Clavicular Fractures in Newborns: What Happens to One of the Commonly Injured Bones at Birth?

Hashmi, Hina; Shamim, Nazia; Kumar, Vinod; Anjum, Noureen; Ahmad, Khabir

doi:10.7759/cureus.18372

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…Urgent cesarean births have a higher incidence of clavicle fractures. Delayed deliveries over 39 weeks of gestation are reported with a higher incidence of clavicle fracture and brachial plexus palsy [8][9][10][11][12][13][14].…”

Section: Clavicle Fracturesmentioning

confidence: 99%

Neonatal Fractures

Laliotis¹

2024

Current Fracture Care

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A neonatal fracture is a severe complication creating problems regarding diagnosis and appropriate management. Diagnosis from the neonatologist occasionally is difficult. A paediatric orthopaedic surgeon is required to evaluate the neonate, and confirm diagnosis and treatment. Clavicle fracture is the most common injury that must be differentiated occasionally from neonatal brachial plexus palsy. The clinical signs are crepitus, swelling, bony prominence, with the restriction of the movements of the arm. Occasionally, the fracture is diagnosed later. Clavicle pseudoarthrosis is a rare dysplasia. Fracture of the femur or the humerus presents with swelling, crepitus and deformity of the limb, creating difficulties in clothing, bathing and feeding. Most commonly are found in urgent caesarean delivery or complicated dystocia with over-weighted neonates. Bone fragility diseases (osteogenesis imperfecta, hypophosphatasia, arthrogryposis) are diagnosed from neonatal fractures. Conservative treatment with immobilization is the method of choice. Extremely rare is surgical treatment. Premature and low-weighted babies are in high risk to sustain fractures. Epiphyseal fractures of the distal femoral or humeral epiphysis are rare fractures, difficult to be diagnosed initially. They require immediate reduction to avoid permanent lesion of the growth plate. Fractures of forearm, tibia or vertebrae are extremely rare and associated with a bone fragility disease.

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Section: Clavicle Fracturesmentioning

confidence: 99%

Neonatal Fractures

Laliotis¹

2024

Current Fracture Care

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Klavikula kırığı saptanan yenidoğan hastalarda serum D vitamini düzeyleri

Aygün

Tüfekçi

SEMERCİ

2022

Cukurova Medical Journal

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Öz Purpose:The aim of this study was to determine the possible role of vitamin D on the clavicle fracture in the newborn. Materials and Methods: This retrospective crosssectional study was conducted between 2018-2020. Infants who were admitted to neonatal intensive care unit due to the clavicle fracture were included. Infants who did not have a fracture, but were admitted to the hospital for reasons instead of exclusion criteria were included as the control group. Birth weight, height, head circumference, gender, gestational week, delivery type, other clinical findings such as brachial plexus paralysis in the infant, maternal age, number of pregnancies, risk factors time to diagnosis were recorded. According to the serum 25-OH vitamin D levels, newborns were classified as having normal vitamin D status (>30 ng/mL), vitamin D insufficient (between 20-30 ng/mL), or deficiency (<20 ng/mL). Groups were compared for the vitamin D levels, the demographics and clinical characteristics. Results: A total of 48 infants were included. The groups did not differ in terms of demographics. Age of diagnosis ranged from postnatal 1 to 6 days of life. Serum calcium levels were significantly lower in the case group. Although phosphorus and alkaline phosphatase levels did not differ between groups, vitamin D levels were significantly lower in the case group. Conclusion:This study shows that newborns with clavicle fracture had lower vitamin D levels. Cautious palpation of the clavicle can catch the fracture before the hospital discharge even there is no evident symptom and serum vitamin D level of those infants should be checked in order to detect the possible deficiency timely. Amaç: Bu çalışmada yenidoğan döneminde klavikula kırığı üzerine D vitamininin olası rolünün belirlenmesi amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif kesitsel çalışma 2018-2020 yılları arasında yapılmıştır. Klavikula kırığı nedeniyle yenidoğan yoğun bakım ünitesinde izlenen bebekler çalışmaya alındı. Kontrol grubu kırığı olmayan ancak dışlama kriterleri dışındaki nedenlerle hastaneye başvuran bebeklerden oluşturuldu. Doğum ağırlığı, boyu, baş çevresi, cinsiyeti, gebelik haftası, doğum şekli, bebekte brakiyal pleksus felci gibi diğer klinik bulgular, anne yaşı, gebelik sayısı, tanı zamanı ve risk faktörleri kaydedildi. Yenidoğanlar serum 25-OH D vitamini düzeylerine göre D vitamini düzeyi normal (>30 ng/mL), D vitamini yetersiz (20-30 ng/mL) veya eksikliği olanlar (<20 ng/mL) olarak sınıflandırıldı. Gruplar D vitamini düzeyleri, demografik ve klinik özellikler açısından karşılaştırıldı. Bulgular: Çalışmamıza 48 bebek dahil edildi. Gruplar demografik açıdan benzer bulundu. Klavikula kırığı için tanı yaşı doğum sonrası 1 ila 6 gündü. Serum kalsiyum düzeyleri vaka grubunda anlamlı olarak daha düşüktü. Fosfor ve alkalin fosfataz düzeyleri gruplar arasında farklılık göstermemesine rağmen, D vitamini düzeyleri vaka grubunda anlamlı derecede düşüktü. Sonuç: Bu çalışma, klavikula kırığı olan yenidoğan bebeklerde D vitamini düzeylerinin düşük olduğunu göstermiştir. ...

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Clavicular Fractures in Newborns: What Happens to One of the Commonly Injured Bones at Birth?

Cited by 2 publications

References 12 publications

Neonatal Fractures

Neonatal Fractures

Klavikula kırığı saptanan yenidoğan hastalarda serum D vitamini düzeyleri

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