As many as 90% of these fractures occur within the middle third of the clavicle and have historically been treated non- operatively1. Mercer Rang’s classic text on pediatric fractures states that ‘‘if the two ends of the clavicle are in the same room, they will heal and remodel adequately.’’19 Early clinical results have supported the nonoperative approach, showing reliable healing with minimal residual symptoms. Others have even gone so far as to state that children with an isolated clavicle fracture can be discharged from the clinic after their first visit20,21.