Fractured clavicle in the newborn
Alternative Names: Fractured collar bone - newborn
A fractured clavicle in the newborn is a broken collar bone in a baby that was just delivered.
Causes of Fractured clavicle in the newborn
A fracture of a newborn's collar bone (clavicle) can occur during a difficult vaginal delivery. It is fairly common during difficult births.
Fractured clavicle in the newborn Symptoms
The baby will not move the painful, injured arm. Instead, the baby will hold it still against the side of the body. Lifting the baby under the arms causes the child pain. Sometimes the fracture can be felt with the fingers, but usually the problem cannot be seen or felt.
Within a few weeks, a hard lump may develop where the bone is healing. This lump may be the only sign that the newborn had a broken collar bone.
Tests and Exams
A chest x-ray will show whether or not there is a broken bone.
An infant's refusal to move an arm may also be due to partial dislocation of the elbow (nursemaid's elbow), nerve damage (Erb palsy), broken humerus (upper arm bone), or other causes.
Treatment of Fractured clavicle in the newborn
Generally, there is no treatment other than lifting the child gently to prevent discomfort. Occasionally, the arm on the affected side may be immobilized, most often by simply pinning the sleeve to the clothes.
Prognosis (Outlook)
Full recovery occurs without treatment.
Potential Complications
There are usually no complications. Later in life, due to the excellent healing potential of infants, it may be impossible (even by x-ray) to tell that a fracture occurred.
When to Contact a Health Professional
Call for an appointment with your health care provider if your baby acts uncomfortable when you lift him or her.
Daya M, Nakamura Y. Shoulder. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 50.
Carlo WA. Delivery room emergencies. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 94.
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Micromedex Care Notes:
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Copyright 2011 A.D.A.M., Inc.
