{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T14:37:37Z","timestamp":1791038257951,"version":"4.1.0"},"reference-count":40,"publisher":"Galenos Yayinevi","issue":"4","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk J Phys Med Rehab"],"accepted":{"date-parts":[[2025,10,14]]},"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:p>\n                    <jats:bold>Objectives:<\/jats:bold>\n                    This study aims to investigate the incidence and associated risk factors of clavicle and humerus fractures and brachial plexus injuries (BPIs) secondary to birth trauma.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Patients and methods:<\/jats:bold>\n                    Between October 2019 and May 2023, a total of 556 newborns (300 males, 256 females; median age: 5 days; range, 0 to 5 days) with clavicle, humerus fractures, and BPIs secondary to birth trauma were retrospectively analyzed. The sex, Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) scores at 1 and 5 min, need for resuscitation, gestational week, mode of delivery, birth weight, birth length, and head circumference of the neonates were recorded. Concomitant BPI, evaluation specialty, and maternal characteristics were also noted.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    A larger head circumference was associated with an increased risk of clavicle fractures (p&lt;0.001, odds ratio [OR]=1.681). High birth weight (p&lt;0.01, OR=1.001), larger head circumference (p&lt;0.001, OR=1.523), and lower APGAR score at 1 min (p=0.018, OR=0.605) were associated with BPI risk. Fractures were mainly evaluated by orthopedists, while BPI was primarily assessed by physical medicine and rehabilitation and pediatric neurology specialists (p&lt;0.001). Neonatal physicians most frequently requested consultations from orthopedics for fractures and rehabilitation or neurology for BPI (p&lt;0.001).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Our study results show that larger head circumference increases the risk of clavicle fractures and BPI. Higher birth weight and lower APGAR scores at 1 min also raise BPI incidence. Newborns with these risk factors should undergo a thorough evaluation.\n                  <\/jats:p>","DOI":"10.5606\/tftrd.2025.16232","type":"journal-article","created":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T15:31:38Z","timestamp":1764689498000},"page":"587-594","source":"Crossref","is-referenced-by-count":2,"title":["Incidence and risk factors of clavicle, humerus fractures, and brachial plexus injuries due to birth trauma in the neonatal period"],"prefix":"10.4274","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3748-3109","authenticated-orcid":false,"given":"Ferda","family":"Surel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0671-1335","authenticated-orcid":false,"given":"Emine","family":"Esra Bilir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3268-9822","authenticated-orcid":false,"given":"Duygu","family":"Elba\u015f\u0131","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4610-0440","authenticated-orcid":false,"given":"Esra","family":"\u015eahing\u00f6z Bak\u0131rc\u0131","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9307-3003","authenticated-orcid":false,"given":"Fuat","family":"Emre Canpolat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2447-5065","authenticated-orcid":false,"given":"Emre","family":"Ad\u0131g\u00fczel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Yenig\u00fcl AE, Yenig\u00fcl NN, Ba\u015fer E, \u00d6zel\u00e7i R. 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