Who should be treated surgically for a displaced clavicle fracture?

Treatment of displaced midshaft clavicle fractures remains controversial despite several randomized trials and a recent meta-analysis (McKee et al. 2012, Lenza et al. 2013, Rehn et al. 2014, Wang et al. 2015). In the current issue of Acta Orthopaedica, Ban et al. present results of a survey among Scandinavian orthopedic surgeons on attitudes to treatment of displaced clavicle fractures. The results indicate a high readi- ness toward surgery despite its unclear benefi t, highlighting the diffi culty to interpret current evidence and implement it in clinical practice.