Fractured collar bone

What is a fractured clavicle?

The collar bone (or clavicle) is the bone that runs along the front of the shoulder to the breast bone (sternum). This bone is usually fractured as a result of falling badly onto an outstretched arm or onto the shoulder itself. It can also be fractured in a collision with an opponent in a contact sport such as Rugby or American Football.

A clavicle fracture is one of the most common fractures in sporting activities. The likelihood of a clavicle fracture is increased if the playing surface is particularly hard. The bone usually fractures in it's middle third and is very painful.

Symptoms of a fractured collar bone include:

• Pain on the collar bone!
• Swelling.
• A bony deformity may be seen or felt.

How is it treated?

• If you suspect you have a broken collar bone you should see a doctor immediately.
• An x-ray will confirm the fracture.
• The arm will then be immobilised with either a figure of eight bandage, sling or collar and cuff.
• Pain relief is the main aim at this stage and will be achieved with paracetamol or anti-inflammatories.
• After a period of complete immobilisation (1-2 weeks), the arm should then be gently moved to prevent shoulder stiffness.
• Rehabilitation will involve regaining full range of motion using mobility exercises and stretches, as well as ensuring strength is not affected.

The injury is likely to take 4 to 6 weeks to heal. You should not do any sports or even running until it has properly healed. However you may be able to cycle on a stationary bike.

In the event of a non-union, surgery may be required, although this is uncommon as collar bone fractures generally heal well.