Broken collarbone

Diagnosis

The following procedures will help the healthcare provider to properly diagnose broken collarbones by:

• Physical examination: A medical professional will evaluate for signs of tenderness, swelling, or an open wound in the area.
• Imaging test:
  • X-ray: X-ray of the affected area can confirm a broken bone and show the location, severity and presence of additional fracture.
  • Computed tomography (CT) Scan: If patient is suspected to have joint or artery damage, a CT may be recommended for a more detailed and precise image of the collarbone.
  • Anteriogram: This test examine the arteries using dye and X-ray.

Treatment

To aid in the recovery of a broken collarbone, immobilization is required. Most people with a broken collarbone use a sling. Children’s bones typically take 3 to 6 weeks to heal, while adults’ bones take an average of 6 to 12 weeks to heal. For newborns, the broken collarbone usually heals within two weeks with just pain medication and gentle treatment.

• Medicines: Over-the-counter drugs can help alleviate pain as the bone heals. In severe cases, a healthcare provider may prescribe stronger medications, such as opioids, for a short period of time. However, these should only be used with caution due to the risk of addiction.
• Therapy: After treatment, exercises to regain movement should start right away. These exercises can strengthen the shoulder, increase arm mobility, and reduce stiffness. It’s important to start moving in order to reduce stiffness.
• Surgery: If the collarbone has pierced through the skin, is misaligned, or is shattered, surgery may be required. In order to keep the broken collarbone in place while it heals, most broken collarbone surgeries involve the use of plates, screws, or rods. Infection is a rare but possible side effect of surgery.

The exterior surfaces of the bone are secured with plates and screws. Unless it causes pain, the hardware is typically not removed until the bone has healed.

Surgery is uncommon in children and teenagers under the age of 16 since they recover faster than adults.