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A clavicle distal end fracture is a break in the distal end of the clavicle, which is the outer end of the collarbone. The clavicle is a long, thin bone that connects the sternum (breastbone) to the scapula (shoulder blade). The distal end of the clavicle is the most common site of clavicle fractures. These fractures are often caused by falls, direct blows to the shoulder, or sports injuries. Hook plate fixation is a surgical procedure used to repair clavicle distal end fractures. In this procedure, the surgeon inserts a metal plate and screws into the clavicle to hold the bones in place while they heal. Hook plate fixation is typically recommended for patients with clavicle distal end fractures that are displaced or unstable. These fractures are at risk of non-union, which is a condition in which the bones do not heal properly. The surgery is typically performed under general anesthesia. The surgeon makes an incision over the fracture site and exposes the clavicle. The surgeon then inserts a metal plate and screws into the clavicle to hold the bones in place. The incision is then closed with sutures. The surgery usually takes 1-2 hours to complete. After surgery, the patient's arm will be placed in a sling for several weeks. The patient will also need to undergo physical therapy to regain range of motion and strength in the shoulder. Most patients who undergo hook plate fixation for clavicle distal end fracture experience significant improvement in pain and function.