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Breakage of the bone that connects the shoulder to the breastbone.

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Clavicle Fracture

The clavicle is a long "S" shaped bone that connects the sternum to the shoulder blade. Clavicle fractures are common, especially in children. In many cases, these fractures heal on their own over time, thanks to immobilization with a splint. However, in some cases, surgery may be necessary to stabilize the bone fragments, especially if there is significant displacement or if the fracture involves other structures such as nerves or blood vessels.

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The shoulder joint is formed by the shoulder blade (scapula) and the arm bone (humerus). The collarbone (clavicle) joins the scapula and the ribcage, supporting the shoulder joint and protecting nerves. Clavicle fractures are very painful and make it difficult to move the arm. They typically occur from a high-energy impact, such as a car collision or a fall onto the shoulder or an outstretched arm.


Clavicle fractures can be treated without surgery using a sling or a brace and physical therapy.


However, surgery may be recommended for:

  • Displaced bone ends.
  • Open fractures where the bone has broken through the skin.
  • Multiple fractures.
  • Associated blood vessel or nerve injury.
  • Nonunion or malunion, where the bone fails to heal or heals incorrectly.
  • An associated shoulder blade fracture.

Surgical repair involves realigning the bone and using a metal plate and screws to hold it in place.

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