Treatment FAQ

what treatment is needed for a broken clavicle

by Mrs. Adaline Dooley MD Published 2 years ago Updated 2 years ago
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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
AC joint
The acromioclavicular, or AC, joint is a joint in the shoulder where two bones meet. One of these bones is the collarbone, or clavicle. The second bone is actually part of the shoulder blade (scapula), which is the big bone behind the shoulder that also forms part of the shoulder joint.
https://www.hopkinsmedicine.org › health › ac-joint-problems
. 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.

Medication

Jan 18, 2012 · Surgical treatment of medial-end clavicle fractures is indicated if mediastinal structures are placed at risk because of fracture displacement, in case of soft-tissue compromise, or when multiple trauma and/or “floating shoulder” injuries are present ( 1 ).

Procedures

The second thing that helps in the treatment of clavicle fractures is pain relief with cold therapy and pain medication. It is recommended that you ice the fractured area for 15 to 20 minutes every two hours for as long as necessary to decrease the pain and swelling. Heat is not recommended.

Therapy

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. People who don't need surgery typically take ...

Self-care

Nonsurgical treatment for a broken clavicle can include the following: An arm sling or wrap is typically worn after the break occurs. This helps prevent arm movement as the collarbone recovers. Pain medication, typically nonsteroidal anti-inflammatory drugs such as naproxen and ibuprofen, can be taken to reduce pain. Physical therapy exercises will be recommended once …

Nutrition

Apr 21, 2022 · Here are examples of treatment broken collarbone treatment options and when surgery may be recommended or required for a full recovery. Immobilization. Immobilizing the area is key to recovering from any broken bone, especially the collarbone. An arm sling will help immobilize the area and keep you from moving around while the bone heals.

How do you heal a broken clavicle?

Although a broken clavicle is painful, most people don’t need surgery. Physical therapy can help reduce stiffness and rebuild strength. Appointments 216.444.2606 Appointments & Locations Request an Appointment Symptoms and Causes Diagnosis and Tests Management and Treatment Prevention Outlook / Prognosis Living With Overview

What is the healing time for a broken clavicle?

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. Anatomy

How to relieve pain from clavicle fracture?

Nov 26, 2020 · Treatment. Medications. To reduce pain and inflammation, your doctor might recommend an over-the-counter pain reliever. If you have severe pain, you might need a ... Therapy. Surgery.

How painful is a clavicle fracture?

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Do you need a cast for a broken clavicle?

Casts are not used for broken collarbones. Not aligned (meaning the broken ends do not meet), you may need surgery. Shortened quite a bit or out of position and not aligned, you will likely need surgery.

Does a broken clavicle always need surgery?

Most clavicle fractures don't need surgery. If the broken parts of the bone are in a good position to heal, healthcare providers may recommend: Arm support: A sling can help you feel more comfortable as you heal. It can also prevent broken parts of bone from moving around.Nov 4, 2020

How long does it take to recover from a fractured clavicle?

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.

Can a broken clavicle heal on its own?

Usually a broken collarbone will heal on its own. You just need to give it time. To help speed the healing, you might get: A splint or brace to keep your shoulder from moving.Nov 1, 2021

How painful is a clavicle fracture?

A clavicle fracture can be very painful and may make it hard to move 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.

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.Jul 5, 2021

When does a collarbone need surgery?

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).May 14, 2020

What is the fastest way to heal a broken 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.

Should you sleep with a sling on with a broken collarbone?

Wear a sling on the affected arm during waking hours. The sling can be removed during sleep (or kept in place if you are more comfortable). 3. Over-the-counter medications such as ibuprofen, acetaminophen (Tylenol), and naproxen can relieve pain associated with a broken clavicle.

How painful is clavicle surgery recovery?

You will have some pain during recovery. In most cases, an over-the-counter pain reliever can control the pain. An ice pack may also help reduce pain and swelling. You will start physical therapy during the first three weeks, while you are still using the sling.

Is it OK to walk with a broken collarbone?

Can I exercise with a broken collarbone? Yes. In fact, as long as you don't need surgery, you should be able to start doing exercises for elbow motion soon after the injury. 9 A physical therapist can guide you to the right exercises as you recover.Jan 17, 2022

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.

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 are the risks of nonunion?

If there is a high risk of nonunion, or if there is a concern about loss of function, surgery may be a reasonable treatment. Specific risks for nonunion of a fracture include: 1 Female patient 3  2 Older patient 3 Displacement of the fracture (broken ends not touching) 4 Comminution (multiple, small fragments of bone) 5 Patient smokes 3 

Can metal hardware cause infection?

Infection of hardware can cause significant problems. Because the metal hardware is close to the skin, the chance of infection is not insignificant. About 0.4 to 7.8 percent of people who have clavicle fracture surgery develop an infection from their surgery. 5 

What is the most common problem with surgery?

By far the most common problem with surgery is that many people are bothered by the hardware used to repair their broken clavicle. Most often, a plate and screws are placed along the bone to hold it in position, and these can typically be felt under the skin.

Can clavicle fractures cause numbness?

6  Many people who have clavicle fracture surgery notice a patch of numbness or tingling just under their incision. Over time, it may become smaller and less noticeable, but it tends to persist.

Can a clavicle fracture heal?

Clavicle fractures are common injuries and will often heal with nonsurgical management. However, orthopedic surgeons are recommending surgery more commonly as a means to provide more predictable healing timelines and recovery of function.

What to do if your clavicle is broken?

The best way to treat the injury until you can reach a physician or emergency facility is to immobilize the arm and shoulder by holding the arm close to the body with the other arm or in a sling.

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.

How to know if you have a broken collarbone?

What You Need to Know 1 The clavicle (collarbone) is one of the most fractured bones in the body. 2 Symptoms of a broken collarbone include severe pain and swelling at the site of the fracture and with visible deformity in some cases. 3 A clavicle fracture is diagnosed through a physical examination and X-rays. 4 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). 5 Immobilization using a sling is often used to treat a clavicle fracture along with cold therapy and medication for pain relief. 6 In most cases of a fractured collarbone, there are no limitations once the fracture heals.

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.

Where is the clavicle fracture?

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). Immobilization using a sling is often used to treat a clavicle fracture along with cold therapy ...

What is the collarbone?

The collarbone acts as a strut to connect the sternum to the shoulder blade. Because of the critical location of the clavicle, any severe force on the shoulder, such as falling directly onto the shoulder or falling on an outstretched arm, transfers force to the clavicle. As a result, the collarbone is one of the most commonly broken bones in ...

Can you move your shoulder if it's frozen?

If the shoulder joint gets stiff, it is a condition known as a frozen shoulder. Usually as the pain in the fracture begins to subside, it is acceptable to begin moving the shoulder. Your physician may show you the motions or send you to a physical therapist for instructions.

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 repair clavicle?

Therefore, focus on eating lots of fresh produce (fruits and veggies), whole grains, lean meats, and fish to give your body the building blocks needed to properly repair your clavicle. In addition, drink plenty of purified water, milk, and other dairy-based beverages to augment what you eat.

How long does it take to heal a fractured clavicle?

Healing takes between four to six weeks in younger people and up to 12 weeks in the elderly, but it depends on the severity of the fractured clavicle.

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 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.

What causes a fractured clavicle?

Typical causes of clavicle fractures are accidental falls, sports injuries and trauma from car accidents. [2] A fractured clavicle needs immediate medical care to diagnose its severity, but does not always require surgery. In most cases, the bone will heal with appropriate home care and without surgical intervention.

What is the best way to diagnose a shoulder fracture?

Your doctor will take an x-ray of your shoulder to help diagnose the injury. Other diagnostic tool used can include a bone scan, MRI or CT scan. Most often the break is diagnosed as a stress or hairline fracture, which is a small surface crack not serious enough to misalign bone or break the skin's surface.

What happens if you fall on your shoulder?

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.

How to heal a broken clavicle?

Nonsurgical treatment for a broken clavicle can include the following: 1 An arm sling or wrap is typically worn after the break occurs. This helps prevent arm movement as the collarbone recovers. 2 Pain medication, typically nonsteroidal anti-inflammatory drugs such as naproxen and ibuprofen, can be taken to reduce pain. 3 Physical therapy exercises will be recommended once the collarbone begins to mend. The patient will begin with mild movements to ease stiffness. More intense exercises will be added after the bone recovers.

What is clavicle surgery?

Clavicle surgery may be needed if the fractured bones if the fractured pieces of bone are not in their correct, anatomical location. (The medical term for this is a displaced fracture). In these cases, the bones need to be moved and secured in order to heal properly. Plates, screws, and pins are often used during the surgical process. Rehabilitation after surgery involves exercises that can be done at home or with a physical therapist.

How to reduce swelling after shoulder surgery?

Icing shoulder several times a day to reduce swelling. Wrap the ice pack in a towel or cloth to prevent ice burn. Restraining from lifting objects weighing over five pounds during the first six weeks post-surgery. Following up with the physician and getting the appropriate x-rays to confirm healing.

How long does it take to recover from a broken clavicle?

In general, recovery is similar to treating a broken clavicle without surgery with return to normal activity around three months or so and full recovery up to six to 12 months after surgery. While your break heals, you should follow-up with your surgeon or other healthcare provider to make sure you don’t have complications.

What is clavicle fracture?

A note from Cleveland Clinic. A clavicle fracture is a break in the collarbone that’s often painful. Most people don’t need surgery, but some require an operation to put the pieces of bone back in place. Physical therapy is important to get you back to daily activities.

Why does my clavicle break?

A clavicle breaks when force or pressure causes it to snap. Common causes are: Collisions (trauma) when an arm is outstretched, like during skiing, hockey, football and other sports. Direct hits to the clavicle, such as in a car accident. Falls onto the clavicle or an extended arm.

What is a broken collarbone?

Broken Collarbone (Clavicle Fracture) A clavicle fracture is a break in the collarbone. You have two clavicles, each connecting a shoulder to the upper chest. Broken collarbones are common, often happening from a fall, sports injury or car accident. Although a broken clavicle is painful, most people don’t need surgery.

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

Most collarbone fractures heal in six to eight weeks, without surgery or complications. Most people are able to start getting back to normal activities by three months or so, but full recovery may take up to six to 12 months. You may feel a bump where the fracture healed.

What is the procedure to fix a broken collarbone?

Pieces of broken collarbone are not in a good position to heal. Surgery to treat a clavicle fracture is called open reduction and internal fixation. The operation puts broken pieces of collarbone back where they belong (reduction). It then uses metal devices to keep the pieces in place (fixation).

Do clavicle fractures need surgery?

Most clavicle fractures don’t need surgery. If the broken parts of the bone are in a good position to heal, healthcare providers may recommend: Arm support: A sling can help you feel more comfortable as you heal. It can also prevent broken parts of bone from moving around.

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 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.

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.

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.

What is the best way to see if a bone is broken?

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. Note how far out of place (displaced) the broken ends of the bone are.

How long does it take for a collarbone to heal?

Whether your treatment involves surgery or not, it can take several months for your collarbone to heal. Healing may take longer in diabetics or in people who smoke or use tobacco products.

What is the procedure for a broken collarbone?

Broken collarbone surgery usually includes placing fixation devices — plates, screws or rods — to maintain proper position of your bone during healing. Surgical complications, though rare, can include infection and lack of bone healing.

What is the best way to diagnose a broken collarbone?

X-rays determine the extent of a broken collarbone, pinpoint its location and determine if there's injury to the joints. Your doctor might also recommend a CT scan to get more-detailed images.

How long does it take for a broken collarbone to heal?

How long immobilization is needed depends on the severity of the injury. Bone union usually takes three to six weeks for children and six to 12 weeks for adults. A newborn's collarbone that breaks during delivery typically heals with only pain control ...

How to reduce inflammation and pain?

To reduce pain and inflammation, your doctor might recommend an over-the-counter pain reliever. If you have severe pain, you might need a prescription medication that contains a narcotic for a few days.

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Treatment

Function

Signs and symptoms

Diagnosis

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

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Traditionally, these fractures have been treated nonsurgically. 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 ques…
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Prognosis

  • 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.
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Symptoms

  • People sustain clavicle fractures from a variety of injuries ranging from falls, automobile accidents, sports injuries, and other traumatic injuries. When a clavicle fracture occurs, it is common to have pain and swelling at the site of the injury. People can often see a deformity of the bone, especially soon after the injury before swelling has worsened.
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