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Updated: Jun 5, 2026

State of the Art Cranial Ultrasound Imaging in Neonates
Published on: February 2, 2015
Bilateral acromial fractures in a neonate with epileptic encephalopathy
Joseph Jacoby1, Alexander J Nicholls, Nicholas M P Clarke
1Department of Paediatric Radiology, Southampton General Hospital, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
Insights
This case study reports bilateral acromial fractures in a newborn with seizures. Nonaccidental injury was ruled out, prompting discussion of alternative causes for these rare pediatric fractures.
Area of Science:
- Pediatric Orthopedics
- Neonatal Care
- Radiology
Background:
- Acromial fractures are rare in newborns.
- These fractures are often associated with nonaccidental injury (NAI).
- Differential diagnosis is crucial in neonatal fracture cases.
Observation:
- A newborn male presented with seizures.
- Radiographs revealed bilateral acromial fractures.
- Continuous hospitalization made NAI unlikely.
Findings:
- Bilateral acromial fractures in a neonate.
- Exclusion of nonaccidental injury as a cause.
- Identification of potential alternative etiologies.
Implications:
- Highlights the importance of considering rare fracture patterns in neonates.
- Underscores the need for thorough investigation beyond typical NAI associations.
- Contributes to understanding the differential diagnosis of neonatal fractures.
Abstract:
We present a case of a newborn male with seizures who on subsequent radiographs was shown to have bilateral acromial fractures. These are uncommon fractures and are described in association with nonaccidental injury (NAI). However, in this case NAI was thought unlikely due to continuous hospitalisation of the boy. The possible aetiologies are discussed.
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