5 randomized clinical trials and 3 controlled clinical trials (663 patients) were examined in this meta-analysis to determine if operative treatment provides better results than nonoperative treatment of clavicle fractures. The results from this meta-analysis suggest that operative care was associated with a reduced risk of non-union, malunion, and fewer neurological complications compared to nonoperative care. Statistical analysis of functional outcomes and long term adverse effects could not be completed due to incomplete reporting. However, qualitative assessment indicated that Constant Shoulder Scores and DASH scores were superior in the operative group.