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Journal of Hand Surgery (British and European Volume)
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Articles

The Prognostic Value of Concurrent Clavicular Fractures in Newborns with Obstetric Brachial Plexus Palsy

M. M. AL-QATTAN, H. M. CLARKE and C. G. CURTIS

From the Division of Plastic Surgery and the Department of Rehabilitation Services at the Hospital for Sick Children, Toronto, Ontario, Canada

Correspondence: H. M. Clarke, MD, FRCSC (C), The Hospital for Sick Children, Division of Plastic Surgery, 555 University Avenue, Suite 1524, Toronto, Ontario, Canada M5G 1X8.

This study investigates the prognostic value of concurrent clavicular fractures in newborn babies with obstetric brachial plexus palsy. The records of 183 consecutive newborn babies with brachial plexus birth injury from 1988 to 1993 were reviewed retrospectively. Poor outcome, specifically insufficient spontaneous return of motor function of the limb necessitating primary brachial plexus surgery, was assessed for infants both with and without concurrent clavicular fractures. 13 newborn babies had concurrent clavicular fractures, and of these two required primary brachial plexus surgery. On the other hand, surgery was required for 43 of the remaining 170 infants with intact clavicles. Using Fisher’s exact test, P = 0.2. Concurrent clavicular fractures in newborns with obstetrical brachial plexus palsy have no prognostic value in predicting spontaneous recovery.

Journal of Hand Surgery (British and European Volume), Vol. 19, No. 6, 729-730 (1994)
DOI: 10.1016/0266-7681(94)90246-1
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