Clavicle fractures are a common injury in the pediatric and adolescent population. Most fractures are located in the middle third of the clavicle. There has been no information in the literature regarding the management of extra-physeal medial clavicle shaft fractures in this population. The objective of this study is to evaluate demographic and injury characteristics, management options and clinical outcomes of medial clavicle fractures in children and adolescents and differentiate them from those in adults. A retrospective review was performed at a single institution to identify patients with medial clavicle shaft fractures. Radiographs, clinical features and patient-reported outcomes (QuickDASH) were analyzed. Eight patients were identified with medial clavicle fractures. Two fractures could not be diagnosed on anteroposterior radiographs. Both operative (four patients) and nonoperative (four patients) treatment had excellent radiographic and clinical outcomes, irrespective of initial displacement. Compared to high-energy and life-threatening injuries in adults, these fractures in children and adolescents were sports-related and isolated fractures. Conservative treatment should be considered for medial clavicle fractures in children and adolescents. These fractures are distinct from their adult counterparts and do not lead to increased morbidity or mortality.

锁骨骨折是儿童和青少年中的常见损伤。大多数骨折位于锁骨的中三分之一处。文献中没有关于该人群锁骨干骺外内侧骨折治疗的信息。本研究的目的是评估儿童和青少年锁骨内侧骨折的人口统计和损伤特征、治疗方案和临床结果，并将其与成人区别开来。在一家机构进行了一项回顾性审查，以确定锁骨干骨折患者。分析了射线照片、临床特征和患者报告的结果 (QuickDASH)。八名患者被确诊为锁骨内侧骨折。前后位X光片无法诊断两处骨折。无论初始移位如何，手术（四名患者）和非手术（四名患者）治疗均具有良好的放射学和临床结果。与成人的高能量和危及生命的伤害相比，儿童和青少年的这些骨折是与运动相关的孤立性骨折。儿童和青少年锁骨内侧骨折应考虑保守治疗。这些骨折与成人骨折不同，不会导致发病率或死亡率增加。