Abstract
Paediatric clavicle fractures have traditionally been treated nonoperatively. Recent studies have recommended operative management for displaced midshaft fractures. We conducted a retrospective review of all clavicle fractures in children aged one to sixteen over a two-year period. We classified fractures and evaluated followup and clinical outcome. We identified 190 fractures. There were 135 boys and 55 girls. 65% of fractures were displaced and 35% undisplaced. Mean radiographic and clinical followup was 35 days and 44 days, respectively. Clavicle fractures in children heal with nonoperative management. Radiographs of clavicle fractures in children are unnecessary in the absence of clinical symptoms.
Highlights
IntroductionWith the reported rates ranging between 8% and 15% of all paediatric fractures [1,2,3]
Clavicle fractures occur frequently, with the reported rates ranging between 8% and 15% of all paediatric fractures [1,2,3]
We retrospectively reviewed all clavicle fractures in children treated at our institute over a two-year period
Summary
With the reported rates ranging between 8% and 15% of all paediatric fractures [1,2,3]. Reported indications for operative management include markedly displaced fractures with compromised skin integrity, open fractures, concomitant vascular injury requiring repair, and compromise of the brachial plexus [6,7,8,9,10]. These reports, have mostly referred to fractures within the adult population. There has been some support for operative management of middle third fractures with marked displacement or shortening [11,12,13] Some of these studies have recommended fixation in children and adolescents [14, 15].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
