The clavicle, commonly referred to as the collarbone, is one of the main bones in the shoulder that connects the arm and acromion (bone on top of shoulder) to the sternum (center bone of the chest). Fractures in the clavicle commonly occur in the middle third of the bone. A fractured clavicle can be treated non-operatively with immobilizing the arm and ice therapy to heal and restore the broken bone. Not all clavicle fractures require surgery and each case will be addressed individually based on the athlete’s goals. However, surgical repair is necessary when the fractured clavicle penetrates the skin (open fracture), forms a lump under the skin and causes noticeable bruising, or shifts and becomes significantly displaced from its original location. In surgery, an incision is made and the fractured clavicle in realigned in its proper location. A metal plate and screws are utilized to secure the fracture and support proper healing of the bone. Physical therapy is recommended after surgery to assist with regaining strength and stability of the affected shoulder. Athletes can expect to return to normal motion after 6 weeks, with return to strengthening and contact athletics beginning at 3 and 4 months, respectively. Studies have shown that a majority of patients will keep the plate and screws in and should only discuss an operation to remove them if they are experience discomfort after the clavicle has healed.