Clavicle is one of the most commonly fractured bones representing 2.6% to 5% of all fractures, and middle third fractures account for 69% to 82% of fractures of the clavicle.

The junction of the outer and middle third is the thinnest part of the bone and is the only area not protected by or reinforced with muscle and ligamentous attachments.

These anatomic features make it prone to fracture, particularly with a fall on the point of the shoulder, which results in an axial load to the clavicle. Mid- shaft fractures account for 69% to 82% of all clavicular fractures.

The incidence of high-energy clavicular fractures with comminution, displacement, and shortening appears to be increasing.

The current literature suggests that surgical stabilization with either plates should be considered as the preferred treatment option for these more complex acute midshaft clavicular fractures.