Ultrasound diagnosis of medial clavicular epiphysis avulsion fracture in a neonate

  • Aaron M. Baessler
  • Robert P. Wessel
  • Christine B. Caltoum
  • Matthew R. WannerEmail author
Case Report


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.


Birth injury Clavicle Epiphysis Fracture Neonate Sternoclavicular joint Ultrasound 


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Conflicts of interest



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© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryIndiana University School of Medicine, Riley Hospital for ChildrenIndianapolisUSA
  2. 2.Department of Radiology and Imaging SciencesIndiana University School of Medicine, Riley Hospital for ChildrenIndianapolisUSA

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