Usually if the fracture is undisplaced, the patient doesn't require a surgery. In his case, the fracture is displaced. If the fracture is not in place even after the brace, then he will definitely require surgery. It is easy to treat a fresh fracture than an old fracture which has not United ( Non-union). I would advise another x-ray with the brace on, to see if the fracture ends are meeting. If they are not meeting, I strongly suggest surgery
Next Steps
Get an x-ray with the shoulder brace applied.
Health Tips
always wear the brace. never remove it.