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Current Issue - November 2023, Volume 17, Issue No. 3

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Do We Ever Need to Fix Clavicle Fractures in Adolescents?


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  5. Song MH, Yun YH, Kang K, Hyun MJ, Choi S. Nonoperative versus operative treatment for displaced midshaft clavicle fractures in adolescents: a comparative study. J Pediatr Orthop B. 2019; 28(1): 45-50. doi: 10.1097/BPB.0000000000000535
  6. Rokito AS, Zuckerman JD, Shaari JM, Eisenberg DP, Cuomo F, Gallagher MA. A comparison of nonoperative and operative treatment of type II distal clavicle fractures. Bull Hosp Jt Dis. 2002-2003 ;61(1-2): 32-9.
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  10. Postacchini R, Gumina S, Farsetti P, Postacchini F. Long-term results of conservative management of midshaft clavicle fracture. Int Orthop. 2010; 34(5): 731-6. doi: 10.1007/s00264-009-0850-x
  11. Vander Have KL, Perdue AM, Caird MS, Farley FA. Operative versus nonoperative treatment of midshaft clavicle fractures in adolescents. J Pediatr Orthop. 2010; 30(4): 307-12. doi: 10.1097/BPO.0b013e3181db3227
  12. Guerra E, Previtali D, Tamborini S, Filardo G, Zaffagnini S, Candrian C. Midshaft Clavicle Fractures: Surgery Provides Better Results as Compared With Nonoperative Treatment: A Meta-analysis. Am J Sports Med. 2019; 47(14): 3541-51. doi: 10.1177/0363546519826961
  13. Huttunen TT, Launonen AP, Berg HE, Lepola V, Felländer-Tsai L, Mattila VM. Trends in the Incidence of Clavicle Fractures and Surgical Repair in Sweden: 2001-2012. J Bone Joint Surg Am. 2016; 98(21): 1837-42. doi: 10.2106/JBJS.15.01284
  14. Hosalkar HS, Parikh G, Bittersohl B. Surgical fixation of displaced clavicle fracture in adolescents: a review of literature. Orthop Rev (Pavia). 2013; 5(3): e29. doi: 10.4081/or.2013.e29
  15. Yang S, Werner BC, Gwathmey FW Jr. Treatment trends in adolescent clavicle fractures. J Pediatr Orthop. 2015; 35(3): 229-33. doi: 10.1097/BPO.0000000000000258
  16. Prinz KS, Rapp M, Kraus R, Wessel LM, Kaiser MM. Dislozierte Klavikulafrakturen im Kindes- und Jugendalter: Wer profitiert von einer Operation? [Dislocated midclavicular fractures in children and adolescents: who benefits from operative treatment?]. Z Orthop Unfall. 2010; 148(1): 60-5. German. doi: 10.1055/s-0029-1186155
  17. McIntosh AL. Surgical Treatment of Adolescent Clavicle Fractures: Results and Complications. J Pediatr Orthop. 2016; 36 Suppl 1: S41-3. doi: 10.1097/BPO.0000000000000757
  18. Pandya NK, Namdari S, Hosalkar HS. Displaced clavicle fractures in adolescents: facts, controversies, and current trends. J Am Acad Orthop Surg. 2012; 20(8): 498-505. doi: 10.5435/JAAOS-20-08-498
  19. Mehlman CT, Yihua G, Bochang C, Zhigang W. Operative treatment of completely displaced clavicle shaft fractures in children. J Pediatr Orthop. 2009; 29(8): 851-5. doi: 10.1097/BPO.0b013e3181c29c9c
  20. Namdari S, Ganley TJ, Baldwin K, Rendon Sampson N, Hosalkar H, Nikci V, et al. Fixation of displaced midshaft clavicle fractures in skeletally immature patients. J Pediatr Orthop. 2011; 31(5): 507-11. doi: 10.1097/BPO.0b013e318220ba48
  21. Scott ML, Baldwin KD, Mistovich RJ. Operative Versus Nonoperative Treatment of Pediatric and Adolescent Clavicular Fractures: A Systematic Review and Critical Analysis. JBJS Rev. 2019; 7(3): e5. doi: 10.2106/JBJS.RVW.18.00043
  22. Thorsmark AH, Muhareb Udby P, Ban I, Frich LH. Bone shortening of clavicular fractures: comparison of measurement methods. BMC Musculoskelet Disord. 2017; 18(1): 537. doi: 10.1186/s12891-017-1881-x
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  24. Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006; 37(8): 691-7. doi: 10.1016/j.injury.2006.04.130
  25. Nicholson JA, Clement N, Goudie EB, Robinson CM. Routine fixation of displaced midshaft clavicle fractures is not cost-effective: a cost analysis from a randomized controlled trial. Bone Joint J. 2019; 101-B(8): 995-1001. doi: 10.1302/0301-620X.101B8.BJJ-2018-1253.R2
  26. Nicholson JA, Gribbin H, Clement ND, Robinson CM. Open reduction and internal fixation of clavicular fractures after a delay of three months is associated with an increased risk of complications and revision surgery. Bone Joint J. 2019; 101-B(11): 1385-91. doi: 10.1302/0301-620X.101B11.BJJ-2019-0451.R1
  27. Silva SR, Fox J, Speers M, Seeley M, Bovid K, Farley FA, et al. Reliability of measurements of clavicle shaft fracture shortening in adolescents. J Pediatr Orthop. 2013; 33(3): e19-22. doi: 10.1097/BPO.0b013e318287f73f
  28. Herzog MM, Whitesell RC, Mac LM, Jackson ML, Culotta BA, Axelrod JR, et al. Functional outcomes following non-operative versus operative treatment of clavicle fractures in adolescents. J Child Orthop. 2017; 11(4): 310-7. doi: 10.1302/1863-2548.11.160267
  29. Hillen RJ, Burger BJ, Pöll RG, de Gast A, Robinson CM. Malunion after midshaft clavicle fractures in adults. Acta Orthop. 2010; 81(3): 273-9. doi: 10.3109/17453674.2010.480939

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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