Collar Bone Fracture
The collarbone is also called the clavicle. A fracture (break) can occur after a fall or direct impact onto the shoulder and is a common injury. It will usually be painful, bruised and swollen. Sometimes it might change shape or even appear very prominent under the skin. An xray will be taken to confirm the diagnosis.
The initial treatment involves supporting the arm in a sling, resting and taking painkillers.
Is a clavicle fracture serious?
Occasionally there are certain clavicle fractures that cause significant problems and need urgent treatment, you will usually be kept in hospital for this and treated promptly.
Most other clavicle fractures can be treated without surgery. After resting in a sling for a week or two you will be given some exercises to start and guidance on when to remove the sling. You will be reviewed in follow-up appointments to check that you are recovering well. Further xrays are not always necessary but may be taken.
How long does a clavicle fracture take to heal?
Most people recover within 6-8 weeks (children may recover quicker, 3-4 weeks depending on their age). Once you are able to remove the sling comfortably, initially you will work on regaining your range of movement. Light activities can be introduced but heavy lifting or loading should be avoided for the first 6 weeks. Contact sports should be avoided for 12 weeks. Even with appropriate treatment in a sling there is small chance that the fracture doesn’t heal, but this is rare.
Is surgery needed for a clavicle fracture?
Most clavicle fractures do not need an operation to heal, but your surgeon may discuss surgical fixation in certain circumstances. This is usually if the fracture is very displaced (far apart) or broken into several pieces, because it may be less likely to heal in these situations. The operation usually involves making a cut over the top of the clavicle, placing the two ends back together and holding them in place with a metal plate and screws. This fixation simply holds the bone in place while it heals naturally, which still takes 6-8 weeks and the return to activity is roughly the same. Most people recover well after surgery but there are some risks with surgery and your surgeon will discuss them with you before proceeding.
