Operative Treatment of Clavicle Fractures in Children: A Review of 21 Years

Outcomes of treatment of displaced midshaft clavicle fractures in adolescents using titanium elastic nails

“…2,11,38 Numerous reports in the literature have proven a lower incidence of re-fracture following removal of an intramedullary device compared to that following plate removal. 25,39 The fact that no patients sustained re-fracture in our series may be attributed to our limited sample size and short period of follow-up.…”

“…[7][8][9][10] Due to the excellent healing potential in children, even significantly displaced adolescent clavicle fractures have traditionally been treated nonsurgically. [11][12][13] A study by McGraw et al in 2009 showed that little clavicle growth (20%) remains after nine and 12 years of age in girls and boys respectively, and adolescents thus have limited capacity to regain normal clavicle length, resulting in greater functional impairment compared to younger patients. 14 Various studies have demonstrated that malunion of a midshaft clavicle frature with shortening of the clavicle alters the position of the glenoid fossa.…”

Surgical management of displaced midshaft clavicle fracture in skeletally immature patient- What is the evidence?

“…One of the studies was excluded as it didn't report the outcome of surgical fixation [8]. Table 1 shows the details of the included studies [1,11,12,[14][15][16][17][18]. All but one study [16] were retrospective series.…”

“…The current evidence on surgical management of paediatric clavicle fractures is limited [8, [12][13][14][15]. The purpose of this study is to perform a systematic review of surgical treatment of displaced midshaft clavicle fracture in skeletally immature patients focusing on the outcome and complication profile of surgically treated fractures.…”

“…Although the principles of surgical treatment of clavicle fractures in adults may not be quite applicable to the paediatric population due to high healing and remodelling potentials [1,5,[10][11][12].…”