Distal clavicle fractures in children

Labronici, Pedro José; Silva Junior, Ricardo Rodrigues da; Franco, Marcos Vinícius Viana; Labronici, Gustavo José; Pires, Robinson Esteves Santos; Franco, José Sergio

doi:10.1016/j.rboe.2015.12.006

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Original Articles • Rev. bras. ortop. 51 (1) • jan-feb 2016 • https://doi.org/10.1016/j.rboe.2015.12.006 linkcopy

Distal clavicle fractures in children^{^☆}

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE: To analyze fractures of the distal clavicle region in pediatric patients.

METHODS: Ten patients between the ages of five to eleven years (mean of 7.3 years) were observed. Nine patients were treated conservatively and one surgically. All the fractures were classified using the Nenopoulos classification system.

RESULTS: All the fractures consolidated without complications. Conservative treatment was used for nine patients, of whom three were in group IIIB, three IIb, two IIa and one IV. The only patient who was treated surgically was a female patient of eleven years of age with a group IV fracture.

CONCLUSION: The treatment indication for distal fractures of the clavicle in children should be based on the patient's age and the displacement of the fragments.

Keywords:
Child; Fractures bone; Clavicle

	Age (years)	Gender	Side	Cause	Classification (group)	Treatment
1	8	Male	L	Fall from bicycle	IIIb	Conservative
2	7	Male	R	Fall from height	IIb	Conservative
3	9	Female	L	Fall	IIb	Conservative
4	7	Male	R	Fall from height	IV	Conservative
5	6	Female	L	Fall	IIIb	Conservative
6	8	Male	R	Fall from bicycle	IIb	Conservative
7	5	Male	R	Fall	IIa	Conservative
8	6	Male	R	Fall on stairs	IIIb	Conservative
9	11	Female	L	Fall from bicycle	IV	Surgical
10	6	Male	R	Fall on stairs	IIa	Conservative

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Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[TFN1] Source : Hospital service files.

Distal clavicle fractures in children☆

Distal clavicle fractures in children^{^☆}