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Clinical observation in the Clavicle Fracture in Newborn.

Journal of the Korean Pediatric Society 1986;29(12):1319-1323.
Published online December 31, 1986.
Clinical observation in the Clavicle Fracture in Newborn.
Kee Hyuck Kim, Ran Namgung, Chul Lee, Dong Gwan Han
Department of Pediatrics,College of Medicine, Yonsei University
신생아 쇄골골절의 임상적 고찰
김기혁, 남궁란, 이 철, 한동관
연세대학교 의과대학 소아과학교실
Abstract
The following is the result of a retrospective clinical study on the clavicle fractures iit 33 newborns who were delivered at Yonsei University Medical Center during the eight years between 1978 and 1985. 1) The incidence of clavicle fractures was 2 per 1,000 deliveries and there was no difference in incidence by sex. 2) The incidence of clavicle fracture by the birth weight was the highest with 0.65% in-newborns with birth weight more than 4,001 gm and 0.55% in those with birth weight ranged from 3,501 to 4,000 gm. There was no significant difference according to the gestational age. 3) Clavicle fracture occures in approximately 6.5 per 1,000 breech deliveries and 2.5 per 1,000 vertex deliveries. The incidence by delivery method was the highest in the vaccum. extraction with 0.58%. 4) The fracture sites were on the right side in 26 cases (78.8%). Clinical manifestations included asymmetric Moro reflex in 17 cases, palpable crepitus 7 cases and incidental findings in 6 cases. 5) In 12 cases (36.4%), other birth injury was combined. The treatment included the figure of 8 bandage in 4 cases, the splint in 1 case, and the conservative treatment in the rest of cases. On later follow up 21 cases showed good reunion of fractured clavicle in all.
Key Words: Clavicle fracture, Newborn.


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