It was with great interest that I read the article entitled "Operative Treatment of Completely Displaced Clavicle Shaft Fractures in Children,"1 which concluded that treating the displaced midshaft clavicle fractures in children is a safe and effective procedure. I do have some comments, questions, and concerns regarding this article though!Midshaft clavicular fractures in adults were traditionally treated by nonoperative means. Through the last 10 years, there has been increasing interest in this fracture type and the outcome of nonoperative treatment versus operative treatment.
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