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Risk Factors for Neonatal Clavicular Fractures: A Population-Based Case-Control Study.

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  • 1Author Affiliations: Roth McFarlane Hand and Upper Limb Centre, St Joseph's Hospital, London, Ontario, Canada (Dr Kadar); Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada (Dr Kadar); Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel (Ms Yaniv); Orthopedic Department, Rabin Medical Center, Beilinson Hospital, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel (Dr Rutenberg); Rabin Medical Center, Beilinson Hospital, Petah Tiqwa, Israel (Dr Turjeman); Orthopedic Department, Sasmon Assuta Ashdod University Hospital, Faculty of Health Sciences, Ben Gurion University, Ashdod, Israel (Dr Shemesh); Pediatric Orthopedic Unit, Schneider Children's Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel (Dr Sidon); and Clalit Health Services, Jerusalem District, affiliated with Hadassa School of Medicine, Hebrew University, Jerusalem, Israel (Dr Cohen).

The Journal of Perinatal & Neonatal Nursing
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Neonatal clavicular fractures are common. Risk factors include male gender, high birth weight, lower socioeconomic status, and assisted delivery, while C-section and epidural may be protective.

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Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Care
  • Pediatric Orthopedics

Background:

  • Neonatal clavicular fractures are the most frequent birth injury.
  • Identifying associated risk factors is crucial for prevention and management.

Purpose of the Study:

  • To define risk factors for neonatal clavicular fractures.
  • To analyze a large population-based dataset for epidemiological insights.

Main Methods:

  • Retrospective analysis of electronic health records (2000-2020).
  • Comparison of 5015 newborns with clavicular fractures against a control group.
  • Inclusion of newborn, delivery, and maternal parameters in the analysis.

Main Results:

  • Fracture rate of 0.28% observed.
  • Significant risk factors: male gender, higher birth weight, lower socioeconomic status, maternal weight, maternal BMI, and assisted delivery.
  • Protective factors: cesarean section and epidural use.

Conclusions:

  • This study identifies key risk and protective factors for neonatal clavicular fractures.
  • Findings are based on the largest patient cohort reported to date, offering significant clinical insights.