We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Palpable Spongy Mass Over the Clavicle, an Underutilized Sign of Clavicle Fracture in the Newborn.
- Authors
Reiners, Charles H.; Souid, Abdul-Kader; Oliphant, Michael; Newman, Nancy
- Abstract
Summary: This prospective study emphasizes the importance of an early physical finding of neonatal clavicular fracture, termed "the palpable spongy mass sign." Of the 1,661 term neonates examined at our tertiary center over a 20-month period, 24 had clinical signs of a clavicular fracture. In 22 of the 24 neonates, the fractures were documented by positive radiographs or callus formation. None of the fractures was recognized because of an asymmetric Moro reflex, visible swelling, or bruising. The palpable spongy mass was present in 18 of the 22 fractures (82%), crepitus in 10 (45%), angulation deformity in two (9%), and localized tenderness in one (5%). Any combination of crepitus, deformity, and localized tenderness was detected in 11 of the 22 (50%) fractures. When the palpable spongy mass sign was added to these three signs, all but one fracture was clinically detected (95%), emphasizing the importance of using all physical findings. We conclude that "the clavicular spongy mass sign" is highly sensitive and predictive of neonatal clavicular fractures. Clin Pediatr. 2000;39:695-698
- Subjects
CLAVICLE; NEONATAL diseases
- Publication
Clinical Pediatrics, 2000, Vol 39, Issue 12, p695
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/000992280003901202