Newborn clavicle fracture2/27/2024 Fractures of forearm, tibia or vertebrae are extremely rare and associated with a bone fragility disease. They require immediate reduction to avoid permanent lesion of the growth plate. Epiphyseal fractures of the distal femoral or humeral epiphysis are rare fractures, difficult to be diagnosed initially. Premature and low-weighted babies are in high risk to sustain fractures. Conservative treatment with immobilization is the method of choice. Bone fragility diseases (osteogenesis imperfecta, hypophosphatasia, arthrogryposis) are diagnosed from neonatal fractures. Most commonly are found in urgent caesarean delivery or complicated dystocia with over-weighted neonates. Fracture of the femur or the humerus presents with swelling, crepitus and deformity of the limb, creating difficulties in clothing, bathing and feeding. Clavicle pseudoarthrosis is a rare dysplasia. Occasionally, the fracture is diagnosed later. The clinical signs are crepitus, swelling, bony prominence, with the restriction of the movements of the arm. Clavicle fracture is the most common injury that must be differentiated occasionally from neonatal brachial plexus palsy. A paediatric orthopaedic surgeon is required to evaluate the neonate, and confirm diagnosis and treatment. Diagnosis from the neonatologist occasionally is difficult. A neonatal fracture is a severe complication creating problems regarding diagnosis and appropriate management.
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