Abstract
Fractures of the clavicle are seen extremely commonly in the children’s fracture clinic. The vast majority are of the diaphysis and are caused by a fall on the outstretched hand. These low-energy fractures occur in children who have an excellent potential for remodeling. After 7–10 days a mass forms over the affected clavicle: this represents a healing fracture callus and disappears within another 2–3 weeks when the fracture has stabilized.
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References
Andersen K, Jensen PO, Lauritzen J. Treatment of clavicular fractures. Figure-of-eight bandage versus a simple sling. Acta Orthop Scand 1987; 58:71–74.
Kubiak R, Slongo T. Operative treatment of clavicle fractures in children: a review of 21 years. J Pediatr Orthop 2002; 22:736–739.
Al-Qattan MM, Clarke HM, Curtis CG. The prognostic value of concurrent clavicular fractures in newborns with obstetric brachial plexus palsy. J Hand Surg [Br] 1994; 19:729–730.
Ogden JA. Distal clavicular physeal injury. Clin Orthop Relat Res 1984; 188:68–73.
Waters PM, Bae DS, Kadiyala RK. Short-term outcomes after surgical treatment of traumatic posterior sternoclavicular fracture-dislocations in children and adolescents. J Pediatr Orthop 2003; 23:464–469.
Landin LA. Fracture patterns in children. Analysis of 8682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population, 1950–1979. Acta Orthop Scand Suppl 1983; 3:54
Slongo T, Audige L, Clavert JM, Lutz N, Frick S, Hunter J. The AO comprehensive classification of pediatric long-bone fractures: a web-based multicenter agreement study. J Pediatr Orthop 2007; 27:171–180.
Broker F, Burbach T. Ultrasonic diagnosis of separation of the proximal humeral epiphysis in the newborn. J Bone Joint Surg (Am) 1990; 72:187–191.
Rang M. Children’s fractures. 2nd ed. Philadelphia: Lippincott; Philadelphia, Toront; 1983.
Chee Y, Agorastides I, Garg N, et al. Treatment of severely displaced proximal humeral fractures in children with elastic stable intramedullary nailing. J Pediatr Orthop B 2006; 15: 45–50.
Lucas JC, Mehlman CT, Laor T. The location of the biceps tendon in completely displaced proximal humerus fractures in children: a report of four cases with magnetic resonance imaging and cadaveric correlation. J Pediatr Orthop 2004; 24:249–253.
Dietz H-G, Schmittenbecher PP, Slongo T, Wilkins K. AO Manual of Fracture Management—Elastic Stable Intramedullary Nailing (ESIN) in Children. Stuttgart. New York: Thieme; 2006.
Lascombe P. L’embrochage centromédullaire élastique stable Elsevier-Masson 2006; 107–123
Worlock P, Stower M, Barbor P. Patterns of fractures in accidental and non-accidental injury in children: a comparative study. Br Med J (Clin Res Ed) 1986; 293(6539):100–102.
Shaw BA, Murphy KM, Shaw A, Oppenheim WL, Myracle MR. Humerus shaft fractures in young children: accident or abuse? J Pediatr Orthop 1997; 17:293–297.
Loder RT, Feinberg JR. Orthopaedic injuries in children with non-accidental trauma: demographics and incidence from the 2000 kids’ inpatient database. J Pediatr Orthop 2007; 27:421–426.
Kasser JR, Beaty JH. Supracondylar fractures of the humerus. In: Beaty JH and Kasser JR eds., Rockwood and Wilkins’ Fractures in Children. 5th ed. Lippincott: Williams & Wilkins Philadelphia; 2002
Gartland JJ. Management of supracondylar fractures of the humerus in children. Surg Gyn Obstet 1959; 109:145–154.
Mubarak SJ, Davids J. Closed reduction and percutaneous pinning of the supracondylar fracture in the child. In: Morrey BF, ed. Master Techniques in Orthopaedic Surgery. The Elbow. New York: Raven Press; 1994: 37.
Wilkins KE. Supracondylar fractures: what’s new? J Pediatr Orthop B 1997; 6:110–116.
von Laer L, Gunter SM, Knopf S, Weinberg AM. Supracondylar humerus fracture in childhood—an efficacy study. Results of a multicenter study by the Pediatric Traumatology Section of the German Society of Trauma Surgery—II: Costs and effectiveness of the treatment. Unfallchirurg 2002; 105:217–223
Skaggs DL, Sankar WN, Albrektson J, Vaishnav S, Choi PD, Kay RM. How safe is the operative treatment of Gartland type 2 supracondylar humerus fractures in children? J Pediatr Orthop 2008; 28:139–141.
Clavert JM, Lecerf C, Mathieu JC, Buck P. Retention in flexion of supracondylar fracture of the humerus in children. Comments apropos of the treatment of 120 displaced fractures. Rev Chir Orthop Reparatrice Appar Mot 1984; 70:109–116
Chen RS, Liu CB, Lin XS, Feng XM, Zhu JM, Ye FQ. Supracondylar extension fracture of the humerus in children. Manipulative reduction, immobilisation and fixation using a U-shaped plaster slab with the elbow in full extension. J Bone Joint Surg Br 2001; 83:883–887.
Gadgil A, Hayhurst C, Maffulli N, Dwyer JS. Elevated, straight-arm traction for supracondylar fractures of the humerus in children. J Bone Joint Surg Br 2005; 87:82–87.
Badhe NP, Howard PW. Olecranon screw traction for displaced supracondylar fractures of the humerus in children. Injury 1998; 29:457–460.
Skaggs DL, Hale JM, Bassett J, Kaminsky C, Kay RM, Tolo VT. Operative treatment of supracondylar fractures of the humerus in children. The consequences of pin placement. J Bone Joint Surg Am 2001; 83:735–740.
Skaggs DL, Cluck MW, Mostofi A, Flynn JM, Kay RM. Lateral-entry pin fixation in the management of supracondylar fractures in children. J Bone Joint Surg Am 2004; 86:702–707.
Reynolds RA, Jackson H. Concept of treatment in supracondylar humeral fractures. Injury 2005; 36(Suppl 1):A51–56.
Zenios M, Ramachandran M, Milne B, Little D, Smith N. Intraoperative stability testing of lateral-entry pin fixation of pediatric supracondylar humeral fractures. J Pediatr Orthop 2007; 27:695–702.
Zionts LE, McKellop HA, Hathaway R. Torsional strength of pin configurations used to fix supracondylar fractures of the humerus in children. J Bone Joint Surg Am 1994; 76:253–256.
Eberhardt O, Fernandez F, Ilchmann T, Parsch K. Cross pinning of supracondylar fractures from a lateral approach. Stabilization achieved with safety. J Child Orthop 2007; 1:127–133
Prevot J, Lascombes P, Metaizeau JP, Blanquart D. Supracondylar fractures of the humerus in children: treatment by downward nailing. Rev Chir Orthop Reparatrice Appar Mot 1990; 76:191–197.
Slongo T, Jakob RP. The small AO external fixator in paediatric orthopaedics and trauma. Injury 1994; 25(Suppl 4):S-D77–84.
Mubarak SJ, Carroll NC. Volkmann’s contracture in children: aetiology and prevention. J Bone Joint Surg Br 1979; 61:285–293.
Garbuz DS, Leitch K, Wright JG. The treatment of supracondylar fractures in children with an absent radial pulse. J Pediatr Orthop 1996; 16:594–596.
Lewis J, Monk J, Chandratreya A, Hunter J. Changing the management from olecranon screw traction to percutaneous wiring for displaced supracondylar fractures of the humerus in children. A justified decision? Eur J Trauma Emerg Surg 2007; 33:256–261.
Luria S, Sucar A, Eylon S, et al. Vascular complications of supracondylar humeral fractures in children. J Pediatr Orthop B 2007; 16:133–143.
Lewis HG, Morrison CM, Kennedy PT, Herbert KJ. Arterial reconstruction using the basilic vein from the zone of injury in pediatric supracondylar humeral fractures: a clinical and radiological series. Plast Reconstr Surg 2003; 111:1159–1163; discussion 1164–1156.
Holden C. The pathology and prevention of Volkmann’s ischaemic contracture. J Bone Joint Surg Br 1979; 61:296—300.
Mahan ST, May CD, Kocher MS. Operative management of displaced flexion supracondylar humerus fractures in children. J Pediatr Orthop 2007; 27:551–556.
Blane CE, Kling TF, Jr., Andrews JC, DiPietro MA, Hensinger RN. Arthrography in the posttraumatic elbow in children Am J Roentgenol 1984; 143:17–21.
Marzo JM, d’Amato C, Strong M, Gillespie R. Usefulness and accuracy of arthrography in management of lateral humeral condyle fractures in children. J Pediatr Orthop 1990; 10:317–321.
Mintzer CM, Waters PM, Brown DJ, Kasser JR. Percutaneous pinning in the treatment of displaced lateral condyle fractures. J Pediatr Orthop 1994; 14:462–465.
Thomas DP, Howard AW, Cole WG, Hedden DM. Three weeks of Kirschner wire fixation for displaced lateral condylar fractures of the humerus in children. J Pediatr Orthop 2001; 21:565–569.
Mohan N, Hunter JB, Colton CL. The posterolateral approach to the distal humerus for open reduction and internal fixation of fractures of the lateral condyle in children. J Bone Joint Surg Br 2000; 82:643–645.
Hasler CC, von Laer L. Prevention of growth disturbances after fractures of the lateral humeral condyle in children. J Pediatr Orthop B 2001; 10:123–130.
Wattenbarger JM, Gerardi J, Johnston CE. Late open reduction internal fixation of lateral condyle fractures. J Pediatr Orthop 2002; 22:394–398.
Tien YC, Chen JC, Fu YC, Chih TT, Hunag PJ, Wang GJ. Supracondylar dome osteotomy for cubitus valgus deformity associated with a lateral condylar nonunion in children. J Bone Joint Surg Amul 2005; 87:1456–1463.
Kim HS, Jahng JS, Han DY, Park HW, Kang HJ, Chun CH. Modified step-cut osteotomy of the humerus. J Pediatr Orthop B 1998; 7:162–166.
Ruiz AL, Kealey WD, Cowie HG. Percutaneous pin fixation of intercondylar fractures in young children. J Pediatr Orthop B 2001; 10:211–213.
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Hunter, J. (2010). Fractures Around the Shoulder and the Humerus. In: Benson, M., Fixsen, J., Macnicol, M., Parsch, K. (eds) Children's Orthopaedics and Fractures. Springer, London. https://doi.org/10.1007/978-1-84882-611-3_43
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DOI: https://doi.org/10.1007/978-1-84882-611-3_43
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