Typically discussed with orthopedic specialist with in ED
If no other injuries of significance, may be discharged home
Indications for surgery:
Glenohumeral instability
Displaced<unk>  neck fracture
Open fracture
Loss of rotator cuff function
Displaced coracoid fracture
Scapular fracture
Airway/Pulmonary
Navicular fracture
Bronchial injury
Jefferson fracture
Diaphragmatic trauma
Trapezoid fracture
Hemothorax