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  • Title: Surgical Treatment of Adolescent Clavicle Fractures: Results and Complications.
    Author: McIntosh AL.
    Journal: J Pediatr Orthop; 2016 Jun; 36 Suppl 1():S41-3. PubMed ID: 27100042.
    Abstract:
    No level 1 evidence is available to guide the surgical treatment of adolescent clavicle fractures. Adult literature is not applicable as adolescent mid-diaphyseal clavicle fractures do not develop nonunions, and only a small percentage (10% to 20%) are symptomatic from malunions. Current indications for operative fixation are: (1) completely displaced midshaft fracture with shortening of >2 cm; (2) superior displacement with skin tenting and/or an impending open fracture; (3) associated neurovascular injury; (4) open clavicular fracture; and (5) floating shoulder with a completely displaced clavicular fracture. Future large prospective randomized studies will need to be performed to accurately define which adolescent patients will "truly" benefit from surgical intervention.
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