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Fractures & Dislocations
about the Shoulder > Fractures of the Clavicle (Collar Bone)
What is a Fracture of the Clavicle? (“Collar Bone”)
Your clavicle bone or “collar bone” connects the
scapula bone in your shoulder to your sternum in your chest.
Its function is to hold the shoulder upward and backward.
Clavicle fractures are among the most common bone injuries.
A break in the clavicle bone is usually always a closed fracture
that normally takes about 6 weeks to heal in an adult, 4 weeks
in a child.
Surgery is rarely needed.
Causes of a Fracture of the Clavicle?
At the time of birth, the clavicle may fracture during passage
through the birth canal. The fracture is frequently not diagnosed
until the healing bone callus is noticed as a hard lump. At
this time it needs no treatment and the lump will disappear
as the baby grows.
Accidents such as falls against the shoulder or on an outstretched
hand are the most common cause of fractures of the clavicle.
Sometimes, a blow from a blunt object or a collision of some
sort can cause the clavicle to break.
Symptoms of a Fracture of the Clavicle?
- Pain
- Swelling
- Tenderness
- Deformity or “bump” at the site of the fracture
- Internal bleeding
If asked to lift their arm, patients with a broken clavicle
cannot do so without extreme pain.
Treatment of a Fracture of the Clavicle?
The goal of treating broken bones is to set them, making them
whole again.
A broken clavicle usually requires a simple arm sling to be
worn for about 6 weeks. Children with broken clavicles are
often equipped with a figure-8 clavicle strap that keeps their
clavicle immobilized until it heals, which is usually 3-to-4
weeks. Most adults with the fracture will use a figure-8 splint
or strap and will probably sleep in a chair or in bed with
extra pillows because the fracture takes a week or two to get
sufficient healing and it’s important to not roll onto
the bone while sleeping.
Your doctor will examine the fracture site for neurovascular
damage and take x-rays of the injured area, including the joints
above and below the primary injury site. He or she will ask
for details about how the injury occurred, and will need to
know about previous conditions of the fractured bone.
Healing is considered complete when there is no motion at the
fracture site and x-rays reveal complete bone union.
Patients with broken clavicles will usually be able to exercise
their shoulders after three weeks of immobilization.
The information provided herein is not intended to be a substitute
for professional medical advice. You should not use this information
to diagnose or treat a health problem or disease without consulting
a licensed physician.
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