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International Journal of Pediatrics
Volume 2011 (2011), Article ID 172571, 4 pages
http://dx.doi.org/10.1155/2011/172571
Research Article

Conservative Management of Paediatric Clavicle Fractures

Department of Orthopaedics & Trauma, Galway Regional Hospitals, Galway, Ireland

Received 6 July 2011; Accepted 14 September 2011

Academic Editor: Sunit C. Singhi

Copyright © 2011 Barry J. O'Neill et al. 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.

Abstract

Paediatric clavicle fractures have traditionally been treated nonoperatively. Recent studies have recommended operative management for displaced midshaft fractures. We conducted a retrospective review of all clavicle fractures in children aged one to sixteen over a two-year period. We classified fractures and evaluated followup and clinical outcome. We identified 190 fractures. There were 135 boys and 55 girls. 65% of fractures were displaced and 35% undisplaced. Mean radiographic and clinical followup was 35 days and 44 days, respectively. Clavicle fractures in children heal with nonoperative management. Radiographs of clavicle fractures in children are unnecessary in the absence of clinical symptoms.