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South African Journal of Child Health, Vol 2, No 1 (2008)

An unusual cause of humeral fracture

Arjan Bastiaan van As, Mark Prince, Jacob van Dijk

Abstract


Humeral fractures in children are a relatively common presentation. A history of trauma or suspicion of non-accidental injury will often lead the clinician to a cause. However, a number of other pathologies which can result in fractures should also be considered, particularly when there are additional associated symptoms. A case report is presented of a 1 month old child who was found to be irritable, constantly crying and barely using his upper limbs.Radiographs demonstrated a fracture of the right humerus along with a number of characteristic bone lesions which suggested a diagnosis of congenital syphilis.

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