Lateral clavicle fractures in children: Functional and cosmetic outcomes following different treatment approaches

Lateral clavicle fractures are rare injuries in the pediatric population, comprising only 10–20% of all clavicle fractures. There is limited evidence in the literature regarding long-term outcomes and indications for surgical treatment in this group. To retrospectively analyze the clinical and radiological outcomes of pediatric patients with lateral clavicle fractures treated in our clinic. Patients aged 16 years or younger who were treated for lateral clavicle fractures were included. Clinical outcomes were assessed using Quick-DASH (Disabilities of the Arm, Shoulder, and Hand) and Peds-QL (Pediatric Quality of Life) questionnaires, as well as a satisfaction survey focusing on shoulder function and cosmetic appearance. Radiological evaluations were performed using PACS to measure displacement and shortening. Sixteen patients were analyzed, including 12 boys and 4 girls. Their mean age was 9.9 years, and the mean follow-up period was 8.6 weeks. Surgical intervention was applied in 50% of cases, with the rest managed non-operatively. The average Quick-DASH score was 3.5, while the average Peds-QL score reached 99.1. There were no statistically significant differences between the surgical and conservative groups in terms of functional outcomes or overall satisfaction. However, cosmetic satisfaction was significantly higher in the conservatively treated group (p<0.05). No patients experienced motion limitation, and all fractures healed without complications. Lateral clavicle fractures in children can be effectively managed conservatively, with excellent functional and radiological outcomes. Surgical intervention may be reserved for select cases with marked displacement or soft tissue concerns but does not appear to offer additional benefit in terms of quality of life or function.