FW: Claviular fracture

From: Braun, R. Daniel (rbraun@iupui.edu)
Tue Jan 20 04:10:57 2004


I forwarded your question on to my colleague and friend Jim Nocon. The following is his reply. Dan

Brett found that BP injuries occur more often on the right side, ostensibly because of the more common LOA position.

Brett EM. Pediatric neurology. New York: Churchill Livingstone, 1983:271-2

In the Wishard Study (Nocon et al. Am J Obstste Gynecol 1993;168:1732-9.) of 185 cases coded as shoulder dystocia, there were 28 BP injuries (18 left, 10 right) and 14 fx clavicles (6 left and 8 right).

An additional 14 fx clavicles were found NOT related to shoulder dystocia and there were 6 Left and 8 right.

In Indiana, BP occurs more often on the left and fx clavicle more often on the right.

jjn -----Original Message----- From: Braun, R. Daniel Sent: Friday, January 16, 2004 12:45 PM To: Nocon, James J. Subject: FW: Claviular fracture What do you think?

Dan

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Chudacoff, MD Sent: Friday, January 16, 2004 11:51 AM To: Multiple recipients of list OB-GYN-L Subject: OB:Claviular fracture In a recent discussion, there was the question of WHICH clavicle fractures spontaneously with a dystocia, or even uneventful break. Without trying to bias the discussion, would it be the anterior secondary to traction, or the posterior due to compression?

Likewise, can anyone scan or fax me a copy of the ACOG management for diabetic mothers and fetal macrosomia from 1991/1994 regarding fetal macros?

Richard Chudacoff, MD, FACOG Chudacoff Obstetrics & Gynecology, PA 15200 Southwest Freeway, #270 Sugar Land, TX 77478

Tel: 281-277-3900 Fax: 281-277-3901

rchudacoff@mylinuxisp.com Richard.Chudacoff@obgyn.net

http://www.mdhub.com/281-277-3900 http://www.chudacoffobgyn.yourmd.com

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