Clavicle Fractures
The clavicle, or collarbone, connects the shoulder to the chest and plays a vital role in upper body strength and arm movement. A clavicle fracture, one of the most common shoulder injuries, typically occurs from a fall, direct blow, or sports accident.
At Iowa Ortho, our orthopedic specialists provide expert diagnosis and treatment for clavicle fractures, offering both non-surgical and surgical options to help patients heal properly and return to full activity.
What is a clavicle fracture?
A clavicle fracture is a break in the long bone that runs horizontally between the sternum (breastbone) and the shoulder. These fractures often occur in the middle third of the bone, but can also happen near the shoulder or sternum ends.
Common causes
- Falling onto the shoulder or an outstretched hand
- Direct impact from a car or sports accident
- Contact sports such as football, hockey, or wrestling
- Birth trauma (in newborns)
Symptoms of a clavicle fracture
- Immediate shoulder or collarbone pain
- Swelling, bruising, or tenderness along the collarbone
- A visible bump or deformity
- Limited shoulder movement
- A grinding or cracking sensation with arm motion
Diagnosis
At Iowa Ortho, diagnosis begins with a physical examination and X-rays to assess the exact location and severity of the fracture. In complex cases or when joint involvement is suspected, CT scans may be ordered for a more detailed view.
Treatment options
Non-surgical treatment
Many clavicle fractures can heal without surgery, especially if the bone ends are well aligned. Treatment may include:
- Sling or brace immobilization for several weeks
- Pain management and anti-inflammatory medication
- Physical therapy to restore range of motion and strength once healing begins
Surgical treatment
Surgery is recommended if the fracture is significantly displaced, shortened, or involves multiple bone fragments. Common procedures include:
- Open reduction and internal fixation (ORIF): The bone is realigned and stabilized with plates and screws.
- Intramedullary fixation: A metal rod is inserted within the bone for internal support.
Recovery & rehabilitation
Recovery time depends on the severity of the fracture and whether surgery was required. Most patients can expect:
- Immobilization in a sling for 4–6 weeks
- Physical therapy to regain shoulder mobility and strength
- Return to sports or full activity within 8–12 weeks (longer for surgical cases)
Our rehabilitation specialists at Iowa Ortho provide customized therapy plans to ensure optimal recovery and shoulder performance.
Why choose Iowa Ortho for clavicle fracture care?
- Fellowship-trained orthopedic surgeons specializing in trauma and shoulder injuries
- Expertise in minimally invasive fixation techniques
- On-site imaging and therapy for seamless, coordinated care
- Comprehensive rehabilitation programs to ensure full recovery