title: Distal clavicle fractures in children.
abstract: OBJECTIVE
  To analyze fractures of the distal clavicle region in pediatric patients.
  
  
  METHODS
  Ten patients between the ages of five to eleven years (mean of 7.3 years) were observed. Nine patients were treated conservatively and one surgically. All the fractures were classified using the Nenopoulos classification system.
  
  
  RESULTS
  All the fractures consolidated without complications. Conservative treatment was used for nine patients, of whom three were in group IIIB, three IIb, two IIa and one IV. The only patient who was treated surgically was a female patient of eleven years of age with a group IV fracture.
  
  
  CONCLUSIONS
  The treatment indication for distal fractures of the clavicle in children should be based on the patient's age and the displacement of the fragments.
authors.affiliation: Universidade Federal Fluminense, Niterói, RJ, Brazil.
authors.forename: Pedro José
authors.initials: PJ
authors.lastname: Labronici
authors.affiliation: Serviço de Ortopedia e Traumatologia Prof. Dr. Donato D'Ângelo, Hospital Santa Teresa, Petrópolis, RJ, Brazil.
authors.forename: Ricardo Rodrigues
authors.initials: RR
authors.lastname: da Silva
authors.affiliation: Serviço de Ortopedia e Traumatologia Prof. Dr. Donato D'Ângelo, Hospital Santa Teresa, Petrópolis, RJ, Brazil.
authors.forename: Marcos Vinícius Viana
authors.initials: MV
authors.lastname: Franco
authors.affiliation: Serviço de Ortopedia e Traumatologia Prof. Dr. Donato D'Ângelo, Hospital Santa Teresa, Petrópolis, RJ, Brazil.
authors.forename: Gustavo José
authors.initials: GJ
authors.lastname: Labronici
authors.affiliation: Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Robinson Esteves Santos
authors.initials: RE
authors.lastname: Pires
authors.affiliation: Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
authors.forename: José Sergio
authors.initials: JS
authors.lastname: Franco
keywords: Child; Clavicle; Fractures bone