The collarbone (clavicle) is one of the main bones of the
shoulder joint. It holds the shoulder up and, along with the shoulder blade
acromioclavicular (AC) joint, provides stability and
strength to the shoulder. The collarbone also protects nerves and blood vessels
from the neck to the shoulder.
What causes a broken collarbone?
A broken collarbone is usually caused by direct contact to the collarbone or to the shoulder.
This often occurs when playing sports such as football, wrestling, or ice
The collarbone is one of the most commonly broken (fractured) bones. Young men ages 13 to 20 break it
most often. Younger children have greater chances of a broken collarbone during
What are the symptoms?
Symptoms of a broken collarbone include:
Immediate pain after falling or being hit on
the collarbone or in the shoulder area.
Inability to raise the
affected arm because of pain.
A grinding feeling when trying to
lift the affected arm.
The affected shoulder does not always appear out of position. But
if a deformity is present, it appears as a bump or swelling along the
collarbone or at the AC joint. The bone rarely breaks through the skin. But it may
push the skin out, causing it to have a tent-shaped look.
A broken collarbone usually is not a serious injury. In rare
cases, a broken collarbone can injure a lung or rib or pinch nerves or blood
vessels. This may cause the arm to turn pale, tingle, and feel cool or
How is a broken collarbone diagnosed?
Your doctor can usually diagnose a broken collarbone by asking
you questions and examining you. Your doctor will check:
The affected area and look for a lump or
Blood flow, by taking your pulse and checking your skin color
For damage to your nerves and blood
How well you can move your shoulder and other
The muscle strength of your shoulder.
Your doctor will usually do an
X-ray to pinpoint the location and severity of the
How is it treated?
Many broken collarbones heal on their own. If you don't need surgery, you will use a
sling to keep your arm and shoulder from moving while
the bone heals. An adult wears a sling for a few days or up to a week. A child
may need one for 3 to 4 weeks.
You can begin simple exercises immediately and move on to
strengthening exercises when they don't cause pain. Ask your doctor when it is
safe to begin to exercise. If you start too soon, the broken collarbone may not
heal well. If you are active, do not play sports or other activities until you
can move your shoulder easily and it feels strong.
Surgery may be recommended for severe
breaks. When the ends of the broken bone do not line up with each other (displaced), surgery is more likely. Many experts believe surgery is especially important in young, active people.
After surgery, you will use a sling for up to 6 weeks. Your doctor or physical therapist will teach you gentle exercises to keep your shoulder moving for about 6 weeks, until you can start exercises to get your strength back. Most people have returned to all their activities by 3 months after surgery.1
Other Places To Get Help
American Academy of Orthopaedic Surgeons
6300 North River Road
Rosemont, IL 60018-4262
The American Academy of Orthopaedic Surgeons (AAOS)
provides information and education to raise the public's awareness of
musculoskeletal conditions, with an emphasis on preventive measures. The AAOS
website contains information on orthopedic conditions and treatments, injury
prevention, and wellness and exercise.
1111 North Fairfax Street
Alexandria, VA 22314-1488
1-800-999-APTA (1-800-999-2782) (703) 684-2782
The American Physical Therapy Association (APTA) Move Forward website provides information
and education to the public about physical therapy and how it is used to treat
certain conditions. APTA is a national
organization representing over 85,000 physical therapists, physical therapist
assistants, and students. APTA's goal is to foster advancements in physical
therapist education, practice, and research.
National Institute of Arthritis and Musculoskeletal and
Skin Diseases (NIAMS), National Institutes of Health
1 AMS Circle
Bethesda, MD 20892-3675
1-877-22-NIAMS (1-877-226-4267) toll-free
The National Institute of Arthritis and Musculoskeletal
and Skin Diseases (NIAMS) is a governmental institute that serves the public
and health professionals by providing information, locating other information
sources, and participating in a national federal database of health
information. NIAMS supports research into the causes, treatment, and prevention
of arthritis and musculoskeletal and skin diseases and supports the training of
scientists to carry out this research.
The NIAMS website provides
health information referrals to the NIAMS Clearinghouse, which has information
packages about diseases.
How this information was developed to help you make better health decisions.