Fractured ClaviclePresented by: Dr Jerome Goldberg
20 year old male presents after slipping on a path.
He has injured his left dominant shoulder and complains of pain and loss of movement.
- Tender Clavicle
- No deformity
- Movement limited by pain
- No neurovascular signs
- Sling (not collar & Cuff) for 3 weeks – patient needs to stay in a sling constantly including at night, to avoid fracture displacement.
- X-ray at 3 weeks to ensure there is no displacement and often callus is visible
- Remove sling if x-ray is ok and commence gentle range of motion exercises with physio
- X-ray at 6 weeks to confirm union. Allow increased activity including overhead work.
- Contact sports – 12 weeks.
If using a Collar & Cuff the weight of the elbow can cause displacement of the fracture. Non-union is very uncommon.