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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