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Tonya

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doi:10.1016/B978-032303004-5.50054-5

Chapter 50 - Birth Injury

In a Nutshell

• Clavicle fractures are the most common fracture seen in the newborn.

• Although unlikely, evaluation for an associated brachial plexus injury should be considered.

• Clavicle fractures generally heal rapidly without specific treatment and without sequelae.

• Humerus and femur fractures occur infrequently and have an excellent prognosis for full healing.

• Multiple fractures in a newborn should suggest other musculoskeletal abnormalities such as osteogenesis imperfecta.

FRACTURES:

Fractures as complications of the delivery process most commonly occur in the clavicle, humerus, and femur. Skull fractures are also reported, usually in association with forceps delivery. Long bone fractures generally require evaluation by an orthopedic specialist, whereas skull fractures are usually simple linear fractures that do not require intervention. Infants rarely have more than one fracture; for those with multiple fractures, diagnoses such as osteogenesis imperfecta should be considered.

* Note: It further talks about the intracranial hemorrhage, but as I am not a paying member I cannot view anything further.

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