Clavicle Fracture

  • Etiology: Trauma
  • Imaging in newborn:
    — Mid or distal third of clavicle fracture
    — Look for associated ipsilateral humerus fracture or brachial plexus injury
  • Imaging beyond newborn:
    — Posterior dislocation of clavicle is treated with surgical reduction and should be imaged with contrast enhanced CT to evaluate for associated vascular injury
    — Acromioclavicular joint dislocation difficult to diagnose due to cartilage cap or epiphysis at distal clavicle and acromioclavicular dislocation is usually due to a Salter-Harris Type I fracture of the distal clavicle rather than an acromioclavicular ligament rupture
  • Note: Remember to look at the clavicles on CXR and C-spine radiographs
  • DDX:
  • Complications:
  • Treatment:
  • Clinical:
    — Most common obstetric-related fracture in newborn
    — Acromioclavicular joint dislocations are uncommon in children as typically the clavicle fractures before the acromioclavicular ligament ruptures

Radiology Cases of Clavicle Fracture

Radiology Cases of Clavicle Fracture in Newborn

CXR of clavicle fracture in newborn
CXR AP shows a fracture of the distal third of the right clavicle

Radiology Cases of Clavicle Fracture Beyond the Newborn

Radiograph of clavicle fracture
AP (left) and oblique (right) radiographs of the clavicle show multiple lucent lines through the distal clavicle.
Radiograph of clavicle fracture
AP radiographs of the clavicle show a comminuted and angulated fracture of the mid clavicle.