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Background <p>Clavicle fractures are a&#xa0;common type of injury in the growing skeleton. Nevertheless, there is considerable variability in trauma mechanisms, diagnostic approaches, and, in particular, treatment options in children and adolescents.</p> Objectives <p>To analyze the incidence and diagnostic strategies of clavicle fractures in children and adolescents and to present age-appropriate treatment options.</p> Methods <p>Analysis and discussion of relevant publications, supplemented by case examples from the authors’ own patient cohort, to illustrate indications for primary conservative versus surgical treatment.</p> Results <p>In the majority of cases, satisfactory outcomes in the treatment of clavicle fractures can be achieved with both conservative and surgical management.</p> Conclusion <p>Ranging from birth-related clavicle fractures as incidental findings, clavicle fractures in infants resulting from falls or serving as indicators of nonaccidental injury, simple and complex shaft fractures in children and adolescents, to polytrauma cases and the wide spectrum of diagnostic and therapeutic options for acromioclavicular (AC) and sternoclavicular (SC) joint injuries, this article aims to provide a&#xa0;practical and evidence-based guide for everyday clinical practice.</p>

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Verletzungen der Klavikula und des Schultergürtels bei Kindern und Jugendlichen

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月19日

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  • Martin Münnich,
  • Georg Singer,
  • Ferdinand Füsi,
  • Holger Till

摘要

Background

Clavicle fractures are a common type of injury in the growing skeleton. Nevertheless, there is considerable variability in trauma mechanisms, diagnostic approaches, and, in particular, treatment options in children and adolescents.

Objectives

To analyze the incidence and diagnostic strategies of clavicle fractures in children and adolescents and to present age-appropriate treatment options.

Methods

Analysis and discussion of relevant publications, supplemented by case examples from the authors’ own patient cohort, to illustrate indications for primary conservative versus surgical treatment.

Results

In the majority of cases, satisfactory outcomes in the treatment of clavicle fractures can be achieved with both conservative and surgical management.

Conclusion

Ranging from birth-related clavicle fractures as incidental findings, clavicle fractures in infants resulting from falls or serving as indicators of nonaccidental injury, simple and complex shaft fractures in children and adolescents, to polytrauma cases and the wide spectrum of diagnostic and therapeutic options for acromioclavicular (AC) and sternoclavicular (SC) joint injuries, this article aims to provide a practical and evidence-based guide for everyday clinical practice.