Neonatology Book

Birth Disorders

  • Clavicle Fracture from Birth Trauma

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Neck Disease

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Clavicle Fracture from Birth Trauma

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  1. Epidemiology
    1. Most common newborn orthopedic injury
  2. 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
  3. Precautions
    1. Assess concurrent injury to adjacent structures
      1. Cervical spine
      2. Brachial plexus
      3. Humerus
  4. Radiology
    1. Chest XRay
  5. Management
    1. Immobilize arm and shoulder 7-10 days
    2. Safety pin infants sleeve to shirt
  6. Prognosis
    1. Excellent, even for displaced Fractures
  7. Course
    1. Palpable callus formation in 7 to 10 days
    2. Fracture heals in 4 to 6 weeks

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