al-Qattan M M, Clarke H M, Curtis C G
Division of Plastic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
J Hand Surg Br. 1994 Dec;19(6):729-30. doi: 10.1016/0266-7681(94)90246-1.
This study investigates the prognostic value of concurrent clavicular fractures in newborn babies with obstetric brachial plexus palsy. The records of 183 consecutive newborn babies with brachial plexus birth injury from 1988 to 1993 were reviewed retrospectively. Poor outcome, specifically insufficient spontaneous return of motor function of the limb necessitating primary brachial plexus surgery, was assessed for infants both with and without concurrent clavicular fractures. 13 newborn babies had concurrent clavicular fractures, and of these two required primary brachial plexus surgery. On the other hand, surgery was required for 43 of the remaining 170 infants with intact clavicles. Using Fisher's exact test, P = 0.2. Concurrent clavicular fractures in newborns with obstetrical brachial plexus palsy have no prognostic value in predicting spontaneous recovery.
本研究调查了患有产伤性臂丛神经麻痹的新生儿并发锁骨骨折的预后价值。回顾性分析了1988年至1993年期间183例连续患有臂丛神经产伤的新生儿的记录。对有和没有并发锁骨骨折的婴儿评估了不良预后情况，具体为肢体运动功能自发恢复不足而需要进行一期臂丛神经手术。13例新生儿并发锁骨骨折，其中2例需要进行一期臂丛神经手术。另一方面，其余170例锁骨完整的婴儿中有43例需要手术。采用Fisher精确检验，P = 0.2。患有产伤性臂丛神经麻痹的新生儿并发锁骨骨折对预测自发恢复没有预后价值。
