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Seeking Pediatric Orthopedic Opinion for My Baby's Arm Fracture
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Pediatric Medicine
Question #26391
45 days ago
92

Seeking Pediatric Orthopedic Opinion for My Baby's Arm Fracture - #26391

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My one-month-old baby (Dhruv Pounikar) was admitted in NICU. After 4 days of admission, a fracture in the left upper arm (humerus) was detected. At admission, no injury was mentioned. Currently, about 2 weeks after detection, the baby is moving both hands. There is no visible pain on touch. However, doctor says bone alignment is not perfect and extra bone (callus) has formed. No surgery advised, only follow-up. I want a pediatric orthopedic opinion regarding alignment, healing, remodeling possibility, and risk of future deformity. X-ray images are attached for review.

How did the fracture occur, if known?:

- No known cause

Has your baby shown any signs of discomfort or pain?:

- No, never

What is the current level of mobility in the affected arm?:

- Full mobility
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

Hello dear See fortunately there is no Pain Immobilisation Discomfort Loss of function Of associated organ So if there is any deformity it will be corrected automatically owing to excellent remodeling in children. So donot worry and have recalls Urgency may be required in case of either lack of movement or swelling of occurs Regards

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In a one-month-old baby like Dhruv, the bones have a remarkable ability to heal and remodel over time, due to the abundance of growing cartilage and the capability of the bones to reshape. In fact, even if the bone alignment isn’t perfect right now, there’s often positive potential for it to correct itself as he grows. The extra bone or callus formation you’re observing is a part of the natural healing process and signifies that the bone is healing. The absence of pain and the baby’s ability to move both arms are positive indicators, suggesting that the healing is progressing well.

Regarding alignment, while it’s preferable for the bones to be perfectly aligned, minor malalignments in such young children have a good chance of improving as the bone grows. The remodeling capacity, particularly in the humerus, is substantial. Over time, the growing bone reshapes towards a more normal alignment, aided by the natural growth and movement of the limb. Follow-ups with your pediatrician or a pediatric orthopedic specialist will be crucial to monitor the healing process and ensure everything is proceeding well.

The risk of future deformity is generally low when fractures in infants like these are managed properly, and as long as there is no significant functional limitation or non-union, surgical intervention is not commonly necessary. If the alignment remains unsatisfactory, your specialist might recommend physical therapy or casting to facilitate natural correction. It’s essential to keep up with the recommended follow-up appointments to assess progress. If at any point you notice any unusual changes in movement, swelling, or discomfort, seeking medical evaluation promptly is key to addressing any concerns early.

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