An unusual cause of humeral fracture

Humeral fractures in children are relatively common. A history of trauma or suspicion of non-accidental injury will often lead the clinician to a cause. However, a number of other pathologies that can result in fractures should also be considered, particularly when there are additional associated symptoms. A case 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 that suggested a diagnosis of congenital syphilis. South African Journal of Child Health Vol. 2 (1) 2008: pp. 30-31