Clavicle Fracture
What is a Clavicle Fracture?
A clavicle fracture is a break in the collarbone, a common injury often caused by falls onto the shoulder or outstretched arm.
- Break in the collarbone
- Commonly results from falls or sports injuries
Overview of the Condition
Clavicle fractures are frequently seen in cyclists or contact sports. Most heal well with conservative management, though displaced fractures may require surgery.
Symptoms
- Severe pain at the fracture site
- Swelling or bruising over the collarbone
- Visible deformity or bump on the shoulder
Causes
Falling onto the shoulder, direct blows, or falling on an outstretched hand can transmit forces that break the clavicle.
Diagnosis
Physical exam and X-rays confirm fracture location and displacement. CT may be used for complex cases.
Treatment Options
- Sling or figure-of-8 brace for non-displaced fractures
- ORIF (plate and screws) for significantly displaced fractures
- Physical therapy for rehabilitation
Conservative Management
Immobilization with a sling or figure-of-8 brace for 3-6 weeks, followed by gradual range-of-motion exercises.
Rehabilitation Exercises
- Pendulum exercises after initial healing
- Progressive shoulder abduction and rotation
- Strengthening scapular stabilizers to restore full function
Surgical Options
Open reduction and internal fixation (ORIF) is used for severely displaced or comminuted fractures to ensure proper alignment and healing.
Anatomy Overview
The clavicle acts as a strut between the sternum and shoulder blade. Fractures often occur in the mid-shaft, the weakest area.
Affected Areas
- Mid-shaft clavicle (most common)
- Distal clavicle near the AC joint
- Proximal clavicle near the sternum (less common)
Frequently Asked Questions
| Question | Answer |
|---|---|
| When can I return to sports? | Usually when healing is evident on X-ray and pain-free range-of-motion is regained. |
| Does a bump remain after healing? | Sometimes a callus forms, leading to a noticeable bump, but this often diminishes over time. |
Prevention Strategies
- Wear protective gear in contact sports
- Use proper falling techniques
- Maintain bone health with calcium and vitamin D