth trauma or child abuse. These fractures are often misdiagnosed as infection or dislocation. We report a rare variant of distal humeral physeal separation with anterior displacement of the distal humeral epiphysis which was managed by open reduction and internal fixation. Posteromedial displacement of the distal humeral epiphysis is the most common type. Anterior displacement is rare with very few cases described in literature. A high index of suspicion along with appropriate imaging is necessary to confirm the diagnosis.