Obstetric traumatic separation of the distal humeral epiphysis is a very uncommon injury,which presents a diagnostic challenge.These case serials reviewed the functional outcomes of 5 patients who had sustained a fracture-separation of the distal humeral epiphysis at birth.The diagnosis was made at a mean time of 40.8 h after delivery.All the patients were treated with gentle close manipulation,reduction under fluoroscopy and above-elbow cast application.After discharge,the patients were followed up for a mean of 30 months.Clinico-radiological results were excellent in four patients.One case necessitated closed reduction and percutaneous K-wire fixation at one week follow-up due to failed reduction.Cubitusvarus deformity was the only complication noted in 1 case.Good functional outcome can be expected in newbs with fracture-separation of the distal humeral epiphysis wherein the physis is anatomicallv reduced.