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Alternative names Return to top
Fractured collar boneDefinition Return to top
A fracture of the newborn's shoulderbone (clavicle) can occur during a difficult vaginal delivery.Causes, incidence, and risk factors Return to top
This condition is fairly common during difficult births. A clavicle fracture can occur during difficult delivery of the shoulders in a vertex (head first) delivery or during breech (feet first) delivery, when the baby's arms are extended above the head.Symptoms Return to top
There is generally decreased movement of the arm on the side with the fractured clavicle. Lifting the baby under the arms causes pain. Sometimes the fracture can be felt with your fingers, but more often there is no visible or palpable evidence of abnormality.
Within a few weeks a hard lump may develop where the bone is healing and may be the only indication that the newborn had a fractured clavicle.
Signs and tests Return to top
The fracture may be identified on a chest X-ray taken of the baby. Sometimes the baby's refusal to move the affected arm may be misinterpreted as nerve injury.
Treatment Return to top
Generally, there is no treatment other than lifting the child gently to prevent discomfort. Occasionally the arm on the affected side may be immobilized.Expectations (prognosis) Return to top
Full recovery occurs without treatment.Complications Return to top
There are usually no complications. Due to the excellent healing potential of infants, later in life it may be impossible (even by X-ray) to tell that a fracture occurred.Calling your health care provider Return to top
Call for an appointment with your health care provider if your baby acts uncomfortable when you lift him or her. Update Date: 2/12/2003 Updated by: Andrew L. Chen, M.D., M.S., Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York, NY. Review provided by VeriMed Healthcare Network.
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Page last updated: 28 October 2004 |