Re: Claviular fracture
From: Anna Meenan, MD (annam@uic.edu)
Fri Jan 16 11:12:14 2004
Or even if someone IS looking for it. I still remember the two 10+ lb.
babies I delivered for one mom (2 separate pregnancies) . Neither was a
shoulder dystocia, but I checked clavicles carefully on both because of
their size (and because I routinely do a full physical on all my
newborns at birth--FP). Did not feel either one had a fracture
clinically, but both times when they came to the office for their 2-wk
checkup they each had a nice callus formation over one clavicle.
Don't feel bad, Dan, Tom Benedetti confessed to never having been able
to purposely fracture a clavicle at a conference I was at years ago.
--
Anna Meenan, MD, FAAFP
At Fri, 16 Jan 2004, Braun, R. Daniel wrote:
>
>I haven't been able to get the clavicle to break with Shoulder dystocia.
>
>Remember clavicular fracture is one of the maneuvers recommended in the
>treatment of shoulder dystocia. It is a good thing to have.
>Also studies show that it happens in about 1% of all deliveries. It is
>seldom recognized when it does happen, unless someone is actually
>looking for it.
>
>Dan
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf
>Of Richard Chudacoff, MD
> Sent: Friday, January 16, 2004 11:51 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: OB:Claviular fracture
>
> In a recent discussion, there was the question of WHICH clavicle
>fractures spontaneously with a dystocia, or even uneventful break.
>Without trying to bias the discussion, would it be the anterior
>secondary to traction, or the posterior due to compression?
>
> Likewise, can anyone scan or fax me a copy of the ACOG
>management for diabetic mothers and fetal macrosomia from 1991/1994
>regarding fetal macros?
>
> Richard Chudacoff, MD, FACOG
> Chudacoff Obstetrics & Gynecology, PA
> 15200 Southwest Freeway, #270
> Sugar Land, TX 77478
>
> Tel: 281-277-3900
> Fax: 281-277-3901
>
> rchudacoff@mylinuxisp.com
> Richard.Chudacoff@obgyn.net
>
> http://www.mdhub.com/281-277-3900
> http://www.chudacoffobgyn.yourmd.com
>
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