Clinical recommendationEvidence ratingReferences
Nonoperative treatment is preferred for nearly all acute, nondisplaced midshaft clavicle fractures.B12
Treatment with an arm sling is preferred over a figure-of-eight dressing for acute midshaft clavicle fractures because it is better tolerated and leads to similar outcomes.B10, 11
Displaced midshaft clavicle fractures may be managed nonoperatively, but plate fixation should be considered.B12, 13, 15
Nonoperative treatment is preferred for distal clavicle fractures because outcomes are the same whether or not bony union is achieved.B25, 26