In the majority of cases, the selected treatment is conservative with a backpack bandage. This is controlled daily during the first week after application, and strapped tighter if required. However, here it is to be avoided to compress nerves or vessels.
The backpack bandage usually remains for 3-4 weeks, shorter in children. It is important to mobilize the shoulder early, meaning: the shoulder is mobilized as far as the pain is supportable.
A surgical treatment of the clavicular fracture is always indicated in dislocated fractures under the danger of perforation. Then, in most cases, a plate osteosynthesis is combined with a lag screw osteosynthesis.
