A Large (weight, 3912 g) for gestational age female neonate (case 1) was delivered vaginally with the use of vacuum extraction. The mother is gravida 3, para 2. This vaginal birth occurred after a previous delivery by cesarean section. The neonate's Apgar scores were 9/1 and 9/5. The obstetrician was concerned about a possible right clavicle fracture. Results of the initial physical examination revealed a right cephalohematoma and crepitus over the right infrascapular region. The neonate was breathing quietly, with no respiratory tract distress. A chest radiograph was obtained (Figure 1).
A large (weight, 4205 g) for gestational age, term male neonate (case 2) was delivered vaginally with the use of vacuum extraction to assist with a difficult delivery. The mother is a primigravida. The neonate's Apgar scores were 8/1 and 9/5. Results of the initial physical examination revealed a right parietal cephalohematoma, bruising of the right forearm, and crepitus
Hartmann RW. Radiological Case of the Month. Arch Pediatr Adolesc Med. 1997;151(9):947-948. doi:10.1001/archpedi.1997.02170460085015