1 The majority of clavicle fractures occur at the middle third and have a tendency to be displaced and shortened. 1–4 The vast majority of these fractures predominantly affect males and occur during sports as a result of direct impact to the shoulder. Studies have shown comparable mid- to long-term functional and patient-reported outcomes after operative and nonoperative management of midshaft clavicle fractures in pediatric patients.Ĭlavicle fractures account for 8–15% of all skeletal injuries in the pediatric and adolescent population. Operative management may be considered for open fractures, fractures with significant neurovascular compromise and soft tissue complications. Nonoperative treatment consists of with a brief period of sling immobilization followed by range of motion. A similar trend of increasing frequency in operative management has been seen in pediatric and adolescent patients with no consensus in the literature on optimal management. Recent literature in the management of adult midshaft clavicle fractures has supported operative management due to improved functional outcomes, decreased time to union, leading to early return to activity. ![]() They most commonly occur from direct trauma and are often related to sports participation in adolescents. ![]() Midshaft clavicle fractures are relatively common in pediatric and adolescent patients. The purpose of the current review is to describe the management of displaced midshaft clavicle fractures in pediatric and adolescent patients.
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