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. 2015 Dec 29;51(1):24-8.
doi: 10.1016/j.rboe.2015.12.006. eCollection 2016 Jan-Feb.

Distal clavicle fractures in children

Pedro José Labronici  1 , Ricardo Rodrigues da Silva Jr  2 , Marcos Vinícius Viana Franco  2 , Gustavo José Labronici  2 , Robinson Esteves Santos Pires  3 , José Sergio Franco  4
Affiliations

Distal clavicle fractures in children

Pedro José Labronici et al. Rev Bras Ortop. .

Abstract
in English, Portuguese

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.

Objetivo: Analisar as fraturas da região distal da clavícula em pacientes pediátricos.

Métodos: Foram observados dez pacientes entre cinco a 11 anos com média de 7,3 anos. Nove pacientes foram tratados conservadoramente e um cirurgicamente. As fraturas foram classificadas segundo a classificação de Nenopoulos.

Resultados: Todas as fraturas consolidaram sem complicações. O tratamento conservador foi usado em nove pacientes, três do grupo IIIb; três IIb; dois IIa e um IV. O único paciente tratado cirurgicamente foi uma paciente do gênero feminino de 11 anos com fratura do grupo IV.

Conclusão: A indicação do tratamento para as fraturas distais da clavícula em crianças deve ser baseada na idade do paciente e no desvio dos fragmentos.

Keywords: Child; Clavicle; Fractures bone.

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Figures

Fig. 1
Fig. 1
Classification scheme of Nenopoulos et al.
Fig. 2
Fig. 2
Conservative treatment of distal fractures of the clavicle.
Fig. 3
Fig. 3
Fracture of the distal third of the clavicle that was treated surgically.
See this image and copyright information in PMC

References

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