“…The decision for surgical fixation of a clavicle fracture is often based on the amount of shortening, a parameter that is most often determined clinically or on radiographs and almost never on computerized tomography. While a recent study proved a high inconsistency between practitioners in terms of establishing measurements of not only the clavicle but also scapula, ulna, femur and tibia (Smith and Boaks, 2014), previous work conducted by our lead author showed a significant inherent difference in clavicular length between sides (Daruwalla et al, 2010a,b), thus questioning the assumption of symmetry with regard to clavicular length and finding it to be unreliable as well as hypothesizing a correlation between hand dominance and clavicular length. However, these studies were small and did not involve Asians, a patient population known to have varying bony size and shape geometry compared to their Western counterparts.…”