In Orthopedics, loss of objectivity in the management of fractures has reached a high
pitch. No one could question that through new surgical and technological advances the care
of fractures has improved dramatically in recent decades. However, one gets the impression
that we have surmised that if an effective technique is developed for the care of certain
fractures, the same technique should be used for all other fractures. If routine surgical
fixation offers advantages over non-surgical treatment of fractures, such as those of the
femur and pelvis, it should not mean that the same modality should be used routinely for
many other fractures, such as those of the clavicle, since in the great majority of instances
the surgical treatment does not offer clinical advantages over conservative management.