Re: Claviular fracture
From: Charlie Chambers (cchamber@gorge.net)
Fri Jan 16 14:38:43 2004
I've been witness to a couple on cesareans. Go figure.
Sorry, Richard, I don't have the old tech bulletins any longer.
On Jan 16, 2004, at 10:13 AM, Anna Meenan, MD wrote:
> 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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Charlie Chambers
--
Hood River, OR USA
cchamber@alumni.rice.edu
"All good things...come by grace,
and grace comes by art,
and art does not come easy."
Norman Maclean
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