PURPOSE To describe the risk factors and labor characteristics of Clavicular fracture (CF) and brachial plexus injury (BPI); and compare antenatal and labor characteristics and prognosis of obstetrical BPI associated with shoulder dystocia with obstetrical BPI not associated with shoulder dystocia. METHODS This retrospective study consisted of women who gave birth to an infant with a fracture...

Major advances in neonatal care have led to significant improvements in survival rates for preterm infants, but this occurs at a cost, with a strong causal link between preterm birth and neurological deficits, including cerebral palsy (CP). Indeed, in high-income countries, up to 50% of children with CP were born preterm. The pathways that link preterm birth and brain injury are complex and mul...

Neuronal birth and death are tightly coordinated to establish and maintain properly functioning neural circuits. Disruption of the equilibrium between neuronal birth and death following brain injury or pharmacological insult often induces reactive, and in some cases regenerative, neurogenesis. Many neurodegenerative disorders are not injury-induced, however, so it is critical to determine if an...

Imaging of the brachial plexus in infants and young children with birth-related brachial palsy may become more frequent in view of recent renewed interest in the surgical repair of these injuries [1). The usefulness of MR for imaging the brachial plexus has been described recently [2, 3). MR may provide an alternative, noninvasive means of studying patients with obstetric palsy. To our knowledg...

We thank Drs. Savitz and Werner (1) for their thoughtful comments about isolating the causal impact of early delivery on neonatal health outcomes. In our article (2), we sought to provide an estimate of the “pure outcome” of shortened gestation resulting from the acute event of unintentional injury during pregnancy and to contrast that outcome with that of preterm birth from other (predominantl...

IntroductionTo assess head circumference (HC) growth and neurodevelopmental outcomes in very preterm-birth children after neonatal AKI.MethodsThis longitudinal follow-up cohort included 732 preterm neonates of gestational age <31 weeks admitted to a tertiary center between 2008 2020. AKI was categorized as non-oliguric oliguric based on the urine-output criteria during admission. We compared di...

OBJECTIVES To analyse emergency department-based data on paediatric traumatic brain injury (TBI). METHODS This study constructed a retrospective cohort of 493,890 children who were born in New York City between 1999-2007 and who were enrolled in the New York Medicaid programme at the time of their birth and followed these children from birth to the end of 2007. RESULTS There were 62,089 inj...

Children with brachial plexus birth injuries often require tendon transfer to restore active wrist extension and maximize hand function. The purpose of this study is to assess the clinical results in children with brachial plexus birth injuries after tendon transfer to reconstruct active wrist extension. Over a 10-year period, 21 children (11 male, 10 female) underwent tendon transfer to recons...