TRAUMAOperative Treatment of Clavicle Fractures in Children: A Review of 21 YearsKubiak, Rainer M.D.; Slongo, Theddy M.D.Author Information Study conducted at Children's University Hospital of Berne–Inselspital, Bern, Switzerland From the Department of Pediatric Surgery, Children's Hospital Berne–Inselspital, Bern, Switzerland. Address correspondence and reprint requests to Rainer Kubiak, M.D., Fellow in Pediatric Surgery, Department of Pediatric Surgery, Children's Hospital Berne–Inselspital, CH-3010 Bern, Switzerland (e-mail: email@example.com). None of the authors received financial support for this study. Parts of the study were presented at the 20th Annual International Congress of the European Pediatric Orthopaedic Society (EPOS), Montpellier, France, April 5–7, 2001. Journal of Pediatric Orthopaedics: November-December 2002 - Volume 22 - Issue 6 - p 736-739 Buy Abstract Between 1980 and 2000, 15 children (14 boys and 1 girl) underwent surgical treatment of a fractured clavicle at the authors' hospital. Eight patients were treated for midshaft fracture, two had medial fractures, and five had fractures to the lateral end, one of which occurred in combination with true disruption of the acromioclavicular joint. The indications for operative treatment of clavicle fractures are rare, in some cases debatable, and surgery is usually necessary only in older children. If surgically treated, the results are satisfactory without major complications. In the authors' experience intramedullary stabilization with elastic nails is the method of choice in most cases. © 2002 Lippincott Williams & Wilkins, Inc.