Chronic Clavicular Malunion Treated with Corrective Osteotomy

The standard of care for the majority of mid-shaft clavicle fractures is nonoperative management, especially in the pediatric and adolescent population. Although a degree of malunion can be expected in nearly every displaced midshaft clavicle fracture treated non-operatively, most are asymptomatic. Recent emphasis on patient-reported outcome measures reveal symptomatic clavicular malunions are more prevalent than previously believed. We report a case of a chronic clavicular malunion following multiple clavicular fractures sustained during childhood, treated with a corrective osteotomy nineteen years following injury.