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Ultrasound diagnosis of medial clavicular epiphysis avulsion fracture in a neonate.
Pediatric Radiology ( IF 2.1 ) Pub Date : 2019-12-03 , DOI: 10.1007/s00247-019-04583-2
Aaron M Baessler 1 , Robert P Wessel 1 , Christine B Caltoum 1 , Matthew R Wanner 2
Affiliation  

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.



中文翻译:

新生儿内侧锁骨骨epi撕脱骨折的超声诊断。

摘要

锁骨骨折是分娩过程中最常见的骨骼损伤。我们提出了一例通过超声(美国)在新生儿中诊断出的模拟锁骨干脱位的锁骨内侧干fracture骨骨折。该婴儿在12天时就诊于我们的诊所,伴有左上肢假性麻痹的改善和外部X线照片被解释为左胸锁骨脱位。US表现为移位的植骨骨折,而不是脱位。放射科医生应意识到这种潜在的区别。我们的案例显示了US在无需放射或镇静的情况下获得明确诊断的有用性,证明了这种方式的独特用途,并说明了在将来怀疑新生儿锁骨损伤的病例中应考虑使用US进行澄清。

更新日期:2020-03-12
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