I've never had a broken clavicle, but my brother had one and one of my sons had one. Neither required surgery. In general, unless there is a shattering of the bone or the fracture is compound, i.e. bone pierces the outer skin, surgery is rarely necessary in any type of fracture. Some clavicle fractures require nothing, others require immobilization. As for your X-ray, only a physician or radiologist is qualified to interpret the degree, danger of the fracture and subsequent treatment. However I would see an orthopedist for further evaluation - soon. This fracture looks as if it requires some manipulation to re-align it.