Clavicle fracture, also called broken collarbone is a very common sports injury seen in athletes who are involved in contact sports such as AFL, soccer, rugby and martial arts as well as impact sports such as motor racing. A direct blow over the shoulder that may occur during a fall on an outstretched arm or a motor vehicle accident may cause the clavicle bone to break. Broken clavicle may cause difficulty in lifting your arm because of pain, swelling and bruising over the bone.
Broken clavicle bone, usually heals without surgery, but if the bone ends have shifted out of place (displaced) surgery will be recommended. Surgery is performed to align the bone ends and hold them stable during healing. This improves the shoulder contour and often strength. Surgery for the fixation of clavicle fractures may be considered in the following circumstances:
- Multiple fractures
- Compound (open) fractures
- Fracture associated with nerve or blood vessel damage and scapula fracture
- Overlapping of the broken ends of bone (shortened clavicle)
- Distal fractures of the outer of the clavicle
Plates and Screws fixation
During this surgical procedure, Professor Bain will reposition the broken bone ends into normal position and then use screws or metal plates to hold the bone fragments in place. These plates and screws are usually left in the bone. If they cause any irritation, they can be removed after fracture healing is complete.
Pins may be placed within the canal of the clavicle and hold the fracture in position.
Patients with diabetes, elderly individuals and people who make use of tobacco products are at a greater risk of developing complications both during and after the surgery. In addition to the risks that occur with any major surgery, certain specific risks of clavicle fracture surgery include infection, difficulty in bone healing, and irritation caused by hardware.
Major injuries associated with clavicle surgery have been reported. The surgeon will discuss these with you in detail.