Am Fam Physician. 2008 Sep 15;78(6):697.
Original Article: Clavicle Fractures
Issue Date: January 1, 2008
Available at: http://www.aafp.org/afp/20080101/65.html
to the editor: The article on clavicle fractures by Drs. Pecci and Kreher is interesting. I would like to add an important cause of clavicle fracture in newborns that was not mentioned in the article. Clavicle fractures sometimes occur during childbirth, especially during a difficult cephalic vaginal delivery or following a breech delivery.1,2 These fractures still occur in developing countries, where such deliveries are more common. The child usually presents up to a few weeks after delivery with a palpable swelling on the mid-shaft location of the clavicle.3 There are usually no other symptoms. Plain radiography of the clavicle confirms the diagnosis with callous formation visible in the second or third week after birth.
Author disclosure: Nothing to disclose.
1. Kaplan B, Rabinerson D, Avrech OM, Carmi N, Steinberg DM, Merlob P. Fracture of the clavicle in the newborn following normal labor and delivery. Int J Gynaecol Obstet. 1998;63(1):15–20.
2. Turnpenny PD, Nimmo A. Fractured clavicle of the newborn in a population with a high prevalence of grand-multiparity: analysis of 78 consecutive cases. Br J Obstet Gynaecol. 1993;100(4):338–341.
3. Reiners CH, Souid AK, Oliphant M, Newman N. Palpable spongy mass over the clavicle, an underutilized sign of clavicular fracture in the newborn. Clin Pediatr (Phila). 2000;39(12):695–698.
Send letters to firstname.lastname@example.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.
Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the AAFP permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.
This series is coordinated by Kenny Lin, MD, MPH, Associate Deputy Editor for AFP Online.
Copyright © 2008 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact email@example.com for copyright questions and/or permission requests.
Want to use this article elsewhere? Get Permissions