Clavicle fractures are common, accounting for 2.6% to 5.0% of adult fractures. Historically, clavicle fractures were thought to heal with predictability while being managed almost exclusively nonsurgically. This treatment was based largely on two retrospective studies performed in the 1960s by Neer and Rowe that suggested that surgical treatment actually resulted in an increased number of nonunions and complications compared with nonsurgical treatment. Today, with improved surgical techniques, growing evidence indicates that early surgical treatment may be beneficial in appropriately selected patients. In fact, in a recent prospective multicenter randomized clinical trial by the Canadian Orthopaedic Trauma Society, a comparison of nonsurgical treatment and plate fixation of midshaft clavicle fractures revealed that plate fixation resulted in significantly better radiographic outcomes; Constant scores; Disability of the Arm, Shoulder, and Hand (DASH) scores; functional outcomes; and cosmetic scores.