Distal Clavicle Fixation in the Skeletally Immature

Lateral clavicle fracture fixation in adolescents using an Endobutton technique

“…Following our review of the literature we only found one publication discussing the use of the endobutton/tightrope procedure in adolescents but this is a narrative piece with no cases or patient reported outcomes quoted. (12) To our knowledge https://ijotss.com/ this case-series is the first to describe the use of the endobutton technique for lateral clavicle fracture fixation in adolescents.…”

“…The presence of an intact coracoclavicular ligament is the main differentiation from the same injury in adults. (12,13) Of the limited studies looking at operative intervention in adolescents the majority look at mid-shaft clavicle fractures. (2,4,(14)(15)(16)(17) Some adolescent retrospective reviews have included lateral clavicle fractures in their studies but numbers are very small.…”

Ipsilateral distal clavicle and coracoid base physeal fractures in a skeletally immature athlete: a case report

“…Though clavicle injuries are common in the pediatric population [3][4][5]9 , injuries of the distal clavicle are very rare 3,5,9,12 and often occur due to high-energy trauma directly to the shoulder 5,12 .…”

“…It is important to consider the ways in which the anatomy of the growing bone contributes to distal clavicle fractures in the skeletally immature. In the skeletally immature, the lateral clavicle J o u r n a l P r e -p r o o f physis exists until the age of 18 or 19 3,5,9,12 . At this point, the lateral clavicle's ossification center emerges, though complete ossification is not typically achieved until an individual's midtwenties 5 .…”

“…Isolated distal clavicle 3,5,9,12 and coracoid process 2,7,10,13 fractures rarely occur in the skeletally immature. In this population, the simultaneous ipsilateral occurrence of these fractures occurs even less frequently, with the only known reports of this injury profile occurring in adults 2,7,13,14 .…”