Introduction: Clavicle fracture account for approximately 2.6% of all fractures and for 44 % to 66% fractures about the shoulder. Middle third fractures account for 80% of all clavicle fractures whereas fractures of lateral and medial third of the clavicle account for 15% and 5 % respectively. Most minimally displaced clavicle fractures can be successfully treated non-operatively with some forms of immobilization.

Materials and methods: Plain radiograph of clavicle with shoulder in antero-posterior view was taken to assess the site of fracture and the fracture type (displacement and comminution). The fractures were classified according to Robinson’s classification. Patients were then allotted randomly into two groups. Patients selected for conservative treatment with figure of eight Clavicle Brace and arm sling/pouch were treated with the brace immediately. Patients selected for surgery were operated as early as possible once the general condition of the patients were stable and the patients were fit for surgery as assessed by the physician. All patients were followed up every week for 2 weeks post treatment and thereafter every 6th week, 3rd month and 6th month.

Radiographs are taken at immediate post treatment period, 6 weeks, 3 months and 6 months. Features of healing and functional outcome were looked for with help of Constant and Murleys scoring system at the time of injury, 6 weeks, 3 months and 6 months. Also, evidence of implant breakage, non-union, infection was also looked for.

Result: The patient’s functional outcome was measured using Constant and Murley scoring system and it was found that patient treated surgically had significantly better functional outcome at 6 weeks, 3 months and 6 months respectively when compared to conservative group. The complications we faced in surgical group were 2 cases of infection, 3 cases with implant failure and 1 case of non-union. In conservative group 4 cases of non-union, 3 cases of delayed union and 4 cases of shoulder stiffness. There was also two case of superficial skin infection in surgical group.

Conclusion: It was observed that patients who underwent surgical treatment had better functional outcome in terms of early ROM and so return to work was earlier compared to conservative group. According to present study, surgery can be recommended over conservative treatment in patients with displaced

mid-third fracture clavicle