Abstract
Amaç: Uzun kemik kırıkları yenidoğan döneminde nadir görülmektedir. Bu çalışmada uzun kemik kırığı tanısı alan yenidoğanların
klinik özellikleri ve hastanemizde görülme sıklığının belirlenmesi amaçlanmıştır.
Gereç ve Yöntemler: 2012-2016 yılları arasında uzun kemik kırığı tanısı alan yenidoğanların dosyaları retrospektif olarak
incelenerek klinik özellikleri kaydedildi.
Bulgular: Beş yılda uzun kemik kırığı tanısı alan 15 yenidoğan tespit edildi. Sekiz olguda humerus kırığı, dört olguda
femur kırığı, iki olguda bilateral femur kırığı ve bir olguda intrauterin femur ve postnatal humerus kırığı mevcuttu. Uzun
kemik kırığı insidansı 1000 canlı doğumda 0.19, humerus kırığı insidansı 1000 canlı doğumda 0.11, femur kırığı insidansı
ise 1000 canlı doğumda 0.07 olarak saptandı. Kırık gelişmesini kolaylaştıran faktörler sekiz olguda (% 53) doğum travması,
yedi olguda ise metabolik-genetik faktörler olarak belirlendi.
Sonuç: Uzun kemik kırıkları anne, fetüse ait nedenler veya doğum esnasında uygulamalara bağlı olarak ortaya çıkan
doğum komplikasyonlarındandır. Uzun kemik kırıkları daha sıklıkla travmatik doğum eylemi ile ilgili olmakla birlikte, altta
yatan patolojik durumların varlığında sezaryen doğum da uzun kemik kırıkları için risk oluşturmaktadır.
Keywords
References
- 1. Levine MG, Holroyde J, Woods JR Jr, Siddiqi TA, Scott M, Miodovnik M. Birth trauma: Incidence and predisposing factors. Obstet Gynecol 1984;63:792-5.
- 2. Bülbül A, Okan F, Nuhoğlu A. Yenidoğanın fiziksel doğum travmaları. Haseki Tıp Bülteni 2006:44:3-5.
- 3. Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Planned caesarean section versus planned vaginal birth for breech presentation at term: A randomised multicentre trial. Lancet 2000;356:1375-83.
- 4. Cebesoy FB, Cebesoy O, Incebıyık A. Bilateral femur fracture in a newborn: An extreme complication of cesarean delivery. Arch Gynecol Obstet 2009;279:73-4.
- 5. Gopalani S, Benedetti TJ. Complicated deliveries: Overview. In: Taeusch HW, Ballard RA, Gleason CA (eds), Avery's Diseases of Newborn. 8th ed. Philadelphia: Elsevıer Saunders, 2005:146-58.
- 6. Kaya B, Daglar K, Kirbas A, Tüten A. Humerus diaphysis fracture in a newborn during vaginal breech delivery. Case Rep Obstet Gynecol 2015; 2015: 489108.
- 7. Dias E. Bilateral fracture following birth trauma. J Clin Neonatol 2012;1:44-5.
- 8. Al-Habdan I. Birth-related fractures of long bones. Indian J Pediatr 2003;70: 959-60.
- 9. Li T, Rhoads GG, Smulan J, Demisie K, Wartenberg D, Kruse L. Physician cesarean delivery rates and risk-adjusted perinatal outcomes. Obstet Gynecol 2003;101:1204-12.
- 10. Basha A, Amarin Z, Abu-Hassan F. Birth-associated long-bone fractures. Int J Gynaecol Obstet 2013;123:127-30.
- 11. Sherr-Lurie N, Bialik GM, Ganel A, Schindler A, Givon U. Fractures of the humerus in the neonatal period. Isr Med Assoc J 2011;13: 363-5.
- 12. Matsubara S, Izumi A, Nagai T, Kıkkawa I, Suzuki M. Femur fracture during abdominal breech delivery. Arch Gynecol Obstet 2008;278:195-7.
- 13. D’Andrea L, Catena N. Femural shaft fracture in a newborn infant treated with axial external fixator: A case report. J Pediatr Orthop 2008;28:17-9.
- 14. Toker A, Perry ZH, Cohen E, Krymko H. Cesarean section and the risk of fractured femur. Isr Med Assoc J 2009;11:416-8.
- 15. Cebesoy FB, Cebesoy O, İncebıyık A. Bilateral femur fracture in a newborn: An extreme complication of cesarean delivery. Arch Gynecol Obstet 2009;279:73-4.
- 16. Mc Collough FL, Mc Carthy RE. Bilateral distal femoral epiphyseal fractures following home delivery: A case report. J Ark Med Soc 1988;84:364-6.
- 17. Çıraklı A, Erdoğan M, Çıraklı S, Sezgin H, Çelik FÇ, Aygün C. Jarcho-Levin sendromlu yenidoğanda bilateral femur kırığı: Olgu sunumu. JOPP Derg 2013;5:145-7.
Abstract
References
- 1. Levine MG, Holroyde J, Woods JR Jr, Siddiqi TA, Scott M, Miodovnik M. Birth trauma: Incidence and predisposing factors. Obstet Gynecol 1984;63:792-5.
- 2. Bülbül A, Okan F, Nuhoğlu A. Yenidoğanın fiziksel doğum travmaları. Haseki Tıp Bülteni 2006:44:3-5.
- 3. Hannah ME, Hannah WJ, Hewson SA, Hodnett ED, Saigal S, Willan AR. Planned caesarean section versus planned vaginal birth for breech presentation at term: A randomised multicentre trial. Lancet 2000;356:1375-83.
- 4. Cebesoy FB, Cebesoy O, Incebıyık A. Bilateral femur fracture in a newborn: An extreme complication of cesarean delivery. Arch Gynecol Obstet 2009;279:73-4.
- 5. Gopalani S, Benedetti TJ. Complicated deliveries: Overview. In: Taeusch HW, Ballard RA, Gleason CA (eds), Avery's Diseases of Newborn. 8th ed. Philadelphia: Elsevıer Saunders, 2005:146-58.
- 6. Kaya B, Daglar K, Kirbas A, Tüten A. Humerus diaphysis fracture in a newborn during vaginal breech delivery. Case Rep Obstet Gynecol 2015; 2015: 489108.
- 7. Dias E. Bilateral fracture following birth trauma. J Clin Neonatol 2012;1:44-5.
- 8. Al-Habdan I. Birth-related fractures of long bones. Indian J Pediatr 2003;70: 959-60.
- 9. Li T, Rhoads GG, Smulan J, Demisie K, Wartenberg D, Kruse L. Physician cesarean delivery rates and risk-adjusted perinatal outcomes. Obstet Gynecol 2003;101:1204-12.
- 10. Basha A, Amarin Z, Abu-Hassan F. Birth-associated long-bone fractures. Int J Gynaecol Obstet 2013;123:127-30.
- 11. Sherr-Lurie N, Bialik GM, Ganel A, Schindler A, Givon U. Fractures of the humerus in the neonatal period. Isr Med Assoc J 2011;13: 363-5.
- 12. Matsubara S, Izumi A, Nagai T, Kıkkawa I, Suzuki M. Femur fracture during abdominal breech delivery. Arch Gynecol Obstet 2008;278:195-7.
- 13. D’Andrea L, Catena N. Femural shaft fracture in a newborn infant treated with axial external fixator: A case report. J Pediatr Orthop 2008;28:17-9.
- 14. Toker A, Perry ZH, Cohen E, Krymko H. Cesarean section and the risk of fractured femur. Isr Med Assoc J 2009;11:416-8.
- 15. Cebesoy FB, Cebesoy O, İncebıyık A. Bilateral femur fracture in a newborn: An extreme complication of cesarean delivery. Arch Gynecol Obstet 2009;279:73-4.
- 16. Mc Collough FL, Mc Carthy RE. Bilateral distal femoral epiphyseal fractures following home delivery: A case report. J Ark Med Soc 1988;84:364-6.
- 17. Çıraklı A, Erdoğan M, Çıraklı S, Sezgin H, Çelik FÇ, Aygün C. Jarcho-Levin sendromlu yenidoğanda bilateral femur kırığı: Olgu sunumu. JOPP Derg 2013;5:145-7.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | December 30, 2018 |
| Submission Date | August 9, 2017 |
| Published in Issue | Year 2018 Volume: 12 Issue: 4 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.