The management of the clavicular fracture still controversy between conservative treatment and surgical intervention. Also the methods of the surgical interventions have different variety between plates and screws, IMN and K wires. We review previous publications comparing the the different approaches and types of plates used in the surgical interventions with the aim of determining if any of the available interventions gives better outcomes compared to others. A systematic literature review of previous publications on the various techniques employed in the Management of clavicular fracture in adults by plating .We suggest that where the expertise is available, intervention by minimally invasive techniques should be preferred to the conventional open surgical approaches. If otherwise, the choice of operative technique should simply be based on the experience of the surgeon, the available facilities and equipment.