Newborn clavicle fractures: 5 year-review of a tertiary-care hospital
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View abstract on PubMed
Summary
This summary is machine-generated.Neonatal clavicle fractures occur in 1.1% of births, with instrumental vaginal delivery and shoulder dystocia significantly increasing risk. Early physiotherapy resolves most brachial plexus injuries associated with these fractures.
Area Of Science
- Neonatal care
- Orthopedic surgery
- Obstetrics
Background
- Clavicle fractures are the most common birth-related fractures.
- These fractures can lead to pain, limited arm mobility, and potential brachial nerve injury.
Purpose Of The Study
- To review the incidence, risk factors, and prognosis of neonatal clavicle fractures.
- To analyze the association between birth complications and clavicle fractures.
Main Methods
- Retrospective review of neonatal clavicle fractures from 2018-2022.
- Statistical analysis including odds ratios (ORs) and 95% confidence intervals (95%CI).
Main Results
- Identified 91 clavicle fractures in 8132 births (1.1% incidence).
- Instrumental vaginal birth (OR 2.072) and shoulder dystocia (OR 35.71) significantly increased fracture risk.
- Gestational diabetes also elevated risk (OR 1.761); 22% of fractures occurred in these cases.
- 15.4% of fractures were associated with shoulder dystocia.
- Fifteen neonates suspected of brachial plexus injury recovered full arm mobility with physiotherapy.
Conclusions
- The incidence of neonatal clavicle fractures is 1.1%, consistent with literature.
- Reducing risk factors and implementing simulation-based training for shoulder dystocia management are crucial.
- Most brachial plexus injuries resolve with physiotherapy.
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