Clavicle Fracture

What is a Clavicle Fracture?

A clavicle fracture (or broken collarbone) occurs when the clavicle bone breaks or cracks. The clavicle connects the shoulder blade to the breastbone, playing a crucial role in shoulder stability.

This type of fracture is common due to the bone’s position near the shoulder joint, and it can result from trauma, such as a direct impact to the shoulder or a fall onto an outstretched arm.

What Are the Different Types of Clavicle Fractures?

There are several types of clavicle fractures based on the bone’s location and the nature of the break:

1. Midshaft Clavicle Fractures: The most common type, occurring in the middle of the clavicle.
2. Distal Clavicle Fractures: Found near the shoulder joint, these fractures can sometimes require surgery if the bone is displaced.
3. Proximal Clavicle Fractures: Less common and located near the sternum or chest area, these fractures might need specialized attention due to nearby structures.

Knowing the type of clavicle fracture can help guide treatment decisions and expectations for healing.

What Are the Symptoms of a Clavicle Fracture?

A fractured clavicle typically causes noticeable and immediate symptoms, which may include:

• Pain: Sharp pain at the site of the break, especially with movement.
• Swelling and Bruising: Around the collarbone area.
• Bump or Deformity: In some cases, a visible bump or misalignment of the collarbone.
• Limited Arm Movement: Difficulty lifting or moving the arm without pain.

In cases of severe fractures, such as those causing bone displacement, there may be a visible deformity along the collarbone. Seek medical evaluation if you experience any of these symptoms after a fall or injury.

Common Causes of Clavicle Fractures

Clavicle fractures are most often caused by sudden trauma or direct impact. Common causes include:

• Falls: Landing on an outstretched arm or shoulder can put significant stress on the collarbone.
• Sports Injuries: Contact sports like football or cycling can lead to a fractured collarbone.
• Vehicle Accidents: High-impact accidents may cause a clavicle fracture as the collarbone absorbs impact forces.

Understanding the cause of the fracture can help in planning effective treatment and preventive measures for the future.

How Are Clavicle Fractures Diagnosed?

Diagnosing a clavicle fracture typically begins with a physical examination and medical history. Your doctor will assess symptoms and the type of trauma involved.

To confirm the break and evaluate its severity, imaging studies such as X-rays are commonly used. In complex cases, a CT scan may provide additional detail, particularly if the fractured bone is near the shoulder blade or chest structures.

Fractured Collarbone Treatment

Treating a clavicle fracture depends on the type, location, and severity of the break. Here’s an overview of the primary treatment options:

1. Non-Surgical Treatment
   Most clavicle fractures (approximately 80%) heal without surgery. In these cases, treatment focuses on stabilizing the bone and managing pain:
   • Arm Sling: Wearing a sling helps support the arm and allows the broken bone to start healing.
   • Pain Medicines: Over-the-counter or prescribed pain medications help manage discomfort.
   • Physical Therapy: Gradual exercises improve strength and restore motion in the shoulder joint once the bone has partially healed.
2. Surgical Treatment
   In cases where the fracture is severely displaced or involves multiple pieces, surgery may be recommended. Surgeons may use plates and screws to stabilize the bone, allowing it to heal properly. The decision to perform surgery is based on several factors, including the location of the break, whether nerves are affected, and the patient’s activity level.

Recovery from a Fracture Clavicle

Healing from a fractured clavicle takes time and patience. Here’s what to expect in terms of recovery:

• Six to Eight Weeks: For most clavicle fractures, bone healing generally occurs within this timeframe. Your doctor will monitor progress through follow-up appointments and X-rays to ensure the bone is healing properly.
• Physical Therapy: Once cleared by your doctor, physical therapy will help you regain shoulder function and strength. These exercises are essential to achieving a full range of motion and preventing stiffness.
• Long-Term Outlook: Most broken collarbones heal fully, allowing patients to resume regular activities. However, some may experience mild discomfort or stiffness if physical therapy isn’t properly followed.

Healing times can vary based on age, general health, and the type of fracture. With appropriate care and adherence to recovery protocols, most individuals can expect a successful outcome.

Let Georgia Hand, Shoulder & Elbow Guide Your Recovery

A clavicle fracture can be painful, but with the right treatment and guidance, recovery is achievable. At Georgia Hand, Shoulder & Elbow, our team of orthopedic specialists in Marietta and Atlanta, GA, is dedicated to helping patients regain full function and strength in their shoulders.

If you’ve experienced a trauma leading to a broken collarbone, our expert team is here to provide personalized care. Contact us today to schedule an appointment and take the first step toward healing with confidence!