Shoulder - Clavicle fracture (broken collarbone)

Description

The clavicle, more commonly known as the “collarbone” can be fractured anywhere along the bone. Fractures are classified as proximal (close to the middle of the chest), mid-shaft (in the middle) or distal (towards the outside of the shoulder).

What are the causes?

Clavicle fractures occur because of trauma, either directly to the bone or landing on the outer aspect of the shoulder. Sports, falls from bicycles and motor vehicle accidents are common causes of clavicle fractures. The mechanism of injury is similar to the cause of AC sprains.

What are the symptoms?

Clavicle fractures cause pain, swelling and possible deformity of the bone. Bruising at the fracture site is common and the fracture is tender to the touch. Patients will have a difficult time lifting their arms over their heads or across their bodies. A click may be heard or felt with shoulder motion.

How is it diagnosed?

Your surgeon will perform a physical exam and obtain X-rays. Your surgeon may order additional diagnostic tests to evaluate all shoulder structures (CT/”CAT” scan) to better evaluate the fracture or MRI to evaluate the muscles, tendons and ligaments.

Non-operative

Many clavicle fractures can be treated without surgery. Your surgeon will prescribe a sling for up to six weeks. Periodic X-rays will be obtained to be sure the fracture is healing. A bump caused by bone healing may be present for several months to years after the fracture is healed and will usually resolve over time.

Operative

Clavicle fractures that are displaced and are at risk for not healing will require surgery. Recent scientific literature suggests that patients treated with an operation may have improved long-term outcomes over those that are treated non-operatively. Surgery to fix the clavicle fracture can be accomplished by placing a plate and screws around the fracture to bring the bones close to each other to allow healing.

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