Birth-related fractures of long bones

Al-Habdan, Ibrahim

doi:10.1007/bf02723819

Cited by 26 publications

(15 citation statements)

References 16 publications

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“…5 Although the clavicle has been reported as the commonest bone to fracture after birth trauma during caesarian delivery, other long bone fractures such as femur, humerus, and monteggia fracture dislocation have been described. [6][7][8] The risk factors of birth injury include obstetric manoeuvres during delivery especially LSCS, prolonged labour, prematurity, macrosomia, breech presentation, shoulder dystocia and forceps assisted delivery. 9,10 In study done by Nasab et al, 42.9% of the bone fractures occurred without any predisposing factors which makes it one of the overlooked complication which should be kept in mind and be informed to the parents beforehand.…”

Section: Discussionmentioning

confidence: 99%

Fracture humerus during caesarean section: a case report

Kumar

Mundhra

2018

Int J Reprod Contracept Obstet Gynecol

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Caesarean section is considered safer than vaginal delivery in risks involved for birth injury. Birth injury is more common in vaginal breech deliveries but are also encountered in caesarean section. Authors hereby report a case of long bone fracture in a neonate which occurred during caesarean section. The neonate presented with erb’s palsy and wrist drop. Baby was admitted and was managed with a U slab (pop slab) with physiotherapy which was later replaced by arm body strapping. Obstetricians and Paediatricians should remain vigilant for the rare chance occurrence of birth injuries during caesarean section also so that cases are not missed and managed timely for prevention of disability and deformities later.

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Section: Discussionmentioning

confidence: 99%

Fracture humerus during caesarean section: a case report

Kumar

Mundhra

2018

Int J Reprod Contracept Obstet Gynecol

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“…Fractures may also happen due to significant mechanical forces during the delivery. The most common is a clavicle fracture (5,6). Fracture of the femur during CS in newborns is a rare condition with an incidence of 0.308 per 1000 CS (7).…”

Section: Discussionmentioning

confidence: 99%

“…Fracture of the femur is the most common fracture in the lower extremity (1). Long bone fractures often occur in vaginal deliveries, breech presentation, low birth weight, and large fetus (2,3), yet they can also occur during cesarean section (CS) (4,5). Management of these fractures is challenging and optimal treatment is the matter of debate.…”

Section: Introductionmentioning

confidence: 99%

Unilateral Open Subtrochanteric Fracture in a Very Low Birth Weight Newborn: A Case Report

Eraghi¹,

Hosseinzadeh²

2017

Trauma Mon

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Background: This case report presents an open subtrochanteric fracture in a premature low birth weight newborn, which was treated with intramedullary Kirschner wire. Methods: A neonate with left open subtrochanteric fracture was consulted at the orthopedics department of the current study. Pavlik harness was applied yet treatment failed; therefore, an intramedullary Kirschner wire was applied. Results: Pin was maintained for 6 weeks and fracture healing was confirmed by a radiograph. Follow up after 18 months showed complete healing, no limb length discrepancy, and normal gait. Conclusions: In some patients, traditional methods, such as traction, cast, and pavlik harness cannot be used. Intramedullary Kirschner wire insertion could be an alternative treatment option.

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“…Doğum travmasına bağlı uzun kemik kırığı insidansı %0.67-1.4 arasındadır. Femur kırığı 1000 canlı doğumda 0.13 oranında, humerus kırığı sıklığı ise 1000 canlı doğum 0.05-0.09 oranında bildirilmekle birlikte, uzun kemik kırıklarının insidansı değişkenlik göstermektedir (4,8,10,11). Çalışmamızda uzun kemik kırığı insidansı 1000 canlı doğumda 0.19 olarak tespit edilirken, femur kırığı insidansı 1000 canlı doğumda 0.07, humerus kırığı insidansı ise femur kırığından daha yüksek oranda, 1000 canlı doğumda 0.11 olarak belirlendi.…”

Section: Discussionunclassified

Retrospective Evaluation of Long Bone Fractures in the Newborns: A Single-Center Experience

Işık

Ünal

Demirel

et al. 2017

Turkish J Pediatr Dis

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Amaç: Uzun kemik kırıkları yenidoğan döneminde nadir görülmektedir. Bu çalışmada uzun kemik kırığı tanısı alan yenidoğanların klinik özellikleri ve hastanemizde görülme sıklığının belirlenmesi amaçlanmıştır.Gereç ve Yöntemler: 2012-2016 yılları arasında uzun kemik kırığı tanısı alan yenidoğanların dosyaları retrospektif olarak incelenerek klinik özellikleri kaydedildi.Bulgular: Beş yılda uzun kemik kırığı tanısı alan 15 yenidoğan tespit edildi. Sekiz olguda humerus kırığı, dört olguda femur kırığı, iki olguda bilateral femur kırığı ve bir olguda intrauterin femur ve postnatal humerus kırığı mevcuttu. Uzun kemik kırığı insidansı 1000 canlı doğumda 0.19, humerus kırığı insidansı 1000 canlı doğumda 0.11, femur kırığı insidansı ise 1000 canlı doğumda 0.07 olarak saptandı. Kırık gelişmesini kolaylaştıran faktörler sekiz olguda (% 53) doğum travması, yedi olguda ise metabolik-genetik faktörler olarak belirlendi.Sonuç: Uzun kemik kırıkları anne, fetüse ait nedenler veya doğum esnasında uygulamalara bağlı olarak ortaya çıkan doğum komplikasyonlarındandır. Uzun kemik kırıkları daha sıklıkla travmatik doğum eylemi ile ilgili olmakla birlikte, altta yatan patolojik durumların varlığında sezaryen doğum da uzun kemik kırıkları için risk oluşturmaktadır.

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Birth-related fractures of long bones

Abstract: It is recommended that neonates with fractures must have quicker appointments in the outpatient clinics to prevent deformities and secondly those with fracture clavicles should be thoroughly evaluated to rule out damage to brachial plexas as well.

Cited by 26 publications

References 16 publications

Fracture humerus during caesarean section: a case report

Fracture humerus during caesarean section: a case report

Unilateral Open Subtrochanteric Fracture in a Very Low Birth Weight Newborn: A Case Report

Retrospective Evaluation of Long Bone Fractures in the Newborns: A Single-Center Experience

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