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Clavicle Fracture

AMBULATORY CARE:

A clavicle fracture

is a break in your clavicle (collarbone).

Shoulder Anatomy

Common signs and symptoms include the following:

  • Pain at the clavicle or top of the shoulder, especially with movement of the shoulder
  • Trouble moving your shoulder or arm
  • Swelling or bruising
  • Lump or bulge in the fractured area
  • Your shoulder on the injured side slumps down and forward
  • Deformed clavicle, or clavicle that looks out of place
  • Weakness, numbness, or tingling in your shoulder and arm
  • You need support your arm with the other hand to decrease pain

Seek care immediately if:

  • Your shoulder, arm, hand, or fingers turn bluish or pale, or feel cold or numb.
  • Your pain gets worse, even after rest and medicine.
  • Your splint feels tight, or you have increased swelling.
  • You cannot move his or her fingers.

Contact your healthcare provider if:

  • Your sling or wrap comes off or gets damaged.
  • You have questions about your condition or care.

Treatment

will depend on the damage and the kind of fracture you have. Most broken clavicles heal on their own. It is very important to keep your arm from moving to allow the clavicle to heal. You may need any of the following:

  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly. Do not use more than 4 grams (4,000 milligrams) total of acetaminophen in one day.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • A sling or brace will be recommended to keep your clavicle from moving so it can heal. It will also help decrease pain.
  • Apply ice on your clavicle for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice decreases swelling and pain.
  • Rest will help your clavicle heal. Limit your activity as directed.
  • Surgery may be needed to return the bones to their normal position. Pins, plates, and screws may be used to hold the bone together.

Follow up with your healthcare provider within 1 week or as directed:

You may need to return for more x-rays to see how well your clavicle is healing. Write down your questions so you remember to ask them during your visits.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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