Most of the parents notice that the newborn baby cries when holding them even they already had good breastfeeding and sleeping. When it happens continuously on the same day, parents should aware if it is collarbone fracture. Some of them noticed fractured collarbone when the newborn baby got pneumonia and take X-ray when going to the doctor.
Collarbone another name is clavicle in medical. The collarbone fracture is the most common bone fracture in labor.
Main causes of collarbone fracture
- Dystocia: pregnant women difficult to produce, the fetus is difficult to shoulder. The anterior scapula of the baby is squeezed into the pelvic pubic symphysis of the mother, causing the fragile clavicle to bend extremely and fracture. Infant clavicle fractures occur mostly in the central or middle third of the segment, with transverse fractures, displacement, and incomplete fractures (green branch fractures).
- Huge children: the fetus is too large, delivery difficulties, midwifery personnel pulling the shoulders of the fetus is too strong. If the fetus is forcibly pulled, when passing through the pelvic ostium, the shoulders are pressed inwardly and cause a fracture.
- The fetal transposition range is large: the fetal clavicle bone is fragile, the fetal transposition amplitude is too large, causing the clavicle to hit the maternal birth canal and fracture.
Common symptoms of collarbone fracture in the newborn
Most of these newborn have a difficult birth history when they were born. Some of them were tracked by utero-tractor when labor. It will cause pseudoparalysis and affected extremity cannot move. Affected limb appears to swallow, crying with touching, tenderness. Sometimes it will accompany brachial nerve injury.
Birth injury refers to the fracture occurred during childbirth. In addition to the common neonatal clavicle fracture, but also can see the femoral shaft fracture, humeral shaft fractures. Parents will find that abnormal joint activity in the place should not move on their baby. When this happens, parents should take the baby to see a specialist and take an X-ray to clear the diagnosis.
How to diagnosis?
1, X-ray examination: X-ray image is required to confirm the diagnosis when there is a suspected clavicle fracture. The x-ray range should include the full length of the clavicle, 1/3 of the humerus, the scapula, and the upper lung field, and a chest radiograph if necessary. The anterior and posterior phases can show the up and down displacement of the clavicle fracture, and the 45° oblique phase can observe the anteroposterior displacement of the fracture.
2, CT examination: CT examination is the best auxiliary examination method to determine the fracture. CT examination can clearly show the location and extent of the fracture, especially for the fracture of the articular surface.
How to treat the clavicle fracture (collarbone fracture) of newborn
Clavicular fracture of the newborn does not require special fixation but also can be placed in the chest of the patient. But this should be proceeded by a specialist if parents don’t know how to do. The doctor also should check complication happen or not.
Collarbone recovery time
So, how long time will take for recovery from treatment? This is the most important question for patients. Newborn bone is growing and healing fast. The periosteal proliferation and callus formation were common in 7~9 days after fracture. It only takes three or four weeks to heal well. So the parent should not worry too much about it.
How to prevent collarbone fracture in the newborn?
When a pregnant woman is undergoing a cesarean section, it is necessary to grasp the timing of the delivery of the baby.
Do not blindly suck the amniotic fluid. Because the amniotic fluid pressure is reduced after amniotic fluid absorption, the uterus contraction is promoted, and the incision is reduced, which is not conducive to the delivery of the fetus.
When the baby is born, it is necessary to slowly deliver the back shoulder and then press the neck to deliver the front shoulder.
Correctly estimate the birth canal, the size of the fetus, and choose cesarean section if necessary.
Pay attention to the treatment of dystocia and regulate effective contractions.
Carefully observe the changes in the entire process and master the correct mode of delivery.
Hold the newborn in the right way after birth. At the same time, parents should be taught to properly hold the baby’s posture.