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1Introduction

Most distal clavicle fractures with intact CC ligaments will heal successfully and uneventfully with nonoperative management. Initial management typically requires temporary immobilization for comfort followed by gradual increase in activity.

The nonoperative management of distal clavicle fractures is similar to that of mid-shaft fractures.

Although the rate of radiographic non-union with displaced distal clavicle fractures is higher than in the mid-shaft, most elderly patients function well without a need for surgical reconstruction.