Clavicle Fractures
What is a clavicle fracture?
A clavicle fracture is a break in the collarbone, the long, thin bone that connects the breastbone (sternum) to the shoulder. It is a common injury, especially in athletes and after falls or trauma to the shoulder.
Clavicle fractures are often caused by a fall onto the shoulder, a direct blow (such as in contact sports), or a fall onto an outstretched arm. They can also occur in newborns during childbirth or from bike, car, or skiing accidents.
Symptoms include pain at the collarbone, swelling, bruising, and a visible bump or deformity. You may feel or hear a “crack” at the time of injury. Movement of the arm or shoulder is typically painful and limited.
Diagnosis is based on a physical exam and confirmed with X-rays, which show the location, type, and severity of the fracture. CT scans may be used for complex or displaced fractures near the shoulder joint.
Most clavicle fractures can be treated without surgery using a sling, rest, and physical therapy. Surgery may be recommended for displaced fractures, fractures with significant shortening, or when the bone pieces are at risk of not healing properly.
This surgery realigns the broken pieces of bone (open reduction) and secures them with a metal plate and screws (internal fixation). It’s typically done for displaced or unstable fractures to improve healing, restore alignment, and support early return to activity.
Recovery takes about 12 weeks. A sling is worn for the first few weeks to protect the repair. Physical therapy starts early to maintain shoulder motion, followed by strengthening. Most patients return to sports and full activity within several months, depending on healing, comfort, and function.
At a Glance
Sachin Allahabadi, MD
- Board-Certified & Fellowship-Trained Sports Medicine Surgeon
- Expertise in Minimally Invasive Knee & Shoulder Surgeries
- Assistant Professor of Clinical Orthopaedic Surgery, Houston Methodist Hospital & Weill Cornell Medical College
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