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Case Reports in Orthopedics
Volume 2017 (2017), Article ID 6354284, 4 pages
Case Report

Elastic Intramedullary Nailing of a Medial Clavicle Fracture in a Pediatric Patient

Nova Southeastern University College of Osteopathic Medicine, 3301 College Avenue, Davie, FL 33314, USA

Correspondence should be addressed to Michael J. Stark

Received 9 March 2017; Accepted 23 April 2017; Published 16 May 2017

Academic Editor: George Mouzopoulos

Copyright © 2017 Michael J. Stark and Michael J. DeFranco. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Injuries to the medial clavicle in pediatric patients typically involve the physis and/or sternoclavicular joint. Clavicle fractures are one of the most common injuries in children, but ones at its medial end are rare. Most medial clavicle fractures are treated nonoperatively, but surgery is indicated in some cases. This original case report is unique in describing the use of an elastic intramedullary nail for fixation of a completely displaced medial clavicle fracture in a pediatric patient. Case Presentation. A pediatric patient sustained a completely displaced fracture of the medial clavicle. The fracture was lateral to the medial physis of the clavicle and did not involve the sternoclavicular joint. Internal fixation was achieved in an anatomic position with an elastic intramedullary nail. The postoperative course was unremarkable and resulted in complete healing of the fracture in an anatomic position. The patient returned to full activities without any pain or dysfunction. Conclusion. The use of elastic intramedullary nails is a viable option for internal fixation of displaced medial clavicle fractures. Knowledge of the surgical anatomy, potential implant complications, and rehabilitation principles is essential to a successful outcome.