Recent literature have tilted the management in favour of operative treatment highlighting the risks of non-operative treatment of displaced mid-shaft fractures developing symptomatic mal-union and the increased risk of non-union. Complication associated with mal-union of the clavicle can include musculo-skeletal pain related to muscle weakness and shoulder impingement, mal-alignment or winging of scapula (which displaces with the distal fragment), cosmetic concerns such as drooping shoulder and a bump deformity and less commonly neurological symptoms from brachial plexus irritation.
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