Study Overview: This study is about finding out the best way to treat broken collarbones (clavicle fractures) in kids aged 10-18. Doctors at eight big hospitals are working together to see if patients do better with surgery or without surgery when they break the middle part of their collarbone. They'll look at things like cost, safety, and how well patients heal.

Eligibility: Kids must be 10-18 years old with a completely broken collarbone in the middle. They need to be able to follow up at Boston Children's Hospital and agree to be contacted for up to 2 years. Kids with certain medical issues or who refuse to participate cannot join.

• The study will involve long-term follow-up for up to 2 years.
• Participants will help doctors learn whether surgery or no surgery is better.
• It's important to consider if you're okay with the time commitment and follow-up.