[cw05]

It's a controversial topic in ortho trauma but the general consensus is to only fix the open clavicular fractures (i.e. poking through the skin) or if they are severely tenting the skin. That said, there is always going to be orthopods will fix more than others. The problem is many clavicles that are fixed cause more morbidity from pain later down the road than the very small benefit of an anatomic reduction with open operative fixation. The other indication if you have a posterior sternoclavicular dislocation...these should be reduced as they pose risk of damage to the large vessels on the top of the heart.
All of this said, I was hit by a car last fall. My right clavicle was one of 15 bones broken. As a surgeon, I chose not to have my clavicle fixed and rather just let it heal on it's own.