The Orthobullets Podcast Pediatrics | Medial Clavicle Physeal Fracture
Sep 2, 2025
Explore the fascinating world of medial clavicle physeal fractures in children. Discover why these injuries are rare and how CT scans play a role in diagnosis. The discussion dives deep into the pathophysiology and treatment options available. Key insights are offered on how to distinguish these fractures from other injuries, making this a must-listen for anyone interested in pediatric orthopedic care.
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Pseudodislocation Of SC Joint
- Medial clavicle physeal fractures are pediatric injuries that mimic sternoclavicular dislocations and are called pseudodislocations.
- CT is the study of choice to differentiate them and guide management.
Medial Physis Drives Clavicle Growth
- The medial clavicular physis contributes ~80% of clavicular growth and ossifies very late, around 18–20 years.
- This late closure explains why adolescent SC dislocations are often actually physeal fractures.
Use CT And Serendipity Views
- Obtain radiographs but recognize AP films often miss the injury and displacement.
- Use a serendipity view and axial CT as the study of choice to assess displacement and mediastinal injury.