Treatment FAQ

what is the treatment for clavicle

by Ms. Maryse Kilback Published 3 years ago Updated 2 years ago
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Many clavicle fractures can be treated by wearing a sling to keep the arm and shoulder from moving while the bone heals. With some clavicle fractures, however, the pieces of bone move far out of place when the injury occurs. For these more complicated fractures, surgery may be needed to realign the collarbone.

Medication

What causes collarbone pain?

  • Shoulder strain. ...
  • Rotator cuff tendinitis. ...
  • Biceps tendonitis. ...
  • Acromioclavicular (ac) shoulder joint injury. ...
  • Repetitive strain injury of the shoulder ("swimmer's shoulder") Repetitive strain injury of the shoulder is caused by consistent repetitive use.
  • Myofascial pain syndrome. ...
  • Recurrent shoulder dislocation. ...

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Procedures

What You Need to Know

  • The clavicle (collarbone) is one of the most fractured bones in the body.
  • Symptoms of a broken collarbone include severe pain and swelling at the site of the fracture and with visible deformity in some cases.
  • A clavicle fracture is diagnosed through a physical examination and X-rays.

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Therapy

Pain medication: Acetaminophen (Tylenol) and NSAIDs such as ibuprofen (Advil, Motrin) can help reduce collarbone pain and discomfort. Ice or heat: A heat pack, ice-pack or cool washcloth can help with the discomfort associated with minor trauma or overuse injury.

Self-care

The clavicle is a complex network of nerves, muscles, tendons, and ligaments that can be stressed when consistently held in compromising positions. Slumped shoulders and keeping your head down are two common posture issues that can lead to pain in the clavicle or collarbone area.

Nutrition

What are the main causes of clavicle pain?

What are the different treatments for clavicle swelling?

How to relieve pain from clavicle fracture?

What causes pain in the clavicle and shoulder?

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How do you heal your clavicle?

The most common way to treat the fractures in the middle is with immobilization with either a sling or a special bandage called a figure-of-8 splint. Studies have shown that these fractures heal just as quickly and as well with a sling as with the figure-of-8 splint, so we recommend a sling in a majority of cases.

How can I get my clavicle to heal faster?

To help speed the healing, you might get:A splint or brace to keep your shoulder from moving.A sling for your arm, which you might use for a few days.Anti-inflammatory painkillers, like aspirin, ibuprofen, or naproxen, which will help with pain and swelling. ... Range-of-motion and strengthening exercises.More items...•

How long does it take for clavicle to heal?

A broken collarbone, or fractured clavicle, is a common injury. It usually happens after a fall or a blow to the shoulder. It takes about 6 to 8 weeks to heal in adults, and 3 to 6 weeks in children. The collarbone is a long, slender bone that runs from the breastbone to each shoulder.

What can you do for clavicle pain?

Seek prompt medical attention for a broken collarbone. Most heal well with ice, pain relievers, a sling, physical therapy and time. But a complicated break might require surgery to realign the broken bone and to implant plates, screws or rods into the bone to hold the bone in place during healing.

Why do I have pain in my clavicle?

Causes of collarbone pain The most common cause of collarbone pain is an acute injury to the collarbone or clavicle. However, pain around collarbone can also originate from tissues away from the clavicle, such as the chest wall or abdomen.

Can I exercise with a fractured clavicle?

It is important to keep the shoulder moving to prevent stiffness but not to aggravate the injury. Avoid lifting and overhead movement for 6 weeks. Follow up: You will see a Shoulder Specialist about 6 weeks after your injury.

When is clavicle surgery needed?

Specifically, surgery should be strongly considered if the fracture is shortened by 2 centimeters or more, displaced more than 100% (the fractured ends aren't touching at all), when there are specific fracture patterns (such as Z-type fractures), or when the fractures are highly comminuted (shattered).

How painful is a clavicle fracture?

A broken collarbone can be very painful and can make it hard to move your arm. Many clavicle fractures can be treated by wearing a sling to keep the arm and shoulder from moving while the bone heals. With some clavicle fractures, however, the pieces of bone move far out of place when the injury occurs.

Can you move your arm with a broken clavicle?

Your shoulder strength is normal. You can move and use the arm and shoulder without pain. In general, people can go back to noncontact sports (such as running or swimming) in about 6 weeks and contact sports (such as football, lacrosse, and hockey) in 8–12 weeks.

What causes clavicle swelling?

Causes of Swollen Clavicle Injury: A bone injury or a trauma in the surrounding tissue can lead to a swollen clavicle. Bone disorders: Certain bone growth disorders like Paget's disease can lead to a swollen collarbone.

Can you get arthritis in your clavicle?

Arthritis is a type of damage to a joint that can cause inflammation. AC arthritis affects the acromioclavicular (AC) joint. This joins the shoulder blade (scapula) and the collarbone (clavicle).

How do you sleep with a broken clavicle?

Using extra pillows to prop yourself up when sleeping with a broken clavicle can help relieve pain. Sleeping in a more upright position may be more comfortable and allow for a better rest. You may also find it more comfortable to use pillows to prop up the arm on the side of your body with the fracture.

How to diagnose clavicle fracture?

A clavicle fracture is diagnosed through a physical examination and X-rays. Clavicle fractures are classified into three types based on the location of the fracture: 1) near the sternum (least common), 2) near the AC joint (second most common), or 3) in the middle of the bone between the sternum and AC joint (most common).

How long does it take for a clavicle fracture to heal?

Clavicle fractures in children (younger than 8 years old) may heal in four or five weeks, and clavicle fractures in adolescents may take six to eight weeks. However, fractures in adults or teenagers who have stopped growing take 10 to 12 weeks to heal and may take longer.

What happens if a clavicle fracture does not heal?

If the fracture does not heal, surgery may be necessary. Some fractures of the clavicle that do not heal completely are not painful and may not need surgery. Many factors determine whether a clavicle fracture will need surgery, and they should be discussed with your doctor.

What happens if you break your collarbone?

Sometimes the bone is broken enough to create an angle between the broken ends, which causes a deformity along the bone. Usually with a broken collarbone the pain and swelling are severe and there may be a visible deformity. Often there is pain at the site of the fracture with any attempt to move the arm.

What is the best treatment for a fractured collarbone?

Immobilization using a sling is often used to treat a clavicle fracture along with cold therapy and medication for pain relief. In most cases of a fractured collarbone, there are no limitations once the fracture heals.

Where are clavicle fractures most common?

The most common fractures of the clavicle are in the middle of the shaft of the bone, approximately halfway between the sternum and the AC joint. The most common way to treat the fractures in the middle is with immobilization with ...

How long does it take to move your fingers after a shoulder fracture?

Within a few days of the fracture you should be able to move your fingers, wrist and elbow without too much discomfort. As the pain in the clavicle area improves you should be able to begin moving the shoulder joint a little to prevent the joint from tightening up too much.

Nonsurgical Treatment

Bone fractures generally take six to eight weeks to heal, though the pain from a clavicle fracture subsides after two to three weeks. Patients need to use a brace or sling for several weeks, even after the pain lessens, until a doctor says it's safe to discontinue its use.

Surgical Treatment

Surgery is the best option if the clavicle's broken ends are pushing on the skin, if the ends are significantly overlapping, or if the ends are widely displaced. Surgery consists of repositioning the fragments and securing them in place with a plate and screws.

How to heal clavicle?

Physical Therapy: Physical therapy can help rehabilitate the structures surrounding the clavicle after injury to decrease pain, restore range of motion and proper joint mobility, and strengthen the muscles around the shoulders and shoulder blades.

What is the function of the clavicle?

Function. The clavicle connects the shoulder to the rest of the skeleton. Its positioning allows for increased range of motion of the shoulder away from the body and helps protect the arm by dispersing force transmitted through direct contact. 2 .

What is AC in acromioclavicular?

Acromioclavicular (AC) Joint Sprain or Separation. Trauma to the acromioclavicular joint, such as a direct blow to the front of the shoulder or falling and landing on an outstretched hand, can injure the ligaments holding the acromion and clavicle together. This can result in either an acromioclavicular joint sprain or separation of the joint.

How long do you need to wear a sling for a clavicle fracture?

For a clavicle fracture, you may need to wear a shoulder sling for six to eight weeks until the bone heals. 3. Physical Therapy: Physical therapy can help rehabilitate ...

What joint is the clavicle?

The clavicle joins the scapula, or shoulder blade, and sternum to form two joints on either end of the bone, which are: 1. Acromioclavicular (AC) joint: The acromioclavicular joint forms between the acromion of the scapula and clavicle at the top of the shoulder, held together by the acromioclavicular ligament.

Why does osteolysis occur at the end of the clavicle?

Osteolysis, or bone degeneration, can easily occur at the end of the clavicle due to the high degree of stress and repetitive forces placed through the small surface area of the acromioclavicular joint, especially with heavy lifting such as bench press or military press.

Where is the sternoclavicular joint?

Sternoclavicular joint: The sternoclavicular joint forms between the sternum and clavicle at the front of the chest, and is supported by the costoclavicular ligament. The relative size of the clavicle leaves it particularly susceptible to fracture. Fracture of the clavicle can occur from a fall landing on an outstretched hand or through ...

What is the clavicle?

The clavicle is the bone in the front of the chest on top of the rib cage. The clavicle is important in helping to support normal shoulder function and is the attachment point for several important muscles including the deltoid and pectoralis muscles .

What is the most common fracture of the clavicle?

Contraindications. When to Have Surgery. Complications. Clavicle fractures, or broken collarbones, are among the most common broken bones that occur. They represent about 5% of all broken bones and are especially common in younger, more active adults. 1  Most fractures of the clavicle occur in the central portion of the collarbone.

Why do people with clavicle fractures have a hard time using their arms?

People with a clavicle fracture have a hard time using their arms because the movement causes pain at the site of the fracture. Your doctor will X-ray the clavicle to determine if a fracture is present and to determine the most appropriate treatment.

What causes numbness under collarbone?

Nerve Injury. Major nerve damage is very uncommon, but the skin nerves that provide sensation just below the collarbone are often damaged at the time of surgery. 6  Many people who have clavicle fracture surgery notice a patch of numbness or tingling just under their incision.

Can a clavicle fracture be treated without surgery?

Most clavicle fractures can be treated without surgery. For the vast majority of clavicle fractures that are not out of place, or only minimally out of place, the safest and most effective treatment is with the use of a sling.

Can clavicle fractures be treated surgically?

For many decades, the results of nonsurgical treatment found that the majority of clavicle fractures healed more reliably with less of a complication rate when compared to clavicle fractures treated with surgery. More recently, however, several studies have questioned if more clavicle fractures should be treated surgically.

Is clavicle surgery worse than the original injury?

A complication of surgery can be worse than the original injury, and while these complications may be uncommon, there might not be a reason to take the risk. Secondly, surgical hardware used to repair a clavicle fracture often has to be removed at some point down the road.

How to treat clavicle soreness?

Apply the crushed ice to your clavicle for 15 minutes three to five times daily until the soreness and inflammation eventually fades away. Lightly compressing the crushed ice against your injury with a stretchy Tensor or Ace bandage is also helpful for combating inflammation.

What is the procedure to realign clavicle?

Surgery involves realigning the bone fragments and keeping them in place with special metal plates, pins and/or screws. The clavicle usually breaks in the middle, as opposed to the ends which attach to the breastbone (sternum) and shoulder blade.

How long does it take for a clavicle to break?

It sometimes takes a week or so until the swelling goes down enough to see the crack clearly. Prepare for surgery in severe cases. Although most fractures of the clavicle are hairline fractures, in some cases the break is serious enough to require surgery — about 5–10% of cases.

Why does the clavicle need to move?

Your clavicle needs to move a little bit during the later phases of the injury to stimulate complete recovery. Complete lack of activity and total immobilization of your arm for many weeks could trigger loss of bone mineral, which is counterproductive for an injured bone trying to get stronger.

What is the clavicle?

The clavicle (commonly called collarbone) is a long, thin bone that connects the breastbone to the shoulder girdle on each side of the upper body. A fractured (broken) collarbone is a pretty common injury, especially in kids, teenagers and younger adults, because the bone doesn't completely mature until around the age of 20.

How to know if you have a fractured clavicle?

Get medical help immediately. If you fall on an outstretched arm, get into a car accident or are hit while playing a sport and feel intense pain in your shoulder area, then get medical care immediately. Fractured clavicles cause significant pain in the front part of your shoulder, closer to the base of your neck. You'll innately know that something is seriously wrong because you won't be able to lift your arm up. Other symptoms include immediate swelling and/or bruising near the fracture, grinding sounds with arm movements and potential numbness and tingling in the arm/hand. Your doctor will likely have to give you strong prescription pain medication to cope with the injury.

How long should you rest your shoulder in a sling?

After a professional has treated your fracture and has sent you home, you can treat it by resting your shoulder in a sling for 4 to 6 weeks.

How to stop clavicle pain?

Use ladders or platforms as needed to avoid too much overhead reaching. Use proper sports equipment. Purchase pillows and a mattress that offer support and provide proper alignment. There are a number of causes for clavicle or collarbone pain that can range from acute injury to overuse to poor posture.

What causes pain in the clavicle?

Acromioclavicular joint injuries: Injuries to this joint can cause immediate pain, swelling, and displacement of the clavicle. The acromioclavicular joint connects the three main joints of the shoulder, and when it’s injured the ligaments become strained and cause pain.

Why does my collarbone hurt?

There are a number of reasons that pain in the collarbone or pain under the collarbone can occur. You may have slept in an awkward position, or you could be suffering from a condition like thoracic outlet syndrome or distal clavicular osteolysis . If you damaged the left side, you will feel left collarbone pain, and the same for the right side.

How to help a collarbone heal?

To ensure the collarbone heals properly, creating and sticking to an aftercare program is critical. To prevent further pain to the injured area and encourage safe healing, follow these tips. Stay on any medication the doctor has prescribed for pain. Avoid wearing tight shirts and other clothing.

How to prevent collarbone pain?

Reduce the risk for collarbone pain by: Improving posture. Stand with your shoulders pulled back and avoid bending your neck to look at screens.

What is the clavicle?

The clavicle is a complex network of nerves, muscles, tendons, and ligaments that can be stressed when consistently held in compromising positions. Slumped shoulders and keeping your head down are two common posture issues that can lead to pain in the clavicle or collarbone area.

What is the pain of a collarbone?

The collarbone is a short, curved bone that runs across the top of the chest, sitting between the neck and shoulder. Fracturing the collarbone is the most common ...

How to treat a swollen clavicle?

If the swelling is caused by arthritis, pain medication and rest are the most common treatments, though you may require physiotherapy ...

What are the symptoms of a swollen clavicle?

Symptoms that are often associated with the swelling of the clavicle are pain, restricted arm movement, numbness that radiates from the clavicle to the arm, issues when trying to carry heavy items, red skin that is painful to the touch, and tenderness.

Why does my clavicle hurt?

Infection: Though it is rare, an infection in the clavicle can result in swelling and pain in the surrounding tissue. Vitamin D deficiency: Not getting enough vitamin D results in a reduction of calcium, which in turn may cause bone deformation that results in swelling. Arthritis and osteoarthritis: The wear and tear on joints ...

Why is my clavicle swollen?

Injury: One of the most frequent causes of a swollen clavicle is an injury to the bone or surrounding tissue. Car accidents, falls, and sports injuries can cause the clavicle to fracture and result in swelling of the muscles and ligaments. Bone disorders: Some bone growth disorders, such as Paget’s disease, can cause frequent swelling ...

What is the best treatment for swelling of lymph nodes?

If the swelling is caused by arthritis, pain medication and rest are the most common treatments, though you may require physiotherapy and even surgery. Treatment of the underlying infection is necessary to reduce swelling due to swollen lymph nodes.

What is a clavicle fracture?

video. A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. This type of fracture is fairly common—accounting for about 5 percent of all adult fractures. Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm puts enough pressure on the bone that it snaps or breaks.

Where is the clavicle located?

The clavicle is located between the ribcage (sternum) and the shoulder blade (scapula). It is the bone that connects the arm to the body. The clavicle lies above several important nerves and blood vessels. However, these vital structures are rarely injured when a fracture occurs.

What is it called when a clavicle fracture moves out of place?

It is important to follow up with your doctor as scheduled to make sure the bone stays in position. If the fracture fragments do move out of place and the bones heal in that position, it is called a "malunion. ".

What is the best way to check for shoulder fractures?

He or she may also order x-rays of your entire shoulder to check for additional injuries. If other bones are broken, your doctor may order a computerized tomography (CT) scan to see the fractures in better detail. X-ray shows a fracture in the middle of the clavicle.

How are bone fragments held in place?

After being repositioned into their normal alignment, the bone fragments are held in place with special screws and metal plates attached to the outer surface of the bone.

Where do clavicle fractures occur?

Clavicle fractures are fairly common and occur in people of all ages. Most fractures occur in the middle portion, or shaft, of the bone. Occasionally, the bone will break where it attaches at the ribcage or shoulder blade.

How to tell if you broke your arm?

Other signs and symptoms of a fracture may include: Sagging of the shoulder downward and forward. Inability to lift the arm because of pain. A grinding sensation when you try to raise the arm. A deformity or "bump" over the break. Bruising, swelling, and/or tenderness over the collarbone. To Top.

What are the complications of a clavicle fracture?

What Are Complications Associated With a Clavicle Fracture in a Newborn? The most significant complication associated with fracture of the clavicle during birth is the inability to move the arm due to an injury to the brachial plexus, or collection of nerves of the arm.

What is the most common symptom associated with a clavicle fracture in a newborn?

The most common symptom associated with a clavicle fracture in a newborn is fussiness or crying with movement of the affected arm due to pain in the clavicle. The infant may experience pain with lifting him or her under the arms. The infant themselves may not move the affected arm as much as the uninjured arm.

What are the factors that increase the risk of clavicle fracture?

Factors that may increase a risk for a clavicle fracture include the newborn being large in size, the newborn’s shoulder getting stuck during delivery, a narrow birth canal, or the use of tools to assist with the delivery.

Can a clavicle fracture heal?

In most cases, clavicle fractures in newborns heal very quickly without any problems. Usually no treatment is required; however, the parent may be instructed to pin the child’s sleeve of the affected arm to the front of their clothing to avoid moving the arm while it heals.

Can you move your arm if you have a clavicle fracture?

One of 11 newborns who experience a clavicle fracture during birth will have damage to their brachial plexus, which can result in their being unable to move the arm on the injured side indefinitely or temporarily until the nerve heals.

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Treatment

Function

Signs and symptoms

Diagnosis

Medically reviewed by
Dr. Deepak Inamdar
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the severity and involves medications for pain, possible surgery and physical therapy.
Medication

Analgesics: Used to reduce severe pain due to the fractured bone.

Acetaminophen

Procedures

Immobilization: This allows the bone for fast healing, it is done by protecting and restricting the ankle and foot in a cast or splint.

Closed reduction: The doctor manually corrects the alignment of the bone.

Open reduction and internal fixation (ORIF) surgery: ORIF surgery is performed to fix the broken fracture with pins, plates and screws.

Therapy

Physical therapy:This is done by performing gentle motion exercises to reduce stiffness while still wearing the sling.

Self-care

Always talk to your provider before starting anything.

  • Rest: Take complete rest after injury
  • Ice: Apply an ice pack to the injured area
  • Sling: immobilizes the shoulder to allow for healing of the clavicle

Nutrition

Foods to eat:

  • Calcium rich foods such as legumes, dark green vegetables, nuts and milk. Low calcium diets increase kidney stone risk.
  • Drink plenty of water and fluids.

Foods to avoid:

  • Foods rich in sodium- salty processed foods
  • Foods rich in oxalate - spinach, chocolate, beets, rhubarb, soy products
  • Animal protein - beef, poultry, fish, pork

Specialist to consult

Orthopedic surgeon
Specializes in the surgery of bone and joint disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Risks

Prognosis

Symptoms

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