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Fractured clavicle in newborns.

W M Gilbert1, J G Tchabo

  • 1Department of Obstetrics and Gynecology, Arlington Hospital.

International Surgery
|April 1, 1988
PubMed
Summary

Neonatal fractured clavicle occurs in 1% of vaginal births, often linked to high birth weight and difficult deliveries. Most infant clavicle fractures resolve without long-term issues.

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Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Pediatric Orthopedics

Background:

  • Fractured clavicle is a common birth injury.
  • Understanding incidence and risk factors is crucial for prevention and management.

Purpose of the Study:

  • To determine the incidence of neonatal fractured clavicle.
  • To identify associated maternal and neonatal factors contributing to clavicle fractures.

Main Methods:

  • Retrospective study over five years (1980-1984).
  • Analysis of 60 cases of fractured clavicle among 5,847 vaginal births.
  • Review of neonatal and maternal charts for predisposing factors.

Main Results:

  • Incidence of fractured clavicle was 1% of vaginal births.
  • Predisposing factors included high birth weight, advanced gestational age, prolonged second stage of labor in primiparous patients, delivery difficulty, and obstetrical experience.
  • Most fractures were not detected at birth.
  • One case resulted in Erb's palsy with partial resolution.

Conclusions:

  • Fractured clavicle in newborns is associated with specific risk factors.
  • The majority of neonatal clavicle fractures have favorable outcomes without long-term complications.
  • High-risk populations should be monitored for potential clavicle injuries.

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