Introduction- it is common in infants and young children and one of the common birth fractures. Most common site is middle 1 /3rd.

Etiology- Fall on out-stretched hand or point of shoulder. It may also occur during extraction in breech delivery.

Clinical Features-

•           Pain

•           Deformity- medial end is displaced upwards due to pull of sternocleidomastoid Lateral end is displaced downwards due to pull of pectoralis major and weight of upper limb.

Investigations- X-ray clavicle with shoulder joint (AP-View).

Treatment- Most of undisplaced fractures unite readily with conservative treatment with figure of eight bandage or clavicular brace along with arm sling pouch. Patients with associated neurovascular injury or in unstable fractures where facilities are not available for ideal internal fixation should be referred to higher centres.