II. Epidemiology

  1. Most common newborn orthopedic injury

III. Signs

  1. Pain with movement and Moro Reflex
  2. Pseudoparalysis of extremity on Fracture side
  3. Sternocleidomastoid muscle spasm on affected side
  4. Crepitus at Fracture site
  5. Palpable bony irregularity at Fracture site

IV. Precautions

  1. Assess concurrent injury to adjacent structures
    1. Cervical Spine
    2. Brachial Plexus
    3. Humerus

V. Radiology

VI. Management

  1. Immobilize arm and Shoulder 7-10 days
  2. Safety pin infants sleeve to shirt

VII. Prognosis

  1. Excellent, even for displaced Fractures

VIII. Course

  1. Palpable callus formation in 7 to 10 days
  2. Fracture heals in 4 to 6 weeks

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