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Newborn Clavicle Fractures

were not detected. The estimate is based on the studies of Farkas and Levinel and Enzler2 who took radiographs of consecutive newborns and found a combined 18 clavicle fractures (2%) in 800 consecutive newborns. In our study3 of 626 newborns, Dr. Rosenfeld and I found 18 (2.6%) with clavicle fractures. Any conclusion that the authors draw relates to the 64 identified clavicle fractures, which represent the 10% of clavicle fractures that were probably most severe, and not to the 604+ clavicle fractures that were not detected. The 22 disease processes fall into two categories: (1) probably related to clavicle fracture and (2) possibly related to clavicle fractures, but I do not know why. I consider Erbs palsy to fall in the first category and all the others into the second. The presence of