Ultrasound diagnosis of medial clavicular epiphysis avulsion fracture in a neonate

Aaron M. Baessler, Robert P. Wessel, Christine B. Caltoum, Matthew R. Wanner

Research output: Contribution to journalArticle

Abstract

Clavicle fractures are the most common bony injury that occurs during the delivery process. We present a case of medial clavicular physeal fracture mimicking sternoclavicular dislocation diagnosed by ultrasound (US) in a neonate. The infant presented to our clinic at 12 days old with improving left upper extremity pseudoparalysis and outside radiographs interpreted as left sternoclavicular dislocation. US demonstrated a displaced physeal fracture rather than a dislocation. The radiologist should be aware of this potential distinction. Our case shows the usefulness of US in obtaining the definitive diagnosis without the need for radiation or sedation, demonstrates a unique use of this modality, and illustrates that US should be considered for clarification in future cases of suspected sternoclavicular injury in the neonate.

Original languageEnglish (US)
Pages (from-to)587-590
Number of pages4
JournalPediatric Radiology
Volume50
Issue number4
DOIs
StatePublished - Apr 1 2020

Keywords

  • Birth injury
  • Clavicle
  • Epiphysis
  • Fracture
  • Neonate
  • Sternoclavicular joint
  • Ultrasound

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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