新生儿锁骨骨折

Newborn clavicle fractures.

作者信息

McBride M T, Hennrikus W L, Mologne T S

机构信息

Department of Orthopedic Surgery and Clinical Investigation, Naval Hospital, San Diego, Calif., USA.

出版信息

Orthopedics. 1998 Mar;21(3):317-9; discussion 319-20. doi: 10.3928/0147-7447-19980301-14.

DOI:10.3928/0147-7447-19980301-14

PMID:9547816

Abstract

A prospective screening program of 9106 newborns identified 43 infants with clavicle fractures for a prevalence of 1 fracture in every 213 live births (0.5%). The fractures were equally distributed by right and left side involvement, and male and female sex. All fractures occurred during vaginal deliveries. None were breech presentation. Risk factors for fracture included large birth-weight, shoulder dystocia, mechanically assisted delivery, and prolonged gestational age. One in 11 newborns with a clavicle fracture also had a brachial plexus palsy.

摘要

一项针对9106名新生儿的前瞻性筛查项目发现了43例锁骨骨折婴儿，每213例活产中有1例骨折（患病率为0.5%）。骨折在左右侧受累以及男女性别中分布均等。所有骨折均发生在阴道分娩期间。无一例为臀位产。骨折的危险因素包括出生体重过大、肩难产、助产和孕周延长。每11例锁骨骨折的新生儿中就有1例伴有臂丛神经麻痹。