Clavicle and scapula fractures are frequently encountered as the childhood shoulder girdle fractures. Clavicle is the most common fractured bone in the body, with a frequency rate of 2.6–5%. Ninety percent of the fractures during delivery are clavicle fractures. In the childhood period, it is encountered mostly due to falling on to the shoulder. The management is usually conservative. Scapula fractures are rare but important, because it usually occurs with a high energy trauma frequently accompanied by an injury in the adjacent tissues. Scapula fractures are usually managed conservatively however there are also cases, which may necessitate surgical treatment. Proximal humerus fractures are also rare pediatric fractures with a given incidence in the range of 1.2–4.4 per 1000 per year and frequency is less than 5%. The thick periosteum, 80% of the humerus growth from the proximal physeal and the proximity to the joint increases the healing and the remodulation. Humerus shaft fractures are less common in childhood compared to adulthood, nevertheless in that period they constitute 10% of the humerus fractures and 2–5.4% all fractures. As it is the case in adults, the humerus shaft fractures in children may be complicated with radial nerve injury. Injuries during delivery may play a role in the etiology in newborns, while toppling down, traffic accidents, and sport injuries are responsible in most of the cases in childhood. The management of humerus fractures in childhood is usually conservative; however, open fractures, bilateral fractures, arterial injury or pathological fractures may necessitate surgical treatment.