In the event of a neonatal clavicle fracture, what is the recommended management?

In cases of neonatal clavicle fractures, the recommended management involves no specific treatment and simply avoiding tension on the affected arm. This approach is based on the understanding that neonatal clavicle fractures typically heal on their own due to the inherent healing capability of infants and the nature of the fracture, which is usually a result of birth trauma. In practical terms, caregivers are advised to handle the infant gently and avoid placing stress on the extremity, allowing for natural healing.

Immediate surgical intervention is not typically warranted in these cases, as neonatal fractures are generally stable and resolve without invasive procedures. The use of a splint is also unnecessary because the fracture does not usually require immobilization; the infant's arm naturally rests, and promoting normal movement (without tension) aids in the healing process. Lastly, physical therapy is not indicated in newly diagnosed neonatal fractures, as the condition usually resolves spontaneously and does not create functional limitations that necessitate such intervention.

This conservative management strategy helps ensure that the infant remains comfortable while the body heals naturally, supporting both the physical recovery and the overall development of the child.