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Abstract Summary Clavicle fractures are common and the mid-shaft clavicular fracture is the commonest type. It accounts for approximately 1 in 20 (5%) of all fractures and 44% of all injuries to the shoulder girdle (1). Classification system was proposed by Robinson in 1998(4) who divided clavicular fractures into medial one fifth (Type I), middle three fifths (Type II), and lateral one fifth (Type III) fractures. The diagnosis of a clavicle fracture is relatively straightforward and it can be made readily from the patient’s history, physical examination and standard X-rays. This study was meant to compare the outcomes of nonoperative treatment and operative treatment with plate fixation of displaced midshaft clavicular fractures in adults to clarify the merits and possible disadvantages of each method. Fourty adult patients were randomly grouped into two matched groups regarding age, sex and type of fracture in a prospective and retrospective clinical study. group A (20 patients) treated non-operatively and group B (20 patients) treated operatively. In the present study; non-operative treatment showed superior results in comparison with operative treatment with no complications such as infection and hardware failure that require reoperation. 90% of |