Pediatric Clavicular Fracture Management

Pain Control and Warning Signs

The American Academy of Pediatrics recommends implementing multimodal analgesia with acetaminophen and/or ibuprofen for pain management, with appropriate weight-based dosing for pediatric patients 1
Skin changes suggesting vascular compromise, such as numbness, tingling, or weakness in the arm or hand, are warning signs that require immediate medical attention, according to the American Academy of Pediatrics 2
Fever or signs of infection are warning signs that require immediate medical attention, as stated by the American Academy of Pediatrics 1

For children under 24 months with clavicle fractures and no clear history of trauma, the American Academy of Pediatrics considers skeletal survey to evaluate for non-accidental trauma, with a necessity for children 1-11 months old with clavicle fractures and no history of trauma 3, 2, 1
Skeletal survey is necessary in children 1-11 months old with clavicle fractures and no history of trauma, as recommended by the American Academy of Pediatrics 3
For children 12-23 months old with a clear history of a fall, skeletal survey is not necessary, according to the American Academy of Pediatrics 3