Although clavicle fractures are common and usually heal regardless of the selected treatment, complications are possible, warranting careful attention to these injuries.

Signs and symptoms:

The patient may cradle the injured extremity with the uninjured arm

The shoulder may appear shortened relative to the opposite side and may droop

Abrasion over the clavicle may be noted, suggesting that the fracture was from a direct mechanism

Difficulty breathing or diminished breath sounds on the affected side may indicate a pulmonary injury, such as a pneumothorax

Tenting and blanching of the skin at the fracture site may indicate an impending open fracture, which most often requires surgical stabilization (see the images after video)

Associated distal nerve dysfunction indicates a brachial plexus injury

The vast majority of clavicle fractures heal with nonoperative management, which includes the use of a simple shoulder sling.

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