Background: The fracture of clavicle is the most frequently observed bone fracture as birth trauma and it is usually unilateral. It is seen following shoulder dystocia deliveries or breech presentation of macrosomic newborns.

Case Presentation: We report two macrosomic newborns with bilateral clavicle fracture and brachial plexus palsy due to birth trauma. Chest X-rays confirmed bilateral fracture of clavicles. Both patients were recovered without any sequel.

Conclusion: Bilateral clavicular fracture should be considered in any neonate with bilateral absent Moro reflexes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3446140PMC

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