분만손상에 의한 신생아 긴뼈 골절의 발생 양상

Abstract

The current study was performed to assess the clinical feature of long bone injuries during the process of delivery. A retrospective analysis was conducted for babies who were admitted between January, 1992 and December, 2011, at Dongsan Medical Center, due to long bone fracture. Admission records for delivery data (C-section rate, gestational age, delivery site, large baby rate) and clinical outcome were reviewed. There were 10 cases of long bone fractures. Humerus was the commonest site of bone fractured (60%) followed by femur (30%) and radius fracture (10%) in the order of frequency. Outborns (70%) were more common, but large babies (20%) were not common. Malpresentation often leading to operative deliveries (40%) were found to be risk factor for bone injuries. Three cases (30%) were diagnosed at 6th day of life and all outborn infants. All the cases revealed good results and prognosis after conservative therapy (splint or cast) without operation. But appropriate care during delivery would be necessary to reduce the incidence of long bone fractures.