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Case Reports in Pediatrics
Volume 2015, Article ID 825413, 3 pages
Case Report

Separation of the Proximal Humeral Epiphysis in the Newborn: Rapid Diagnosis with Ultrasonography

Department of Radiology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA

Received 16 December 2014; Revised 5 January 2015; Accepted 8 January 2015

Academic Editor: Seyed Mohsen Dehghani

Copyright © 2015 Rachelle Goldfisher and John Amodio. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Separation of the proximal humeral epiphysis (SPHE) is a well-known occurrence and may occur secondary to trauma, infection, and nonaccidental trauma. Since most newborns do not have the proximal humeral epiphysis ossified at birth, the diagnosis may be difficult to make on routine radiographs. Ultrasonography of the shoulder in the newborn is rapid, noninvasive, and nonionizing imaging techniques which can diagnose SPHE. In this report, we describe and emphasize the diagnostic utility of state-of-the-art ultrasonography for the diagnosis of SPHE.