ArticleJournal of children's orthopaedics2018
Clavicle fracture nonunion in the paediatric population: a systematic review of the literature.
Article in Journal of children's orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 27 citations in OpenAlex.
- Continuing Trend of Increased Operative Treatment of Clavicle Fractures in Pediatric Patients in the United States Despite a Lack of Supporting Evidence in the Literature.Children (Basel, Switzerland) · 2026Article
- Serendipitous Healing of a Congenital Pseudoarthrosis of the Clavicle Following Acute Injury: A Case Report.Journal of orthopaedic case reports · 2026Article
- Clavicle Fracture Non-Union in a 3-Year-Old Child: A Case Report and Literature Review.Journal of orthopaedic case reports · 2026Article
- Rapid Return to Sport Following Focused Electrohydraulic Shockwave Therapy for a Medial Clavicle Fracture in a 14-Year-Old Female Soccer Player: A Case Report.Case reports in orthopedics · 2026Article
- Radiological outcomes of two non-surgical management methods for mid-shaft clavicle fractures in school-age children: No difference between figure-of-eight bandage and arm sling.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Adolescent displaced lateral-end clavicle fractures are not comparable to the adult variant. Epidemiology, fracture patterns and outcome of non-operative management.Shoulder & elbow · 2023Article
- [Clavicle shaft fractures in childhood and adolescence : Consensus report of the Pediatric Traumatology Section of the German Society for Trauma Surgery].Unfallchirurgie (Heidelberg, Germany) · 2023Article
- Trends in the Treatment of Adolescent Clavicle Fractures: Are We Listening to the Evidence?Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Predictors requiring special attention to prevent clavicle fracture nonunion: a systematic review of literature.Trauma surgery & acute care open · 2023Article
- Increase in surgical fixation of pediatric midshaft clavicle fractures since 2008.BMC musculoskeletal disorders · 2022Article
- Pediatric Clavicle Fractures and Congenital Pseudarthrosis Unraveled.Children (Basel, Switzerland) · 2022Review
- Management of Displaced Midshaft Clavicle Fractures in Pediatrics and Adolescents: Operative vs Nonoperative Treatment.Orthopedic research and reviews · 2022Review
- Are there any differences between the shoulder-arm sling and figure-of-eight bandage in the conservative treatment of paediatric clavicle fractures?Journal of children's orthopaedics · 2021Article
- [Necessity for radiological examinations in children : Children in two levels].Der Unfallchirurg · 2020Article
- Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis.Case reports in orthopedics · 2020Article
- [Clavicular fractures : Diagnostics, management and treatment].Der Unfallchirurg · 2018Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsClavicle fracture nonunions are extremely rare in children. The aim of this systematic review was to assess what factors may predispose children to form clavicle fracture nonunions and evaluate the treatment methods and outcomes.
methodsWe performed a systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, aiming to find papers reporting clavicle fracture nonunion in children under the age of 18 years. Data was collected on patient demographics, fracture type, mechanism of injury (MOI), surgical intervention and reported outcome. Two independent reviewers evaluated all the data.
resultsA total of 13 articles reporting 21 cases of clavicle fracture nonunion were identified. The mean age at time of injury was 11.4 years (4 to 17). Falls were the most common MOI. The majority of nonunions occurred after displaced fractures on the right side. Six were refractures. Mean time of presentation following injury was 13.5 months (4 to 60). In all, 16 were treated surgically. Radiographic union was eventually achieved in 12 cases, with functional outcome satisfactory in all cases.
conclusionClavicle nonunion is an extremely rare but possible complication in children. The majority occur after displaced right-sided fractures or refractures and present around one year after injury. Surgical fixation provides good radiographic healing and functional outcomes. LEVEL OF EVIDENCE: IV.
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