A clavicle fracture is a break in the bone that connects the breastbone to the shoulder blade. It is one of the most common sports injuries, typically caused by a direct fall onto the shoulder or an outstretched arm.
A broken collarbone is usually obvious the moment it happens. You may experience:
Sagging Shoulder: The affected shoulder often slumps forward and downward due to the lack of skeletal support.
A Visible "Tent": A sharp bump or "tenting" of the skin over the break where the bone ends have shifted.
Grinding Sensation: A feeling of "crepitus" (grinding or crunching) when attempting to move the arm.
Intense Localized Pain: Sharp pain directly over the bone, often accompanied by bruising and swelling.
Doctors need to determine the exact location and "displacement" (how far the bone ends have moved) of the fracture.
Physical Exam: The doctor will check for skin "tenting" and ensure that blood flow and nerve function to the arm are intact.
X-rays: This is the standard diagnostic tool to assess for a fracture.
CT Scan: Depending on how the fracture looks on x-ray, a CT scan may be used to see the break in better detail.
Most clavicle fractures heal without surgery, but displaced fractures may require hardware to ensure the bone heals straight.
Arm Support: You will use a sling or a figure-eight wrap to keep the shoulder immobilized and the bone aligned.
Pain Management: Over-the-counter pain relievers and ice can be used.
Physical Therapy: Gentle range-of-motion exercises usually begin after around 4 weeks
Surgery: If the bone ends are significantly overlapped or poking the skin, a surgeon may perform Open Reduction and Internal Fixation. This involves placing a metal plate and screws to hold the bone in place.