Shoulder & Clavicle Fractures

A break occurring in one or more bones of the shoulder joint, most commonly the clavicle (collarbone), proximal humerus (upper arm bone), or scapula (shoulder blade).

Symptoms

• Sudden, sharp pain and tenderness
• Visible deformity, swelling, or bruising
• Inability to lift or rotate the arm
• Grinding or popping sensation with movement

Causes

Direct impact to the shoulder from motor vehicle collisions, sports collisions, or falls directly onto the shoulder or an outstretched hand.

Risk Factors

• Participation in high-impact or contact sports
• Advanced age or low bone density (osteoporosis)

Diagnosis

Comprehensive physical evaluation and digital X-rays to determine fracture severity. A CT scan may be ordered for complex joint-involved breaks.

Treatment

• Nonsurgical: Arm sling immobilization, rest, pain management, and physical therapy for non-displaced breaks.
• Surgical: Realignment and stabilization using plates, screws, or pins for displaced or severe fractures.