If there is a need for surgery, it should be based on science and sound judgement. Evidence should guide decision making about whether or not your injury or your child’s injury should be managed with surgery or with a sling. There is evidence, there is the fee for service model in medicine, and there is physician personal preference. You would think that there would be a simple consensus on how to manage a broken clavicle by now – but there isn’t. We need a lot of information about you, your occupation and hobbies to give you the appropriate treatment recommendation. Perhaps you are a desk worker, or a runner. Perhaps you are a professional rock climber, or a fireman. Your surgeon recommends a sling or they recommend surgery. You or your child break their clavicle… you were seen in an urgent care center, then you met with an Orthopedic surgeon. Surgery might improve the time to return to sports.
Most athletes can return to sports after their clavicle has healed. Again, most collarbone fractures will heal well without surgery. We know from many publications that most clavicle fractures will heal well without surgery.
Cat scans or an MRI of the clavicle is not necessary to make this diagnosis. A trip to a local Urgent Care center will reveal the diagnosis on a routine X-ray. Once struck you will notice pain, and you will usually notice a bump in the middle of your collarbone. Another common cause of collarbone injuries is a direct hit from a helmet. The clavicle will break or fracture if you fall onto the side of your shoulder. That means that all the pressure put on the arm from lifting or motion will go through the clavicle and around the ribs, into the spine and disburse through the ground. The clavicle connects the arm to the rest of the skeleton. We are going to dive into what the research says about how we should manage a midshaft fracture of the clavicle. The research might not agree with early surgical intervention.
Many of you will be reading this because you were told that surgery was necessary to fix your clavicle. Fractures of the clavicle are more common in children, cyclists, rugby players and football players. The clavicle or collarbone is one of the most commonly broken bones in our body.
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