Clavicle shaft fractures: are children little adults?

Journal of Pediatric Orthopedics
Michelle S Caird

Abstract

Most clavicle shaft fractures in children are nondisplaced, minimally shortened or angulated, and are well treated with nonoperative management. Indications for operative fixation include open fractures and impending open fractures. Relative indications for operative fixation include fractures in multi-trauma patients, floating shoulder injuries, comminuted fractures, and shortened fractures in older adolescents. Controversies exist in preferred methods of fixation and include superior or anteroinferior plating, locked or unlocked plating, and intramedullary fixation. Retrospective studies of operative fixation in children show the feasibility and safety of fixation and are helping to define operative indications, but stronger evidence and reliable outcomes' measures for the pediatric upper extremity are still needed. Both nonoperative and operative treatment should be considered when making recommendations for treatment of significantly displaced or shortened midshaft clavicle fractures. The advantages and disadvantages of both should be clearly presented to the patient and family so that they may also participate in the decision-making process.

References

Jul 1, 1975·Clinical Orthopaedics and Related Research·J NogiD E Sweet
Jul 1, 1997·The Journal of Bone and Joint Surgery. British Volume·J M HillL A Crosby
Jun 10, 1998·The Journal of Bone and Joint Surgery. British Volume·C M Robinson
Apr 25, 2001·Archives of Orthopaedic and Trauma Surgery·M WickG Muhr
May 3, 2003·The Journal of Bone and Joint Surgery. American Volume·Michael D McKeeEmil H Schemitsch
Mar 5, 1960·Journal of the American Medical Association·C S NEER
Aug 2, 2005·Journal of Orthopaedic Trauma·Michael ZlowodzkiUNKNOWN Evidence-Based Orthopaedic Trauma Working Group
Jan 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Michael D McKeeJeffrey Potter
Mar 7, 2006·Journal of Shoulder and Elbow Surgery·Stefanos Lazarides, George Zafiropoulos
Nov 26, 2009·Journal of Pediatric Orthopedics·Charles T MehlmanWang Zhigang
Nov 26, 2009·Journal of Pediatric Orthopedics·Molly A McGrawCassie L Kirby
May 27, 2010·Journal of Pediatric Orthopedics·Kelly L Vander HaveFrances A Farley

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Citations

Apr 23, 2015·Orthopedics·T David LuoAmy L McIntosh
Mar 31, 2015·Clinical and Experimental Emergency Medicine·Jung-Heon KimJeong-Min Ryu
Aug 9, 2016·Clinical Pediatrics·Hayk StepanyanWilliam Hennrikus
Sep 4, 2015·Journal of Pediatric Orthopedics·Joshua A ParryWilliam J Shaughnessy
May 20, 2015·Sports Health·Nathan J FanterChamp L Baker
Sep 20, 2017·Pediatric Emergency Care·John AdamichMark Camp
Feb 20, 2018·Journal of Children's Orthopaedics·K HughesY Gelfer
Jul 30, 2019·Journal of Pediatric Orthopedics. Part B·Pooya HosseinzadehGary M Kiebzak
May 15, 2018·Clinical Pediatrics·Rhett MacNeille, William L Hennrikus
May 7, 2020·Case Reports in Orthopedics·Marco OdorizziVincenzo De Rosa
Dec 10, 2019·Archives of Orthopaedic and Trauma Surgery·Daniel KörnerPhilipp Hemmann

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