Evaluation and treatment of distal clavicle fractures

Of all clavicle fractures, those involving the lateral aspect are the most controversial. These fractures, adjacent to the strong coracoclavicular ligaments, often create an imbalance of stability and motion between the proximal and distal fragment. There are many surgical options, but the complication rates of these procedures can be high. Although nonsurgical management results in relatively high nonunion rates, the subjective and functional outcome is usually quite good. The evaluation and controversies involving management of distal clavicle fractures are reviewed in this article.