Volume 12, Issue 4 (Autumn-In Press 2025)
JROS 2025, 12(4): 0-0 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Nakhaei Amroodi M, Tabrizian P, Mahdavifar M, Karami M, Hashemipour B, Khajeh Alizadeh Attar M. Clinical Outcomes of Total Physeal Separation in Pediatric Distal Humerus Fractures: A Single-Center Experience. JROS 2025; 12 (4)
URL: http://jros.iums.ac.ir/article-1-2308-en.html
URL: http://jros.iums.ac.ir/article-1-2308-en.html
Morteza Nakhaei Amroodi1 
, Pouria Tabrizian1 , Mohammadmehdi Mahdavifar1 , Mehdi Karami1 , Babak Hashemipour1 , Mojtaba Khajeh Alizadeh Attar1
, Pouria Tabrizian1 , Mohammadmehdi Mahdavifar1 , Mehdi Karami1 , Babak Hashemipour1 , Mojtaba Khajeh Alizadeh Attar1
1- Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Abstract: (10 Views)
Background: Total physeal separation of the distal humerus is a rare elbow injury in young children. Because the distal humerus is predominantly cartilaginous at early ages, diagnosis can be challenging and is frequently mistaken for more common injuries, such as supracondylar fractures. Given the critical role of the growth plate in skeletal development and elbow function, appropriate management is essential. Despite several reports in the literature, comprehensive data with adequate follow-up remain limited.
Objective: This study aimed to evaluate the clinical outcomes of total physeal separation of the distal humerus in pediatric patients treated at a tertiary referral center.
Methods: This retrospective case series included pediatric patients diagnosed with total physeal separation of the distal humerus who met the inclusion criteria and were treated at Shafa Yahyaeian Hospital. A total of 13 patients were enrolled, all of whom underwent closed reduction and percutaneous pinning (CRPP). Data were collected from medical records, radiographic images, and follow-up documentation. The variables assessed included demographic characteristics, mechanism of injury, neurovascular status, elbow range of motion (ROM), and postoperative complications.
Results: At final follow-up, all patients demonstrated satisfactory elbow range of motion (ROM), approaching near-normal function. No cases of persistent neurological deficit, angular deformity (cubitus varus or valgus), or major complications such as pin-site infection were observed. Functional outcomes were favorable, and CRPP provided stable fixation with preservation of joint mobility.
Conclusion: CRPP is a safe and effective treatment modality for total physeal separation of the distal humerus in pediatric patients. This technique is associated with favorable functional outcomes, preservation of neurovascular integrity, and minimal complications. Early diagnosis and appropriate management are crucial for preventing long-term sequelae. Further studies with larger sample sizes and longer follow-up periods are recommended.
Objective: This study aimed to evaluate the clinical outcomes of total physeal separation of the distal humerus in pediatric patients treated at a tertiary referral center.
Methods: This retrospective case series included pediatric patients diagnosed with total physeal separation of the distal humerus who met the inclusion criteria and were treated at Shafa Yahyaeian Hospital. A total of 13 patients were enrolled, all of whom underwent closed reduction and percutaneous pinning (CRPP). Data were collected from medical records, radiographic images, and follow-up documentation. The variables assessed included demographic characteristics, mechanism of injury, neurovascular status, elbow range of motion (ROM), and postoperative complications.
Results: At final follow-up, all patients demonstrated satisfactory elbow range of motion (ROM), approaching near-normal function. No cases of persistent neurological deficit, angular deformity (cubitus varus or valgus), or major complications such as pin-site infection were observed. Functional outcomes were favorable, and CRPP provided stable fixation with preservation of joint mobility.
Conclusion: CRPP is a safe and effective treatment modality for total physeal separation of the distal humerus in pediatric patients. This technique is associated with favorable functional outcomes, preservation of neurovascular integrity, and minimal complications. Early diagnosis and appropriate management are crucial for preventing long-term sequelae. Further studies with larger sample sizes and longer follow-up periods are recommended.
Keywords: Total physeal separation, Distal humerus, Pediatric, Closed reduction, Percutaneous pinning, Elbow range of motion
Type of Study: Research Article |
Subject:
Shoulder / Elbow
Received: 2026/02/21 | Accepted: 2026/02/21 | Published: 2025/11/18
Received: 2026/02/21 | Accepted: 2026/02/21 | Published: 2025/11/18
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
