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The collarbone (clavicle) is one of the main bones of the
shoulder joint. It holds the shoulder up and, along with the shoulder blade
acromioclavicular (AC) joint, provides stability and
strength to the shoulder. The collarbone also protects nerves and blood vessels
from the neck to the shoulder.
A broken collarbone is usually caused by direct contact to the collarbone or to the outside of the shoulder.
This often occurs when playing sports such as football, wrestling, or ice
The collarbone is one of the most commonly broken (fractured) bones. Young men ages 13 to 20 break it
most often. Younger children have greater chances of a broken collarbone during
Symptoms of a broken collarbone include:
The affected shoulder does not always appear out of position. But
if a deformity is present, it appears as a bump or swelling along the
collarbone or at the AC joint. The bone rarely breaks through the skin. But it may
push the skin out, causing it to have a tent-shaped look.
A broken collarbone usually is not a serious injury. In rare
cases, a broken collarbone can injure a lung or rib or pinch nerves or blood
vessels. This may cause the arm to turn pale, tingle, and feel cool or
Your doctor can usually diagnose a broken collarbone by asking
you questions and examining you. Your doctor will check:
Your doctor will usually do an
X-ray to pinpoint the location and severity of the
Many broken collarbones heal on their own. If you don't need surgery, you will use a
sling to keep your arm and shoulder from moving while
the bone heals. You will probably use the sling for at least 3 to 4 weeks. Sometimes a figure-8 strap is used instead of a sling.
You can begin simple exercises immediately and move on to
strengthening exercises when they don't cause pain. Ask your doctor when it is
safe to begin to exercise. If you start too soon, the broken collarbone may not
heal well. If you are active, do not play sports or other activities until you
can move your shoulder easily and it feels strong.
To help relieve pain, try acetaminophen or a
nonsteroidal anti-inflammatory drug, such as ibuprofen or naproxen. Be safe with medicines. Read and follow all instructions on the label.
Surgery may be recommended for severe
breaks. When the ends of the broken bone do not line up with each other (displaced), surgery is more likely. Many experts believe surgery is especially important in young, active people.
After surgery, you will use a sling for up to 6 weeks. Your doctor or physical therapist will teach you gentle exercises to keep your shoulder moving for about 6 weeks, until you can start exercises to get your strength back. Most people have returned to all their activities by 3 months after surgery.1
The American Academy of Orthopaedic Surgeons (AAOS)
provides information and education to raise the public's awareness of
musculoskeletal conditions, with an emphasis on preventive measures. The AAOS
website contains information on orthopedic conditions and treatments, injury
prevention, and wellness and exercise.
Kim W, McKee MD (2008). Management of acute clavicle fractures. Orthopedic Clinics of North America, 39(4): 491–505.
Other Works Consulted
American Academy of Orthopaedic Surgeons and American Academy of Pediatrics (2010). Fracture of the clavicle. In JF Sarwark, ed., Essentials of Musculoskeletal Care, 4th ed., pp. 277–279. Rosemont, IL: American Academy of Orthopaedic Surgeons.
McMahon PJ, Kaplan LD (2006). Sports medicine. In HB Skinner, ed., Current Diagnosis and Treatment in Orthopedics, 4th ed., pp.
163–220. New York: McGraw-Hill.
August 28, 2013
William H. Blahd, Jr., MD, FACEP - Emergency Medicine
& Patrick J. McMahon, MD - Orthopedic Surgery
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