- Middle third—the middle portion of the clavicle, which is the most common site for a clavicle fracture
- Distal third—the end of the clavicle connecting to the shoulder
- Medial third—the end of the clavicle connecting to the sternum
|Distal Third Clavicle Fracture|
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- Direct blow to the clavicle
- Falling on an outstretched arm or on the point of the shoulder
- Newborn babies can break a clavicle passing through the birth canal
- Advancing age, because of the increased risk of falling
- Certain congenital bone conditions
- Participating in contact sports
- Large newborns have a higher risk of fracture during birth
- Pain, often severe
- Sagging shoulder, down and forward
- Inability to lift the arm because of pain
- A lump or visible deformity over the fracture site
- Tenderness and swelling of the affected area
- Putting the pieces of the bone back in position, which may sometimes require anesthesia and more rarely surgery
- Keeping the pieces together while the bone heals itself
- Newborns and most children do not usually need to have the pieces of the bone put back in position unless the broken ends are very far apart
Brace or Sling
- A child may heal as quickly as 3-4 weeks.
- An adolescent may take 6-8 weeks to heal.
- An adult may require 8-10 weeks to heal.
- A lump at the fracture site may persist for years.
- Do not put yourself at risk for trauma to the clavicle bone.
- Eat a diet rich in calcium and vitamin D.
- Build strong muscles to prevent falls and to stay active and agile.
American Academy of Orthopaedic Surgeons http://www.aaos.org
American Orthopaedic Society for Sports Medicine http://www.sportsmed.org
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Clavicle fracture. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated June 2009. Accessed July 21, 2009.
Levy AM, Fuerst M. Sports Injury Handbook. New York, NY: John Wiley & Sons, Inc; 1993.
Lenza M, Belloti JC, Andriolo RB, Gomes Dos Santos JB, Faloppa F. Conservative interventions for treating middle third clavicle fractures in adolescents and adults. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD007121.
Shoulder trauma. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00394. Accessed July 15, 2008.
Stegeman SA, de Jong M, Sier CF, et al. Displaced midshaft fractures of the clavicle: nonoperative treatment versus plate fixation (Sleutel-TRIAL). A multicentre randomised controlled trial. BMC Musculoskelet Disord. 2011 Aug 24;12:196.
Vander Have KL, Perdue AM, Caird MS, Farley FA. Operative versus nonoperative treatment of midshaft clavicle fractures in adolescents. J Pediatr Orthop. 2010 Jun;30(4):307-312.
8/20/2013 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Joshi N, Lira A, Mehta N. Diagnostic accuracy of history, physical examination, and bedside ultrasound for diagnosis of extremity fractures in the emergency department. Acad Emerg Med. 2013 Jan;20(1):1-15.