Final answer:
Neonatal clavicular fractures are typically treated conservatively with careful handling and immobilization using a soft bandage or clavicle strap. Pain management and regular follow-up ensure proper healing, which is usually quick in neonates.
Step-by-step explanation:
Neonatal clavicular fractures are typically managed conservatively due to the high capacity for bone healing in neonates. The standard treatment involves careful handling, minimalization of movement of the affected arm, and sometimes use of a soft bandage or a splint to immobilize the limb. The asymmetric Moro reflex and crepitus are clinical signs indicative of the fracture.
In cases without nerve damage, the treatment consists of supportive measures such as using a clavicle strap or soft bandages to secure the arm. Parents are educated on careful handling techniques and encouraged to monitor for signs of recovery and complications. Healing is usually observed within 1 to 2 weeks, with full recovery occurring over the course of a month to three months. Pain management may be provided with acetaminophen if necessary. Regular follow-up appointments are crucial to ensure proper bone healing and resolve any complications promptly. As healing is rapid in neonates, operative treatment is rarely needed unless there are associated injuries or complications.