CONSERVATIVE TREATMENT VS SURGICAL TREATMENT: CLAVICLE FRACTURE IN PEDIATRICS-PRESENTATION OF A CASE

Chavez Berrones Mayra Silvana; Priscilla Elizabeth Machado Unigarro; Maria Belen Pinduisaca Verdugo; Micaela Alexandra Ron Urbano; Bryan Harold Astudillo Ramirez; Luisa Carolina Maldonado Avila; Aida Rocio Arias Sarabia

Volume : IX, Issue : VI, June - 2020

CONSERVATIVE TREATMENT VS SURGICAL TREATMENT: CLAVICLE FRACTURE IN PEDIATRICS-PRESENTATION OF A CASE

Chavez Berrones Mayra Silvana, Priscilla Elizabeth Machado Unigarro, Maria Belen Pinduisaca Verdugo, Micaela Alexandra Ron Urbano, Bryan Harold Astudillo Ramirez, Luisa Carolina Maldonado Avila, Aida Rocio Arias Sarabia

Abstract :

Clavicle fractures represent 2 to 15% of pediatric fractures. The literature suggests operating patients older than 7 years with major shortening or severe comminution in the fracture line, but no one establishes shortening or angulation parameters for conservative treatment in children. In pediatric patients, it is important to take into account the relative shortening, that is, that caused by a fracture, adjusted to the healthy length.1 The clavicle is one of the bones most prone to injury, due to its subcutaneous and relatively anterior location, especially in pediatric age; its management, orthopedic or surgical, remains controversial.2 The primary goal of treating a clavicle fracture is to restore previous function of the involved shoulder. There is complete agreement in the literature that the indication for management with closed reduction is the presence of an undisplaced and uncomplicated fracture; but there is no general agreement on the indications for management with open reduction and internal fixation.3 Several authors have reported the clinical superiority obtained with surgical treatment for clavicle fractures in adults; but as for the pediatric population, there are few studies comp� surgical treatment against conservative treatment4 The case of a 9-year-old female pediatric patient is presented, who after climbing a tree suffers a tree fall, with a direct blow to the left shoulder, accompanied by acute pain, reason for which she goes to a specialized hospital ; where evaluation and visualization of radiographs are performed, objectifying a left clavicle fracture, the best method of surgery is decided, which is successful with positive results. Objective: To establish an effective treatment of clavicle fracture in pediatric age Method: This is a retrospective study, in order to determine an effective treatment for a clavicle fracture Conclusion: The clinical suspicion of a clavicle fracture in children appears after trauma. The pediatric patient presents pain and functional impotence. The diagnosis is made by means of diagnostic imaging methods X-rays or Computed Axial Tomography. The evaluation of the treatment must be individualized, considering the characteristics of the fracture. Currently there is treatment according to classification and grade, the literature indicates that the treatment of choice for Allman III fracture is surgery.