The clavicle (collarbone) is a slightly curved bone that connects the breastbone (sternum) to the shoulder blade (scapula). Otherwise known as the collarbone, the clavicle lies in a precarious spot, and a stiff sideward blow to the shoulder or one straight to the collarbone itself will often result in a break in the bone.
Detailed Description
Symptoms
If the clavicle breaks, the area around it will be red, tender, and swollen. Raising the arm may cause pain, and, at times, a visible deformity may occur in the upper chest. A doctor will confirm a break with X-Rays.
Causes and Risk Factors
Causes
A hard fall or a forceful blow to the shoulder and a hit directly to the collarbone are the most common causes of a broken clavicle.Risk Factors
Sports that place the player in a high risk of falling, including mountain biking, skiing, football, soccer, and rock climbing, pose the greatest risk of a broken clavicle. Bone disease, especially osteoporosis and calcium deficiencies, also raise the risk of breaking the bone. The injury is very common in children who fall out of bunk beds, trees, or other high places.
Treatment
Immediate Action
If a broken collarbone is suspected, the patient should consult a doctor immediately. Immobilize the joint by placing the arm in a sling or by holding the affected arm against the side of the body with the healthy arm. Apply ice to the area in 20- to 30-minute intervals, taking care not to freeze the skin around the area or apply too much pressure to it, which may cause pain. Procedures:
Since the collarbone normally heals on its own, an orthopedic surgeon will generally order the patient to immobilize his or her arm with a sling for two to three weeks. If the break is too complex to heal on its own, a doctor may perform an internal fixation.Medications
Non-steroidal anti-inflammatory drugs (NSAIDs) may be used to control swelling and pain. Use medications only as directed. Prevention
A diet high in calcium and other bone-healthy nutrients and a regimen of strengthening the bones of the shoulder are the best preventative measures against a broken clavicle.
Last updated: 10-Oct-00
