Clavicle Fractures

The clavicle or ‘collar bone’ has an important role in connecting the upper limb to the chest and thorax (axial skeleton). The clavicle is unique as it only receives its blood supply from the outer covering of the bone called the periosteum. Clavicle fractures are common in active people who participate in contact sport and athletes that are susceptible to falls at high velocity.

Not all clavicle fractures require surgery. Fractures affecting the mid-shaft of the bone can often be treated in a sling until the bone heals. Progressive range of movement and strength is then restored through physiotherapy, exercise and return to functional activities, work and sport. 

Consideration should be given for surgical management when there is significant displacement, multiple fragments (comminution), shortening of the bone or when the fracture involves the outer third of the bone where important ligaments attach. Other indications for surgery include open fractures and patients with multiple injuries. Individual patient factors such as work requirements and sporting endeavours are also considered when deciding on surgical and non-surgical management. 

There has been a significant amount of research into both the surgical and non-surgical management of clavicle fractures that has identified the risks and benefits of each option.
Dr McBride considers a patients age, past medical history, occupation, sport, fracture pattern and current research to provide a management plan that optimises the outcome for each individual patient considering their injury, personal circumstances and functional goals.