engleski

Fractures collarbone in healthy term newborns

Birth injuries are a common cause of neonatal morbidity in otherwise healthy infants, with the incidence from 0.2 % to 37 %. Clavicular fracture is the most common birth bony injury in neonate. The aim of this retrospective analyze is to determine the incidence of clavicular fracture in our maternity ward department during one year and present the perinatal circumstances in which we observed this injuries. Methods. In one-year long period (from 01.01.-31.12.2010.), in our maternity ward, we registered 19 newborn infants with clavicular fracture. Both maternal data and neonatal data were analyzed. Results. The incidence of neonatal clavicular fracture in our study was 0.68 %. Right side clavicle was more likely to be fractures than the left side (61.16 % : 36.84 %). There are no statisticaly significant difference between males and females birthweight (χ2=3, 753, p>0.05). Only one newborn with a clavicular fracture was born by caesarean section, and all the rest was born vaginally (94.74 %). In two newborn infants (10, 53 %) we observed the greenstick fracture, and in 17 (89, 47 %) it was a complete fracture. One child with a fracture of clavicle had also a fracture of scapula. In other participants we didn't found other fractures or bone abnormalities. No child had associated Erb's paralysis. All of the fractures healed without complications. Conclusion. Fractures of the clavicle in newborns in our maternity ward are at the threshold of appearance in relation to the results of previous studies, and present a good prognostic form of birth injury.

clavicle; infants; newborns

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