Ultrasound diagnosis of medial clavicular epiphysis avulsion fracture in a neonate.

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.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Baessler AM,Wessel RP,Caltoum CB,Wanner MR

doi

10.1007/s00247-019-04583-2

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

587-590

issue

4

eissn

0301-0449

issn

1432-1998

pii

10.1007/s00247-019-04583-2

journal_volume

50

pub_type

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