In our study, we observed a similar remodeling trend and, after an average duration of follow-up of two years, twelve patients still had shortening of >1 cm. Comparison of initial and final shortening revealed that half of the patients had apparently gained length (as much as 13.9 mm) and half had apparently lost length (as much as 23.3 mm). On average, however, very little change was noted, and it is unclear whether the wide variability was related to differences in image projection or measurement variability since initial shortening was measured against the injured clavicle itself while final shortening was compared with the uninjured clavicle. An axial or sagittal plane deformity, perhaps better appreciated with computed tomography, might also explain these differences.