Fractures of the clavicle usually present in young males constituting approximately 2–4% of all fractures in adults. Clavicle fractures occur following a fall on an outstretched arm and most frequently in young patients. Usually present as isolated injuries. In displaced fractures the sternocleidomastoid muscle pulls the medial fragment posterosuperiorly whereas pectoralis and weight of arm pull the lateral fragment inferomedially. The Neer’s and AO are the most commonly used fracture classifications.
For many years, clavicle fractures have been managed nonoperatively, irrespective of the type of fracture. However, lately, new evidence has emerged indicating high incidence of nonunion with nonoperative treatment and a reduced functional capacity in up to 40% of patients. Consequently, more interest has been shown in operative interventions techniques.