The clavicle, which is also known as the collarbone, is the bone that links the sternum or breastbone to the shoulder. A clavicle fracture, commonly referred to as a broken collarbone, is a very common sports injury. It often occurs in individuals participating in contact sports like football and martial arts, as well as impact sports such as motor racing.
Causes
A broken collarbone typically results from falling onto the shoulder or from being involved in a car accident. The sports most often linked to clavicle fractures are football, hockey, and skiing.
Symptoms
A fractured collarbone usually leads to pain, swelling, and bruising along the collarbone area. The pain tends to worsen when moving the shoulder. The shoulder might appear drooped and shifted forward. There could also be a noticeable lump near the broken bone. Additionally, a grinding sensation might be felt when attempting to lift the arm.
Diagnosis
To diagnose a broken collarbone, your doctor will inquire about the injury and check your shoulder. They will also perform an X-ray of the clavicle to determine the location of the break. In certain situations, your doctor may recommend a computerized tomography (CT) scan as well.
Conservative Treatment Options
Most broken collarbones usually heal without the need for surgery. An arm sling can help support the arm and keep the bones in their correct position. You might also receive pain medication to help manage the discomfort. Once the pain starts to go away, your doctor may suggest gentle exercises for the shoulder and elbow to prevent stiffness and weakness. It is important to continue seeing your doctor until the fracture has fully healed.
Surgery
Surgery might be needed if the bones are broken out of place. The procedure is done to properly align the broken parts and keep them in position while they heal. During surgery, doctors often use metal pins, plates, or screws to hold the bones correctly in place as they heal.
Plates and Screws fixation
During this surgery, your surgeon will move the broken pieces of bone back into their correct position. They will then secure the bone fragments in place using special screws or metal plates. These plates and screws are typically left inside the body. If they become uncomfortable or cause irritation, they can be taken out once the bone has fully healed.
Pins
Pins can also be used to keep the broken bone in place, which may require a smaller incision. However, they can sometimes irritate the skin where they are placed and need to be taken out once the bone has healed.
