Mehmet Özbey BÜYÜKKUŞÇU, Ahmet SEVENCAN, Volkan GÜR

Evaluation of femoral shaft fractures in the neonatal intensive care unit

The first of the patients presented in this article was born in the 36th week with a weight of 2100 grams and was admitted to theneonatal intensive care unit due to neonatal pneumonia. The second patient was born at the 33rd week and 1830 grams. The patientwas hospitalized with the diagnosis of prematurity. On postnatal 5th day, newborn pneumonia developed and treatment was started.The last patient was born with a cesarean section weighing 2300 grams at 37th week. She was hospitalized in the neonatal intensivecare unit with the preliminary diagnosis of neonatal transient tachypnea and neonatal pneumonia due to respiratory distress. Thefemur shaft fracture occurred in these 3 patients during long follow-up intensive care. The splint was applied and healing wasachieved. This study was aimed that being affected by families psychologically, socially and financially and also it was thought thathealthcare workers could shed light on similar cases that might occur upon medical problems.

PDF

___

1. Dabezies EJ, Warren PD. Fractures in very low birth weight infants with rickets. Clin Orthop Relat Res 1997;335:233-9.
2. So KW, Ng PC. Treatment and prevention of neonatal osteopenia. Current Paediatrics 2005;15:106-13.
3. Holland PC, Wilkinson AR, Diez J, et al. Prenatal deficiency of phosphate, phosphate supplementation, and rickets in very-low-birthweight infants. Lancet 1990; 335:697-701.
4. Schanler RJ, Rifka M. Calcium, phosphorus and magnesium needs for low birth weight infant. Acta Pediatr 1994;405:111-6.
5. Evans JR, Allen AC, Stinson DA, et al. Effect of high-dose vitamin D supplementation on the radiographically detectable bone disease of very low birth weight infants, J Pediatr 1989;115:779-86.
6. Galleno H, Oppenheim WL. The battered child syndrome revisited. Clin Orthop 1982;162:11-9.
7. King J, Diefendorf D, Apthorp J, et al. Analysis of 429 fractures in 189 battered children. J Pediatr Orthop 1988;8:585-9.
8. Koo WW, Sherman R, Succop P, et al. Sequential bone mineral content in small preterm infants with and without fractures and rickets. J Bone Miner Res 1988;3:193-7.
9. Sharp M. Bone disease of prematurity. Early Hum Dev. 2007;83:653-8.
10. Rauch F, Schoenau E. Skeletal development in premature infants: a review of bone physiology beyond nutritional aspects. Arch Dis Child Fetal Neonatal Ed 2002;86:82-5.
11. Harrison CM, Johnson K, McKechnie E. Osteopenia of prematurity: a national survey and review of practice. Acta Paediatr 2008;97:407-13.
12. Visser F, Sprij AJ, Brus F. The validity of biochemical markers in metabolic bone disease in preterm infants: a systematic review. Acta Paediatr 2012;101:562-8.
13. Gross RH, Stranger M. Causative factors responsible for femoral fractures in infants and young children. J Pediatr Orthop 1983;3:341-3.
14. Beals RK, Tufts E. Fractured femur in infancy: the role of child abuse. J Pediatr Orthop 1983;3:583-6.
15. Sanders JO, Browne RH, Mooney JF, et al. Treatment of femoral fractures in children by pediatric orthopaedists: results of a 1998 survey. J Pediatr Orthop 2001;21:436-41.