A simple method, which yields satisfactory results, is that suggested by Wharton Hood. The fracture having been reduced, three strips of adhesive plaster, each an inch and a half wide, are applied from a point immediately above the nipple to a point 2 inches below the angle of the scapula (Fig. 15). The middle strap covers the seat of fracture, and is applied first: the others, slightly overlapping it, extend about half an inch on either side. The elbow is supported in a sling. This plan has the advantage that it permits of movement of the shoulder being carried out from the first, but the plaster rather interferes with massage. _The Handkerchief Method._--In cases of emergency, one of the best methods applicable to all fractures of the clavicle is to brace back the shoulders by means of two padded handkerchiefs, folded _en cravate_, placed well over the tips of the shoulders and tied, or interlaced, between the scapulæ. The forearm is then supported by a third handkerchief applied as a sling, the base of which is placed under the elbow, the ends passing over the sound shoulder. _Operative treatment_ may be called for in compound or comminuted fractures when the fragments have injured, or are likely to injure, the subclavian vessels or the cords of the brachial plexus, or when it is otherwise impossible to reduce the fracture or to retain the fragments in apposition. It is also indicated in some cases of fracture of both clavicles. These various methods of treatment are not equally applicable to all cases. In our experience, in the circumstances indicated, the following methods have proved the most satisfactory: (1) As a temporary means of retention in emergency cases,--for example, accidents occurring on the football field,--the handkerchief method. (2) In uncomplicated fractures of average severity in any part of the bone, the method of sling and body bandage. (3) In cases where, for æsthetic reasons, the chief consideration is the avoidance of deformity and the maintenance of the symmetry of the shoulders, as in girls, the treatment by recumbency. (4) When retentive apparatus fails, or when the fragments are exerting injurious pressure, operative treatment. [Illustration: FIG. 15.--Adhesive Plaster applied for Fracture of Clavicle.] In quite a number of cases, there is an excessive amount of pain, preventing sleep; where this is due to cramp-like contractions of the muscles and movements of the fragments, it is relieved by more accurate fixation, as by strips of plaster; otherwise a hypodermic injection of heroin or morphin is indicated. DISLOCATION OF THE CLAVICLE Dislocation of the #acromial end#--sometimes, and perhaps more correctly, spoken of as dislocation of the scapula--is more frequent than that at the sternal end, and it usually results from a blow from behind, or from a fall on the tip of the shoulder, driving down the scapula, so that the clavicle projects _upwards_ and overrides the acromion process.