TY - JOUR
T1 - Retrosternal displacement after physeal fracture of the medial clavicle in children
AU - Goldfarb, C. A.
AU - Bassett, G. S.
AU - Sullivan, S.
AU - Gordon, J. E.
PY - 2001
Y1 - 2001
N2 - Retrosternal displacement of the medial aspect of the clavicle after physeal fracture is rare. We treated six patients with this injury between 1995 and 1998, all as an emergency in order to avoid complications associated with compression of adjacent mediastinal structures. Attempted closed reduction was undertaken, but all required open reduction and internal fixation using a wire suture. There were no associated complications. Five were reviewed clinically and radiologically at a minimum of one year after operation. All had regained full use of the affected arm without pain and had resumed their preinjury level of activity including sports. Follow-up radiographs showed union in the anatomical position in all patients. We recommend attempted closed reduction in the operating room, followed, if necessary, by open reduction. Internal fixation after open reduction gives stable fixation with minimal morbidity.
AB - Retrosternal displacement of the medial aspect of the clavicle after physeal fracture is rare. We treated six patients with this injury between 1995 and 1998, all as an emergency in order to avoid complications associated with compression of adjacent mediastinal structures. Attempted closed reduction was undertaken, but all required open reduction and internal fixation using a wire suture. There were no associated complications. Five were reviewed clinically and radiologically at a minimum of one year after operation. All had regained full use of the affected arm without pain and had resumed their preinjury level of activity including sports. Follow-up radiographs showed union in the anatomical position in all patients. We recommend attempted closed reduction in the operating room, followed, if necessary, by open reduction. Internal fixation after open reduction gives stable fixation with minimal morbidity.
UR - http://www.scopus.com/inward/record.url?scp=0035211940&partnerID=8YFLogxK
U2 - 10.1302/0301-620X.83B8.11828
DO - 10.1302/0301-620X.83B8.11828
M3 - Article
C2 - 11764433
AN - SCOPUS:0035211940
SN - 0301-620X
VL - 83
SP - 1168
EP - 1172
JO - Journal of Bone and Joint Surgery - Series B
JF - Journal of Bone and Joint Surgery - Series B
IS - 8
ER -