Reply: Nonsurgical Treatment of Distal Clavicle Fractures in Skeletally Immature Patients

Bilateral distal clavicular fracture in a patient with traumatic brain injury and decreased level of consciousness: a rare case report

“…In this respect, excellent results could be obtained through the nonoperative treatment of these fractures in children, presumably because of the intact periosteal sleeve that remains strongly associated with the coracoclavicular ligaments. 8 We tried nonsurgical treatment initially. However, because of the patient's decreased level of consciousness and noncompliance with conservative treatment, we opted for surgical treatment afterward.…”

“…This is important as the treatment of distal clavicular fractures in the pediatric population differs anatomically from its treatment in adults. In this respect, excellent results could be obtained through the nonoperative treatment of these fractures in children, presumably because of the intact periosteal sleeve that remains strongly associated with the coracoclavicular ligaments 8. We tried nonsurgical treatment initially.…”