Non-Operative Versus Operative Treatment for High-Energy Midshaft Clavicle Fractures

Clavicle (collar bone) fractures account for about 33% of all fractures around the shoulder.
Some surgeons suggest that surgical treatment is the best option, while others suggest that
nonoperative care is the best treatment. There is no evidence to date that either option in
superior. For this reason, we propose to conduct a prospective, randomized clinical trial of
surgical versus non-surgical treatment of displaced high-energy clavicle fractures. This
study will use both objective clinical and patient-based outcome measures. The purpose of
this study is to see if there is a difference between clinical outcomes (healing rate, time
to healing, time to return to work, Constant Score, complications), functional outcomes (DASH
Score), and health related quality of life (SF-36) in nonoperative care and two types of
surgical care for displaced fractures of the clavicular shaft in adults.

Included patients will be randomized into one of three groups: nonoperative care (Group N);
surgical care using plates and screws (Group P); and surgical care using intramedullary pin
put inside of the clavicle to stabilize it (Group I).