A three-part clavicle fracture not previously described is presented. Treatment of distal clavicle fractures is reviewed, and operative treatment for this type of fracture is recommended. A 3/32 K-wire is inserted under direct vision and X-ray control. The acromioclavicular joint is not entered, and the wire is bent 90 degrees at its distal tip and removed once the fracture has united. In the case reported full use was possible in 6 months.
