Clavicle Fractures
The shoulder is made of 3 bones: the upper arm bone (humerus), the shoulder blade (scapula) and the collarbone (clavicle). The clavicle sits between the ribcage and the shoulder blade and connects the arm to the body. In addition, the shoulder soft tissues, including the cartilage, labrum, ligaments, and tendons, provide dynamic stability for the shoulder joint.
What is a clavicle fracture?
A broken collarbone is the most common type of shoulder fracture, accounting for about 5% of all adult fractures, and 10-15% of childhood fractures. It is usually caused by a fall on the shoulder or an outstretched arm, or a traumatic accident that causes a direct blow to the shoulder. Almost 80% of clavicle fractures occur in the middle of the bone. Less commonly, the medial aspect of the bone (near the sternum) or the lateral aspect of the bone (near the AC joint) may fracture. The fracture may be just a crack or broken into several pieces. Moreover, the fracture may be well-aligned or not well-aligned (displaced).
Clavicle fractures are common in young adults, with a higher prevalence in males than females. Athletes who play football, hockey, soccer skating, skiing, bicycling, mountain biking and horseback riding are at risk. Specifically, fractures from a skiing or biking injury may cause multiple fractured fragments. The break may be an isolated injury or involve injuries to the other areas.
What are the symptoms of a clavicle fracture?
- Sharp pain, bruising and swelling
- A bump on the shoulder where the fracture is pushing against the skin
- An inability to lift the arm because of pain
- A shoulder that sags down and forward
- Movement generates pain and a grinding sensation
- If the bone protrudes from the skin, it is called an open fracture
How is a clavicle fracture diagnosed?
Dr. Godin will conduct a comprehensive physical examination of the collarbone, shoulder and upper chest looking for bruising, tenderness and swelling; and gently feel the area to determine the location and position of the break. He will also check for damage to the blood vessels and nerves. X-rays will confirm the diagnosis. Other imaging studies may be recommended to assess for concomitant soft tissue damage.
Dr. Jonathan Godin is a shoulder expert who will provide you with the most advanced treatment available for your needs, that will allow the quickest possible recovery and return to your active lifestyle.
