Regardless of patient age, sports participation, and final clavicle shortening, no differences in pain, strength, shoulder range of motion, or subjective outcome scores were found between the injured and uninjured limbs of adolescents treated nonoperatively for a displaced, shortened, midshaft clavicle fracture.

Choosing the appropriate imaging in children with accidental traumatic spine injuries can be challenging because the recommendations based on scientific evidence at this time differ from those applied in adults. This differentiation is due in part to differences in anatomy and physiology of the developing spine. This publication uses scientific evidence and a panel of pediatric experts to summarize best current imaging practices for children with accidental spine trauma.

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Objective. To defi ne optimal postoperative coronal parameters after selective thoracic fusions (STFs) and to test these parameters against recommended criteria for when to perform an STF. Summary of Background Data. Previous studies have provided recommendations for when STF should be performed; however, clear parameters for target outcomes are lacking. Methods. Patients with Lenke 1C to 4C curves with adolescent idiopathic scoliosis from a multicenter database who underwent STF with minimum 2 years of follow-up were included. Postoperative parameters included lumbar Cobb angle, trunk shift, coronal balance, percent lumbar correction, and deformity-fl exibility quotient. First, the upper 95% confi dence interval for each parameter was calculated (queried data threshold) and set as the limit of "optimal" outcomes. Second, an independent surgeon survey was performed, and in patients with unanimous surgeon agreement of "success," the upper 95% confi dence interval was determined From the