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Related Experiment Videos

Clavicular fractures in neonates.

P R Joseph1, W Rosenfeld

  • 1Department of Pediatrics, Winthrop-University Hospital, Mineola, NY 11501.

American Journal of Diseases of Children (1960)
|February 1, 1990
PubMed
Summary

Newborn clavicle fractures are more common than previously thought, with a 2.9% incidence found in this study. Many infant fractures present with few symptoms, necessitating follow-up examinations for accurate diagnosis.

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Area of Science:

  • Pediatrics
  • Orthopedic Surgery
  • Neonatal Care

Background:

  • Reported incidence of newborn clavicle fractures varies widely (0.2%–3.5%).
  • Clinical diagnosis during hospitalization often underestimates fracture occurrence.

Purpose of the Study:

  • To determine the actual incidence of clavicle fractures in newborns.
  • To identify reliable diagnostic signs and the necessity of follow-up examinations.

Main Methods:

  • Screening of 626 consecutive vaginally delivered infants for clavicle fractures.
  • Multiple examinations: twice during hospitalization and a follow-up at 2 weeks.
  • Clinical assessment by a single physician (P.R.J.).

Main Results:

  • Identified 18 fractured clavicles, yielding an incidence of 2.9% (18/626).
  • Fractures were detected at discharge (10/18) and follow-up (7/18), with only 1 detected initially.
  • Only 2 infants exhibited typical fracture symptoms; difficulty palpating clavicle margins was the most reliable sign.
  • Mean birth weight was 3604g; no obstetric complications were noted.

Conclusions:

  • Clinical diagnosis of newborn clavicle fractures during initial hospitalization is often insufficient.
  • Most infant clavicle fractures are asymptomatic, requiring repeated examinations for accurate detection.
  • Follow-up assessments are crucial for identifying the true incidence of neonatal clavicle fractures.

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