Birth-related long bone fractures in otherwise healthy newborns and medical professional liability: literature review and case presentation
Birth-related long bone fractures are rare but clinically significant events that require careful evaluation to distinguish them from fractures caused by underlying pathological conditions or non-accidental trauma. Their diagnosis and management have important clinical and medico-legal implications....
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1589417/full |
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| author | M. Trabucco Aurilio M. Trabucco Aurilio L. Fava M. Chisari M. Bolcato M. Bolcato |
| author_facet | M. Trabucco Aurilio M. Trabucco Aurilio L. Fava M. Chisari M. Bolcato M. Bolcato |
| author_sort | M. Trabucco Aurilio |
| collection | DOAJ |
| description | Birth-related long bone fractures are rare but clinically significant events that require careful evaluation to distinguish them from fractures caused by underlying pathological conditions or non-accidental trauma. Their diagnosis and management have important clinical and medico-legal implications. A selective literature review was conducted to identify relevant studies published between 2004 and 2024, regarding incidence, mode of delivery, fracture location, time to diagnosis, treatment, and outcomes. Additionally, an original case report of a female neonate diagnosed with femoral shaft fracture on the third day of life. Neonatal long bone fractures can occur even in the absence of predisposing genetic or metabolic conditions. While they generally heal without for surgical intervention, timely diagnosis through appropriate imaging is crucial to ensure proper management. Failure to do so may expose healthcare professionals and institutions to potential medico-legal liability, both during delivery and in the immediate postnatal period. Preventive strategies should focus on careful prenatal risk assessment, adherence to best practices in delivery maneuvers, and early postnatal monitoring to optimize outcomes and minimize legal risks. |
| format | Article |
| id | doaj-art-cf6060bc90c84f00bb048b0329f9304a |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-cf6060bc90c84f00bb048b0329f9304a2025-08-20T03:38:22ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.15894171589417Birth-related long bone fractures in otherwise healthy newborns and medical professional liability: literature review and case presentationM. Trabucco Aurilio0M. Trabucco Aurilio1L. Fava2M. Chisari3M. Bolcato4M. Bolcato5MESIT Foundation of Social Medicine and Innovation Tecnology, Rome, ItalyOffice of Medical Forensic Coordination, Italian National Social Security Institute (INPS), Rome, ItalyMESIT Foundation of Social Medicine and Innovation Tecnology, Rome, ItalyRodolico-San Marco Hospital, Catania, ItalyDepartment of Medicine, Saint Camillus International University of Health and Medical Sciences, Rome, ItalyNational Blood Centre, Istituto Superiore di Sanità, Rome, ItalyBirth-related long bone fractures are rare but clinically significant events that require careful evaluation to distinguish them from fractures caused by underlying pathological conditions or non-accidental trauma. Their diagnosis and management have important clinical and medico-legal implications. A selective literature review was conducted to identify relevant studies published between 2004 and 2024, regarding incidence, mode of delivery, fracture location, time to diagnosis, treatment, and outcomes. Additionally, an original case report of a female neonate diagnosed with femoral shaft fracture on the third day of life. Neonatal long bone fractures can occur even in the absence of predisposing genetic or metabolic conditions. While they generally heal without for surgical intervention, timely diagnosis through appropriate imaging is crucial to ensure proper management. Failure to do so may expose healthcare professionals and institutions to potential medico-legal liability, both during delivery and in the immediate postnatal period. Preventive strategies should focus on careful prenatal risk assessment, adherence to best practices in delivery maneuvers, and early postnatal monitoring to optimize outcomes and minimize legal risks.https://www.frontiersin.org/articles/10.3389/fmed.2025.1589417/fullbirth-related fracturesmedical professional liabilityclinical risklong bone fracturemalpractice |
| spellingShingle | M. Trabucco Aurilio M. Trabucco Aurilio L. Fava M. Chisari M. Bolcato M. Bolcato Birth-related long bone fractures in otherwise healthy newborns and medical professional liability: literature review and case presentation Frontiers in Medicine birth-related fractures medical professional liability clinical risk long bone fracture malpractice |
| title | Birth-related long bone fractures in otherwise healthy newborns and medical professional liability: literature review and case presentation |
| title_full | Birth-related long bone fractures in otherwise healthy newborns and medical professional liability: literature review and case presentation |
| title_fullStr | Birth-related long bone fractures in otherwise healthy newborns and medical professional liability: literature review and case presentation |
| title_full_unstemmed | Birth-related long bone fractures in otherwise healthy newborns and medical professional liability: literature review and case presentation |
| title_short | Birth-related long bone fractures in otherwise healthy newborns and medical professional liability: literature review and case presentation |
| title_sort | birth related long bone fractures in otherwise healthy newborns and medical professional liability literature review and case presentation |
| topic | birth-related fractures medical professional liability clinical risk long bone fracture malpractice |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1589417/full |
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