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Fractures of the Collar Bone (also known as the Clavicle)

Fractures of the collarbone are among the most common broken bones in kids.  These usually happen after a fall on the shoulder or arm, with falls off a bicycle being a particularly common cause of the injury. 

It is usually easy to tell if it’s broken; there is pain over the collarbone and there may be obvious deformity such as the ends of the broken bone pressing up on the skin.  An x-ray will confirm the diagnosis.

This is a picture of a broken clavicle. The arrow show where the collar bone is broken.

The treatment of a broken clavicle is quite simple.  It is often said that if the ends of the broken collarbone are in the same room, they will heal!  All that is usually required is a sling for comfort or perhaps a clavicle strap, a form of brace that puts pressure over the collar bone and provides some stability for comfort during healing.  Clavicle fractures heal by making a “lump” of bone known as fracture callus, which serves to knit the two ends of the bone back together.  Over time, the lump of bone will go away as the clavicle remodels back into its original shape.

Clavicle fractures in children almost never require surgery, and are generally well on their way to healing by 3 weeks (which is about as long as you can continue to keep your child in a sling, anyway).  There are a few exceptions; if the bone comes through the skin (rare), it will need surgery right away.  In the rare instance that the fracture does not heal on its own, we often think that there might be a rare condition known as congenital pseudoarthrosis of the clavicle (which is always on the right side). This is shown in the next two pictures, and surgery with a plate and screws is often needed to fix this problem.

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Kidsfractures.com is brought to you by two practicing orthopedic surgeons: John T. Smith MD (Primary Children's Medical Center, Salt Lake City, Utah) and Sohrab Gollogly MD (Monterey Spine and Joint, Monterey, California). This site is for informational purposes only. For a complete explantion of the policy for use of this site, click here.