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Birth Fracture of the Clavicle

Mavrogenis, Andreas F. MD; Mitsiokapa, Evanthia A. MD; Kanellopoulos, Anastasios D. MD; Ruggieri, Pietro MD, PhD; Papagelopoulos, Panayiotis J. MD, DSc

Section Editor(s): King, Cheryl

doi: 10.1097/ANC.0b013e318229ade0
Case of the Month

Birth fracture of the clavicle occurs in approximately 0.4% to 10% of vaginal births. The most common symptom is decreased movement of the ipsilateral arm. A high index of suspicion is necessary in infants presenting without any symptoms. Although displaced clavicular fractures are relatively easily diagnosed clinically, nondisplaced fractures may be apparent only after callus formation, or if all neonates are subjected to radiography or ultrasonography, or multiple physical examinations by trained examiners. We present a case of an infant delivered with vaginal labor with a fracture of the right clavicle diagnosed after apparent callus formation and discuss the current evidence of associated factors and obstetrical care.

First Department of Orthopaedics and Pediatric Orthopaedics, Athens University Medical School, Athens, Greece (Drs Kanellopoulos, and Papagelopoulos); Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy (Drs Mavrogenis and Ruggieri); and Physical Medicine and Rehabilitation, Patras University Medical School, Patras, Greece (Dr Mitsiokapa).

Correspondence: Panayiotis J. Papagelopoulos, MD, DSc, First Department of Orthopaedics, Athens University Medical School, Athens, Greece, 15 Neapoleos Street, 15123 Amarousio, Athens, Greece (

This study was performed in Athens University Medical School, Athens, Greece.

Conflict of Interest Statement: None of the authors have any financial and personal relationships with other people or organizations that could inappropriately influence (bias) their work.

© 2011 National Association of Neonatal Nurses