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If increased effort is needed to fill the lungs, supraclavicular and infraclavicular retraction may be seen. In infants, sternal retraction occurs with only a slight increase in respiratory effort, the result of the pliability of their chests. Compare intercostal bulging.
Repositioning bone without surgery is closed reduction.. Most fractures in children are treated with closed reduction. Serious fractures may require open reduction -- repositioning using surgery. In some cases, devices such as pins, plates, screws, rods, or glue are used to hold the fracture in place. Open fractures must also be cleaned thoroughly to avoid infection.