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Humeral Diaphysis Fracture in a Neonate After Vaginal Delivery
Şahin Hamilçıkan1, Kübra Yılmaz1, Emrah Can1
1Department of Child Health and Diseases, Bağcılar Training and Research Hospital, İstanbul, Turkey.
Long bone fractures are rarely seen in newborns. Though the femoral bone is more fragile, occasionally the humeral bone may fracture. Presently described is a rare case of a humeral fracture occurring at birth. A female infant born by vaginal delivery to a 35-year-old multipara woman at the 40th gestational week was hypotonic and in respiratory distress. Resuscitation was performed for 15 minutes. Bilateral Moro reflexes could not be elicited. Radiological evaluation revealed a left humeral diaphysis fracture. Humeral fractures are generally associated with the increase in cesarean deliveries; however, a newborn may also experience trauma during difficult labor and vaginal delivery. Pregnant women should be informed about the potential occurrence of long bone fractures, particularly as a result of necessary obstetric maneuvers performed during a breech delivery. In addition, it should be emphasized that cesarean delivery does not completely eliminate the risk of trauma to the infant.
Long bone fractures are rarely seen in newborns. Though the femoral bone is more fragile, occasionally the humeral bone may fracture. Presently described is a rare case of a humeral fracture occurring at birth. A female infant born by vaginal delivery to a 35-year-old multipara woman at the 40th gestational week was hypotonic and in respiratory distress. Resuscitation was performed for 15 minutes. Bilateral Moro reflexes could not be elicited. Radiological evaluation revealed a left humeral diaphysis fracture. Humeral fractures are generally associated with the increase in cesarean deliveries; however, a newborn may also experience trauma during difficult labor and vaginal delivery. Pregnant women should be informed about the potential occurrence of long bone fractures, particularly as a result of necessary obstetric maneuvers performed during a breech delivery. In addition, it should be emphasized that cesarean delivery does not completely eliminate the risk of trauma to the infant.
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