Fracture of the humeral diaphysis in the neonate

Dunkow, P; Willett, M. J.; Bayam, Levent

doi:10.1080/01443610500193387

Cited by 7 publications

(3 citation statements)

References 7 publications

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“…The incidence rate of long-bone injuries has been reported as 0.23–0.67 per 1,000 live births [ 9 , 10 ]. To the best of our knowledge, there is only one case report in the literature of humerus fracture in a neonate related to breech vaginal delivery [ 3 ], and a few others have been reported in long-bone fracture series of newborns related to vaginal delivery [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

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Humerus Diaphysis Fracture in a Newborn during Vaginal Breech Delivery

Kaya

Dağlar

Kırbaş

et al. 2015

Case Reports in Obstetrics and Gynecology

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While most obstetricians are familiar with fracture of the clavicle in newborns during birth, an unlucky minority of obstetricians has encountered long-bone fractures in newborns as well. This complication is traumatic not only for the neonate, but also for the family and the obstetrician; it is also difficult to explain. Fortunately, the long-term prognosis for fracture of the long bones is excellent. Both vaginal and cesarean breech deliveries and maneuvers can be responsible for birth traumas, including long-bone fractures. This case report presents a newborn with breech presentation delivered vaginally that resulted in humerus diaphysis fracture.

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Section: Discussionmentioning

confidence: 99%

“…Although it has been reported that cesarean delivery may reduce the incidence of long-bone fractures, they still occur [ 1 , 2 ]. Breech delivery, by either vaginal or cesarean route, remains the most common independent factor for long-bone fractures [ 1 – 3 ].…”

Section: Introductionmentioning

confidence: 99%

Humerus Diaphysis Fracture in a Newborn during Vaginal Breech Delivery

Kaya

Dağlar

Kırbaş

et al. 2015

Case Reports in Obstetrics and Gynecology

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“…Majority of neonatal femoral fractures occur during vaginal breech delivery. Nowadays cesarean section is commonly practiced in breech presentation [12,13] and, although it might reduce the occurrence of traumatic injury [13,14], femur and humerus fractures are still observed [14][15][16][17] showing that planning the cesarean section reduces the risk of fracture of long bones but does not eliminate its possibility at all [14]. The multicentre randomized study of Hannah and colleagues showed that the fracture of long bones occurred in 0.5% of cases during vaginal delivery and 0.1% during cesarean section [18].…”

Section: Introductionmentioning

confidence: 99%

Femoral Fracture During Cesarean Section: A Case of Professional Liability? Case Presentation and Review of the Literature

Papi¹,

Gori²,

Turco³

et al. 2019

Arch Clin Med Case Rep

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Breech foetuses are commonly delivered via caesarean section to prevent trauma and decrease the risk of head entrapment, though extraction by abdominal route can very rarely lead to traumatic femur fracture. Typical site of fracture is femoral diaphysis. Although femur fracture is a relatively rare complication, it represents one of the most common fractures of the lower extremity presenting in newborns. A 3900 g female child born at 39 weeks of gestation by caesarean section, presented swelling and tenderness of the left lower extremity in the second day of life. There was no apparent bone disorder predisposing to femur fracture. Fracture of left diaphysis was successfully treated by immobilization with Pavlik harness, healing in a good position for 23 days. Three months after birth, radiogram revealed regular bone consolidation and fracture fully welded. One year after birth, both lower limbs showed a proper mobility with no dysmetria. Caesarean delivery reduces increasingly traumatic complications, especially in breech delivery compared with vaginal delivery, but does not eliminate possible accidental injuries of the newborn. Predisposing factors are many, especially breech presentation and foetuses with malpresentation.Clinicians must be aware that abdominal delivery does not preclude the occurrence of femur fractures.

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Other Lesions in Birth Trauma

Vlasyuk

2018

Birth Trauma and Perinatal Brain Damage

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Fracture of the humeral diaphysis in the neonate

Cited by 7 publications

References 7 publications

Humerus Diaphysis Fracture in a Newborn during Vaginal Breech Delivery

Humerus Diaphysis Fracture in a Newborn during Vaginal Breech Delivery

Femoral Fracture During Cesarean Section: A Case of Professional Liability? Case Presentation and Review of the Literature

Other Lesions in Birth Trauma

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