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6±11.0 vs. 55.3±11.0 ; VAS 1.2±5.2 vs. 5.7±21.9 ; ROM 103±7.6 vs. 73±6.3 ; p0.05) were identified in the prospective group. Botulinum toxin is a safe, reliable and effective treatment to prevent post-traumatic elbow stiffness. Our study demonstrates improved early range-of- motion (p less then 0.05), better extension after 6 weeks and improved functional outcome including VAS and DASH score (p less then 0.05).Current classifications of midshaft clavicle fractures are based on radiography. The aim of the study was to evaluate the fracture patter