Clavicle Fracture

An Overview

What is a clavicle fracture?

The clavicle, often called the collarbone, is a bone connecting your chestbone (sternum) to your shoulder blade. It’s one of the most commonly broken bones in the body.

Symptoms

  • Severe pain and swelling at the fracture site
  • Difficulty moving or limited movement in your shoulder
  • Visible deformity or a bump over the break, in some cases
  • Bruising around the area

Diagnosis

  • Physical examination by a doctor to assess the injury
  • X-rays to confirm the fracture location and severity

Treatment

Most clavicle fractures heal well without surgery. This typically involves:

  • Immobilization: Wearing a sling for 6 weeks to support the bone while it heals.
  • Pain medication: To manage discomfort during the healing process.
  • Physical therapy: Exercises to regain full range of motion and strength in your shoulder.

Surgery

Surgery may be needed in some cases, such as:

  • When the broken bone fragments are significantly displaced.
  • When the fracture disrupts the nearby joints.

Types of Surgery

  • Plates and screws: These implants hold the bone fragments together during healing.
  • Intramedullary nail: A single nail is inserted inside the bone to stabilize the fracture. This option may offer a smaller incision and faster recovery in certain cases.

Radiographs showing fixation of the clavicle with an intramedullary device.

Recovery

  • Pain management: You’ll receive pain medication to control discomfort after surgery.
  • Wound care: It’s crucial to keep the surgical wound clean and dry for about 2 weeks.
  • Sling: You’ll likely wear a sling for 6 weeks to support the healing bone.
  • Physical therapy: Exercises will help regain full range of motion and strength in your shoulder.
  • Total healing: It takes 3-4 months for complete bone healing.
  • Hardware removal: In rare cases, a second surgery might be needed to remove plates or screws if they become prominent or cause discomfort.

Risks and complications

Although uncommon, potential risks associated with surgery include:

  • Infection
  • Nerve or blood vessel damage
  • Prolonged healing requiring hardware removal

Radiographs showing fixation of the clavicle with Plate and Screws

Overall, clavicle fracture surgery is considered safe with a low complication rate.

Important Note:

This information is intended for general knowledge only and should not be taken as medical advice. Always consult with a qualified healthcare professional for diagnosis and treatment specific to your situation.