{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:44:06Z","timestamp":1740109446084,"version":"3.37.3"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract\n<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Obstetric fractures usually occur after complicated births and are sent to paediatric orthopaedics for treatment and follow-up. Clavicle fractures represent the most common orthopaedic birth injury, involving approximately 0.2 to 3.5% of births.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Hypotheses<\/jats:title>\n                <jats:p>Caesarean delivery, elective or necessary, along with the type of presentation, may play a determinant role in the aetiology of obstetric fractures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>We chose to do a retrospective study to determine possible risk factors for this type of injury that may manifest in either delivery. Our aim was to deepen our knowledge in order to have a better prediction and a better management of this condition. Data gathered included parity, gestity, type of delivery, presentation, shoulder dystocia, type of fracture, birth weight, and APGAR score.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We followed 136 patients that were diagnosed with Allman type I clavicle fracture, 32 of them also having brachial plexus birth palsy (BPBP) type 1 (Duchenne-Erb). Natural birth with a pelvic presentation imposes a relative risk of 6.2 of associated pathology compared to cranial presentation. Caesarean delivery and cranial presentation increase the risk of related pathology by 5.04 compared to natural birth. Statistically, pelvic presentation is 5.54 times more likely to develop related pathology than cranial presentation. Type of delivery and presentation correlate with associated pathology of clavicle fractures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion and conclusion<\/jats:title>\n                <jats:p>Caesarean delivery brings risks for the newborn and should be practiced only when necessary. Predictive modeling in obstetrics in third-trimester evaluations may statistically predict risks of birth complications like fracture and BPBP.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00264-022-05547-2","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T02:02:29Z","timestamp":1660874549000},"page":"2611-2617","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Obstetric fractures in caesarean delivery and risk factors as evaluated by paediatric surgeons"],"prefix":"10.1007","volume":"46","author":[{"given":"Alexandru","family":"Ulici","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6697-2561","authenticated-orcid":false,"given":"Alexandru","family":"Herdea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihai-Codrut","family":"Dragomirescu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudiu N.","family":"Lungu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"issue":"3","key":"5547_CR1","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1055\/s-2008-1063431","volume":"2","author":"Nadas O Reinberg","year":"1992","unstructured":"Reinberg Nadas O (1992) Obstetric fractures. Eur J Pediatr Surg 2(3):165","journal-title":"Eur J Pediatr Surg"},{"issue":"4","key":"5547_CR2","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1080\/01443615.2019.1631770","volume":"40","author":"A Rehm","year":"2020","unstructured":"Rehm A, Promod P, Ogilvy-Stuart A (2020) Neonatal birth fractures: a retrospective tertiary maternity hospital review. J Obstet Gynaecol 40(4):485\u2013490","journal-title":"J Obstet Gynaecol"},{"issue":"3","key":"5547_CR3","doi-asserted-by":"publisher","first-page":"317","DOI":"10.3928\/0147-7447-19980301-14","volume":"21","author":"MT McBride","year":"1998","unstructured":"McBride MT, Hennrikus WL, Mologne TS (1998) Newborn clavicle fractures. Orthop 21(3):317\u2013320","journal-title":"Orthop"},{"issue":"1","key":"5547_CR4","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/S0020-7292(98)00127-1","volume":"63","author":"B Kaplan","year":"1998","unstructured":"Kaplan B, Rabinerson D, Avrech OM, Carmi N, Steinberg DM, Merlob P (1998) Fracture of the clavicle in the newborn following normal labor and delivery. Int J Gynaecol Obstet 63(1):15\u201320","journal-title":"Int J Gynaecol Obstet"},{"key":"5547_CR5","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1097\/00003086-199001000-00023","volume":"250","author":"WL Oppenheim","year":"1990","unstructured":"Oppenheim WL, Davis A, Growdon WA, Dorey FJ, Davlin LB (1990) Clavicle fractures in the newborn. Clin Orthop Relat Res 250:176\u2013180","journal-title":"Clin Orthop Relat Res"},{"issue":"3","key":"5547_CR6","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1016\/0002-9378(94)90100-7","volume":"171","author":"RA Chez","year":"1994","unstructured":"Chez RA, Carlan S, Greenberg SL, Spellacy WN (1994) Fractured clavicle is an unavoidable event. Am J Obstet Gynecol 171(3):797","journal-title":"Am J Obstet Gynecol"},{"issue":"9","key":"5547_CR7","first-page":"1269","volume":"17","author":"T Ozdener","year":"2013","unstructured":"Ozdener T, Engin-Ustun Y, Aktulay A, Turkcapar F, Oguz S, Yapar Eyi EG, Mollamahmutoglu L (2013) Clavicular fracture: its incidence and predisposing factors in term uncomplicated pregnancy. Eur Rev Med Pharmacol Sci 17(9):1269\u20131272","journal-title":"Eur Rev Med Pharmacol Sci"},{"issue":"1","key":"5547_CR8","doi-asserted-by":"publisher","first-page":"61","DOI":"10.3233\/NPM-181728","volume":"11","author":"G Casellas-Garc\u00eda","year":"2018","unstructured":"Casellas-Garc\u00eda G, Cavanilles-Walker JM, Albert\u00ed-Fit\u00f3 G (2018) Clavicular fracture in the newborn: is fracture location a risk factor for obstetric brachial palsy? J Neonatal Perinatal Med 11(1):61\u201364","journal-title":"J Neonatal Perinatal Med"},{"issue":"1","key":"5547_CR9","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1055\/s-2002-20169","volume":"19","author":"T-Y Hsu","year":"2002","unstructured":"Hsu T-Y et al (2002) Neonatal clavicular fracture: clinical analysis of incidence, predisposing factors, diagnosis, and outcome. A J Perinatol 19(1):17\u201322","journal-title":"A J Perinatol"},{"issue":"3","key":"5547_CR10","first-page":"119","volume":"25","author":"AW Cohen","year":"1980","unstructured":"Cohen AW, Otto SR (1980) Obstetric clavicular fractures a three-year analysis. J Reprod Med 25(3):119\u2013122","journal-title":"J Reprod Med"},{"key":"5547_CR11","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1111\/ped.12497","volume":"57","author":"ES Ahn","year":"2015","unstructured":"Ahn ES et al (2015) Neonatal clavicular fracture: recent ten-year study. Pediatr Int 57:60\u201363","journal-title":"Pediatr Int"},{"issue":"14","key":"5547_CR12","doi-asserted-by":"publisher","first-page":"1689","DOI":"10.1080\/14767058.2016.1222368","volume":"30","author":"HA Choi","year":"2017","unstructured":"Choi HA, Lee YK, Ko SY, Shin SM (2017) Neonatal clavicle fracture in cesarean delivery: incidence and risk factors. J Matern Fetal Neonatal Med 30(14):1689\u20131692","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"15","key":"5547_CR13","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1055\/s-2007-994546","volume":"11","author":"BL Brown","year":"1994","unstructured":"Brown BL, Lapinski R, Berkowitz GS, Holzman I (1994) Fractured clavicle in the neonate: a retrospective three-year review. A J Perinatol 11(15):331\u2013333","journal-title":"A J Perinatol"},{"issue":"4","key":"5547_CR14","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1111\/j.1471-0528.1993.tb12976.x","volume":"100","author":"PD Turnpenny","year":"1993","unstructured":"Turnpenny PD, Nimmo A (1993) Fractured clavicle of the newborn in a population with a high prevalence of grand-multiparity: analysis of 78 consecutive cases. Int J Obstet Gynaecol 100(4):338\u2013341","journal-title":"Int J Obstet Gynaecol"},{"key":"5547_CR15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2015\/489108","volume":"2015","author":"B Kaya","year":"2015","unstructured":"Kaya B, Daglar K, Kirby A, T\u00fcten A (2015) Humerus diaphysis fracture in a newborn during vaginal breech delivery. Case Rep Obstet Gynecol 2015:1\u20133","journal-title":"Case Rep Obstet Gynecol"},{"key":"5547_CR16","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1186\/1471-2393-13-36","volume":"13","author":"A-F Mansart","year":"2013","unstructured":"Mansart A-F, Buekens P, de Spiegelaere M, Englert Y (2013) Neonatal outcomes in obese mothers: a population-based analysis. Bmc Pregnancy Childbirth 13:36","journal-title":"Bmc Pregnancy Childbirth"},{"issue":"11","key":"5547_CR17","doi-asserted-by":"publisher","first-page":"575429","DOI":"10.3389\/fpsyt.2020.575429","volume":"15","author":"D Barthel","year":"2020","unstructured":"Barthel D, G\u00f6bel A, Barkmann C, Helle N, Bindt C (2020) Does birth-related trauma last? Prevalence and risk factors for posttraumatic stress in mothers and fathers of VLBW preterm and term born children 5 years after birth. Front Psychiatry 15(11):575429","journal-title":"Front Psychiatry"},{"issue":"2","key":"5547_CR18","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.siny.2013.10.008","volume":"19","author":"K Treyvaud","year":"2014","unstructured":"Treyvaud K (2014) Parent and family outcomes following very preterm or very low birth weight birth: a review. Semin Fetal Neonatal Med 19(2):131\u2013135","journal-title":"Semin Fetal Neonatal Med"},{"key":"5547_CR19","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1186\/s12884-019-2400-x","volume":"19","author":"AP Londero","year":"2019","unstructured":"Londero AP, Rossetti E, Pittini C, Cagnacci A, Driul L (2019) Maternal age and the risk of adverse pregnancy outcomes: a retrospective cohort study. Bmc Pregnancy Childbirth 19:261","journal-title":"Bmc Pregnancy Childbirth"},{"key":"5547_CR20","first-page":"126","volume":"83","author":"LL H\u00e5heim","year":"2004","unstructured":"H\u00e5heim LL, Albrechtsen S, Berge LN, B\u00f8rdahl PE, Egeland T, Henriksen T, \u00d8ian P (2004) Breech birth at term: vaginal delivery or elective cesarean section? A systematic review of the literature by a Norwegian review team. Acta Obstet Gynecol Scand 83:126","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"2","key":"5547_CR21","first-page":"181","volume":"38","author":"P Ferrara","year":"2013","unstructured":"Ferrara P, Del Bufalo F, Ianniello F, Franceschini A, Paolini Paoletti F, Massart F, Saggese G (2013) Diet and physical activity \u201cdefeated\u201d Tuberil\u00ae in treatment of childhood obesity. Minerva Endocrinol 38(2):181\u2013185","journal-title":"Minerva Endocrinol"},{"key":"5547_CR22","doi-asserted-by":"publisher","unstructured":"Bishop DVM, Thompson J, and Parker AJ (2022) Can we shift belief in the \u2018Law of Small Numbers\u2019? R Soc Open Sci 9(3). https:\/\/doi.org\/10.1098\/rsos.211028","DOI":"10.1098\/rsos.211028"},{"issue":"3","key":"5547_CR23","first-page":"269","volume":"5","author":"CC Hill","year":"2009","unstructured":"Hill CC (2009) Trauma in the obstetrical patient. Women\u2019s Health 5(3):269\u2013283","journal-title":"Women\u2019s Health"},{"issue":"5","key":"5547_CR24","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1186\/2047-783X-14-5-216","volume":"14","author":"P Kalk","year":"2009","unstructured":"Kalk P, Guthmann F, Krause K, Relle K, Godes M, Gossing G, Halle H, Wauer R, Hocher B (2009) Impact of maternal body mass index on neonatal outcome. Eur J Med Res 14(5):216\u201322","journal-title":"Eur J Med Res"}],"container-title":["International Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-022-05547-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00264-022-05547-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-022-05547-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T09:06:34Z","timestamp":1665565594000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00264-022-05547-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,19]]},"references-count":24,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["5547"],"URL":"https:\/\/doi.org\/10.1007\/s00264-022-05547-2","relation":{},"ISSN":["0341-2695","1432-5195"],"issn-type":[{"type":"print","value":"0341-2695"},{"type":"electronic","value":"1432-5195"}],"subject":[],"published":{"date-parts":[[2022,8,19]]},"assertion":[{"value":"12 May 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 August 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was conducted according to the guidelines of the Declaration of Helsinki and approved by The Ethics Committee from \u201cGrigore Alexandrescu\u201d Children\u2019s Emergency Hospital, Bucharest, Romania (protocol code 34 and date of approval 14 December 2021).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All participants in the study gave their consent to participate.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Informed consent was obtained from the parents of all subjects involved in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}