John D MacGillivray, MD, PC
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Clavicle Fracture

Clavicle Fracture

What is a Clavicle Fracture?

The break or fracture of the clavicle (collarbone) is a common sports injury associated with contact sports such as football and martial arts, as well as impact sports such as motor racing. A direct blow over the shoulder that may occur during a fall on an outstretched arm or a motor vehicle accident may cause the clavicle bone to break. 

Symptoms of Clavicle Fractures

A broken clavicle may cause difficulty in lifting your arm because of pain, swelling and bruising over the bone.

Indications for Clavicle Fracture Surgery

A broken clavicle bone usually heals without surgery, but if the bone ends have shifted out of place (displaced), surgery will be recommended. Surgery for the fixation of clavicle fractures may be considered in the following circumstances:

  • Multiple fractures
  • Compound (open) fractures
  • Fractures associated with nerve or blood vessel damage 
  • Scapula fracture
  • Overlapping of the broken ends of the bone (shortened clavicle)

Treatments for Clavicle Fractures

Surgery is performed to align the bone ends and hold them stable during healing. This improves shoulder strength. Some of the surgeries are listed below.

Plates and Screws Fixation

 During this surgical procedure, your surgeon will reposition the broken bone ends into normal position and then uses special screws or metal plates to hold the bone fragments in place. These plates and screws are usually left in the bone but can be removed after fracture healing is complete if they cause any irritation.

Complications of Clavicle Fracture Surgery

You are at a greater risk of complications during and after clavicle fracture surgery if you have diabetes, are elderly and use tobacco products. In addition to the risks that occur with any major surgery, certain specific risks of clavicle fracture surgery include difficulty in bone healing, lung injury, and irritation caused by hardware.

  • American Shoulder and Elbow Surgeons
  • American Orthopaedic Society for Sports Medicine
  • American Medical Association | AMA
  • U.S. Naval Hospital
  • Eastern Orthopaedic Association
  • NYS society of orthopaedic surgeons
  • Arthroscopy Association of North America
  • The Castle Connolly
  • Alpha Omega Alpha
  • Patients Choice
  • Arthroscopy Association of North America