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Birth-related fractures of long bones
1College of Medicine, King Faisal University, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia. ihabdan@yahoo.com
Insights
Birth-related fractures in neonates are common, particularly clavicle fractures. Prompt outpatient appointments and thorough evaluation for brachial plexus injuries are recommended to prevent deformities.
Area of Science:
- Orthopedics
- Neonatal care
- Pediatric surgery
Background:
- Birth-related fractures of long bones are a recognized complication of childbirth.
- These fractures can lead to significant morbidity if not managed appropriately.
Purpose of the Study:
- To analyze the incidence and characteristics of birth-related long bone fractures.
- To identify risk factors associated with these fractures.
- To provide recommendations for optimal management.
Main Methods:
- Retrospective analysis of neonatal long bone fractures.
- Data collected from King Fahd Hospital of the University, Al-Khobar, Saudi Arabia over a 10-year period.
- Comparison of fracture cases with a control group.
Main Results:
- A total of 21 fractures were recorded (clavicle: 11, femur: 6, humerus: 3, radius: 1).
- The overall incidence was 0.67 per 1000 live births.
- Neonates with fractures exhibited significantly higher birth weights compared to controls; gestational age and mode of delivery were not significant factors.
Conclusions:
- Early outpatient follow-up for neonates with fractures is crucial to prevent long-term deformities.
- Thorough evaluation for brachial plexus injuries is essential in cases of clavicle fractures.
- Improved management protocols can enhance outcomes for neonates with birth-related fractures.
Objective:
Birth-related fractures of the long bones are not rare.
Methods:
This study presents a retrospective analysis of birth-related fractures of long bones seen at the King Fahd Hospital of the University, Al-Khobar, Saudi Arabia.
Results:
There were 21 fractures (clavicle 11, femur 6, humerus 3 and radius 1) during the 10-year period, with an overall incidence of 0.67 per 1000 live births. Neonates with fractures had higher birth-weight (p<0.001) as compared to the control group and other parameters like gestational age and mode of delivery were not significant.
Conclusion:
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.