A dynamic bone fixation element (26; 326; 626; 826; 926) configured to couple a load carrier to bone, the dynamic bone fixation element (26; 326; 626; 826; 926) comprising: a sleeve (50; 350; 550; 850; 950) that is elongate along a first direction (X 1), the sleeve (50; 350; 550; 850; 950) defining a proximal end (58; 358; 558), a distal end (62; 362; 562) spaced from the proximal end (58; 358; 558) along the first direction (X 1), and a channel (66; 366; 565; 866; 966) that extends through the proximal end (58; 358; 558) and toward the distal end (62; 362; 562) along the first direction (X 1), the channel (66; 366; 565; 866; 966) having a first cross-sectional dimension (D 1) measured along a direction that is perpendicular to the first direction (X 1), the sleeve (50; 350; 550; 850; 950) further defining an outer surface that is configured to engage bone; and a fixation member (54; 354; 654; 854; 954) having a head (80; 380; 680; 880) and a shaft (84; 384; 684; 884) that extends from the head (80; 380; 680; 880) along a second direction (X 2), wherein at least a portion of the shaft (84; 384; 684; 884) that is configured to be within the channel (66; 366; 565; 866; 966) has a second cross-sectional dimension (D 3) along a direction perpendicular to the second direction (X 2), the second cross-sectional dimension (D 3) being less than the first cross-sectional dimension (D 1) such that the fixation member (54; 354; 654; 854; 954) is moveable with respect to the sleeve (50; 350; 550; 850; 950) along a direction that has a directional component transverse to the first direction (X 1), characterized in that the fixation member (54; 354; 654; 854; 954) comprises an abutment member (88; 388; 688; 888) that extends from the shaft (84; 384; 684; 884) such that at least a portion of the abutment member (88; 388; 688; 888) faces the head (80; 380; 680; 880), wherein the shaft (84; 384; 684; 884) is configured to extend into the channel (66; 366; 565; 866; 966) such that at least a portion of the sleeve (50; 350; 550; 850; 950) is captured between the abutment member and the head (80; 380; 680; 880) to thereby couple the fixation member (54; 354; 654; 854; 954) to the sleeve (50; 350; 550; 850; 950). a sleeve (50; 350; 550; 850; 950) that is elongate along a first direction (X 1), the sleeve (50; 350; 550; 850; 950) defining a proximal end (58; 358; 558), a distal end (62; 362; 562) spaced from the proximal end (58; 358; 558) along the first direction (X 1), and a channel (66; 366; 565; 866; 966) that extends through the proximal end (58; 358; 558) and toward the distal end (62; 362; 562) along the first direction (X 1), the channel (66; 366; 565; 866; 966) having a first cross-sectional dimension (D 1) measured along a direction that is perpendicular to the first direction (X 1), the sleeve (50; 350; 550; 850; 950) further defining an outer surface that is configured to engage bone; and a fixation member (54; 354; 654; 854; 954) having a head (80; 380; 680; 880) and a shaft (84; 384; 684; 884) that extends from the head (80; 380; 680; 880) along a second direction (X 2), wherein at least a portion of the shaft (84; 384; 684; 884) that is configured to be within the channel (66; 366; 565; 866; 966) has a second cross-sectional dimension (D 3) along a direction perpendicular to the second direction (X 2), the second cross-sectional dimension (D 3) being less than the first cross-sectional dimension (D 1) such that the fixation member (54; 354; 654; 854; 954) is moveable with respect to the sleeve (50; 350; 550; 850; 950) along a direction that has a directional component transverse to the first direction (X 1), characterized in that the fixation member (54; 354; 654; 854; 954) comprises an abutment member (88; 388; 688; 888) that extends from the shaft (84; 384; 684; 884) such that at least a portion of the abutment member (88; 388; 688; 888) faces the head (80; 380; 680; 880), wherein the shaft (84; 384; 684; 884) is configured to extend into the channel (66; 366; 565; 866; 966) such that at least a portion of the sleeve (50; 350; 550; 850; 950) is captured between the abutment member and the head (80; 380; 680; 880) to thereby couple the fixation member (54; 354; 654; 854; 954) to the sleeve (50; 350; 550; 850; 950).