Newborn clavicle fractures: does clavicle fracture morphology affect brachial plexus ınjury?

dc.authoridTuğrul Ergün / 0000-0002-5615-3394en_US
dc.authorscopusidTuğrul Ergün / 57480960700
dc.authorwosidTuğrul Ergün / GPX-8467-2022
dc.contributor.authorErgün, Tuğrul
dc.contributor.authorSarıkaya, Sevcan
dc.date.accessioned2022-02-16T06:10:29Z
dc.date.available2022-02-16T06:10:29Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Hastaneen_US
dc.description.abstractBackground: Newborn clavicle fractures and brachial plexus injuries (BPIs) are rare but serious perinatal complications. Methods: The aim of this study was to examine the clinical relationship between the fracture morphology (spiral, oblique, transfer) of clavicle fractures that develop during delivery in newborns and BPI. We retrospectively reviewed all perinatal clavicle fractures diagnosed at our institution over 6 years. Results: The study included 55 newborn infants with perinatal clavicle fracture. Of these, 60% (n=33) were male. Right-side clavicle fractures were present in 56.4% (n=31) and shoulder dystocia was present in 58.2% (n=32) of the patients. Of the fracture localization of the patients, 85.5% (n=47) (Allman I) and 14.5% (n=8) (Allman II) were lateral. Allman type I fractures were not associated with increased BPI (P>0.05). It was observed that 40% (n=22) of the clavicle fractures were characterized by oblique morphology, 34.5% (n=19) of the fractures by spiral morphology, and 25.5% (n=14) of the fractures by transfer morphology. In all, 41.8% (n=23) of the sample also had BPI. Of the entire sample, 40% (n=22) most frequently showed oblique morphology fractures, whereas the patient group with BPI showed spiral morphology as the most common fracture, at a rate of 52.2% (n=10). After examining the relationship between fracture morphology and BPI, the study determined a statistically significant correlation between spiral and oblique morphology fractures and the development of BPI. Conclusions: To our knowledge, our study is the first to examine the relationship between newborn clavicle fracture morphology and BPI. We think that they should be evaluated for increased BPI risk in newborn patients that have clavicle fractures with spiral and oblique morphology.en_US
dc.identifier.citationErgün T, Sarikaya S. Newborn Clavicle Fractures: Does Clavicle Fracture Morphology Affect Brachial Plexus Injury? J Pediatr Orthop. 2022 Feb 10. Epub ahead of print.en_US
dc.identifier.doi10.1097/BPO.0000000000002071en_US
dc.identifier.pmid35142717en_US
dc.identifier.scopus2-s2.0-85125966040en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.urihttps://doi.org/10.1097/BPO.0000000000002071
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2487
dc.identifier.wosWOS:000765471200022en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorErgün, Tuğrul
dc.language.isoenen_US
dc.relation.ispartofJ Pediatr Orthopen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - İdari Personel ve Öğrencien_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectClavicular Fractureen_US
dc.subjectBrachial Plexus Injuryen_US
dc.subjectFracture Morphologyen_US
dc.subjectShoulder Dystociaen_US
dc.subjectMacrosomiaen_US
dc.titleNewborn clavicle fractures: does clavicle fracture morphology affect brachial plexus ınjury?en_US
dc.typeArticleen_US

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