• Herman Frima, Mark van Heijl, Christian Michelitsch, Olivier van der Meijden, Frank J P Beeres, Roderick M Houwert, and Christoph Sommer.
• Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland. herman.frima@ksgr.ch.
• Eur J Trauma Emerg Surg. 2020 Jun 1; 46 (3): 519-529.

BackgroundFor decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. The aim of this review is to present the current concepts and available evidence regarding clavicle fracture treatment.MethodsConservative and operative treatment options together with their indications for medial, shaft and lateral clavicle fractures are discussed. For all three anatomical locations, a treatment algorithm is proposed.ConclusionIn general, non-displaced fractures are treated conservatively. Operative treatment has to be discussed with patients with displaced clavicle fractures, especially in the young and active patient.

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