Clavicle

The clavicle is also known as the collar bone. Fractures to this bone are quite common because it is very superficial. Typically, these fractures occur after a fall off a bicycle or a similar mechanism. Often times, especially in younger children, these fractures heal in a few weeks with the use of a sling. In adolescents, if the bones are separated quite far from each other, your physician may recommend surgery to bring the fracture in closer alignment.

Better known as the collarbone the clavicle is the bone in your chest that connects your breastbone to your shoulder and arm.  It is a very superficial bone, and injuries are typically quite common to see.

Clavicle Anatomy

The clavicle is surrounded by a number of muscles and important structures.  The muscles of the shoulder, including the deltoid and trapezius surround the clavicle on the outside and behind it respectively.   There are also important structures that connect the clavicle bone to another bone, the coracoid.  These are the conoid and trapezoid ligaments.  These are important in fractures at the end of the collarbone as well as an injury know as an AC separation.

Underneath the clavicle there are important blood vessels that supply the rest of the upper body.  The lungs are also below the collarbone.

Clavicle Injuries

Fractures to this bone are quite common because it is very superficial. Typically, these fractures occur after a fall off a bicycle or a similar mechanism. Often times, especially in younger children, these fractures heal in a few weeks with the use of a sling. In adolescents, if the bones are separated quite far from each other, your physician may recommend surgery to bring the fracture in closer alignment.

Patients with clavicle fractures, not requiring surgery, are often quite uncomfortable for the first seven to ten days after injury.  A correctly fitting sling will help support the arm providing more comfort. There are several options for relieving pain.

  • Applying an ice pack to the shoulder over the break can be helpful.  Make sure that the ice back is not too heavy, as this may cause pain.  Also, please place a towel between the skin and ice pack to not cause any skin problems.
  • Resting in a more upright position (reclining chair, or multiple pillows behind the back)
  • Medications may be prescribed for short durations in some cases, otherwise over the counter pain medication may be used

Here is the xray of a broken clavicle in an adolescent female after she fell off of a horse. Since the bones are very far apart from each other, the decision was made to surgically fix this bone.  The xray on the bottom demonstrates the clavicle bone after surgery.  There is a screw in the middle holding the middle fragment in place, and then the plate and screws on top.

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