A Pediatric Radiology Textbook and Pediatric Radiology Digital Library
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 AP shows a fracture of the distal third of the right clavicle
Radiology Cases of Clavicle Fracture Beyond the Newborn
AP (left) and oblique (right) radiographs of the clavicle show multiple lucent lines through the distal clavicle.AP radiographs of the clavicle show a comminuted and angulated fracture of the mid clavicle.