Transepiphyseal separation of distal humerus: A case report and review of literature

Transepiphyseal Fracture of Distal Humerus ( TFDH ) or epiphysiolysis of distal humerus is a rare injury seen in children younger than three years of age [1]. It is the least commonest of all physeal injuries representing 3.9% of them in this age group [2]. The reported incidence of this injury is 1:35000 births [3]. The diagnosis of this condition is very challenging and in particular differentiating it from elbow dislocation is very difficult. Plain radiographs are not decisive since ossification centers around elbow are not ossified during this age group.