Your collarbone is an important strut that holds your arm away you’re your midline. It provides the only bony connection for your shoulder blade to your body. Clavicle fractures are very common. They usually result from a fall onto the shoulder, a direct blow, or following a fall onto an outstretched arm. It is normally obvious that you’ve broken your collarbone if there's displacement, but x-rays confirm the pattern and position of the injury. Most fractures occur in the middle section of your collarbone.
If your bone has broken through your skin then you will definitely need it washing out and fixing, but this is extremely rare. Occasionally, the bone fragments tent the skin from the inside and cause it to pucker. This can make it necessary to fix the bone to stop the skin breaking down. Occasionally, and normally in high-energy injuries, the collarbone is injured alongside other bones nearby, such as your shoulder blade or ribs. In this case, the collarbone is normally fixed to improve your recovery and function.
CT scan of a displaced left broken collarbone after falling from a horse
Most breaks happen in the middle part of the collarbone and 85% of these will heal on their own. Breaks near either end of your collarbone may be more likely not to heal, so if they are displaced, it is generally best to fix them. Severe separation of the bone ends in middle third breaks slows healing and increases non-union rates, so this can also be considered a reason to fix the bone.
In general, if your broken bone heals, you are likely to do well. However, some patients will have problems even after their broken bone has healed. If your collarbone has healed in a bad position, this can narrow the space beneath your collarbone (thoracic outlet) and cause compression of nerves and blood vessels when your arm is raised. Shortening and malrotation of the healed collarbone disrupt the strut function of the collarbone and interrupt the motion of your shoulder blade and this can cause both pain and weakness.
Your decision whether or not to undergo surgery therefore depends on several factors:
Collarbone fixation is recommended in appropriate cases to improve your chance of bony healing and your functional outcome. If you choose not to have surgery and your collarbone doesn’t heal, delayed fixation has generally good results, although it carries a slightly higher risk of complications.
Mr Granville-Chapman was very polite and his examination and explanation of my symptoms and expected treatment was thorough
I found Mr Granville-Chapman to be very knowledgeable and professional. He put me very much at ease and explained all the options that I have thoroughly. He also told me to look for further information on the condition and procedures that I needed on his website, which gave lots of information and detail. It was also easy to understand for those without a medical background. I would highly recommend his services to anyone that has shoulder problems and requires a solution.
I attended for a repair of my right bicep tendon. After a thorough examination, Mr Granville-Chapman arranged an operation to be undertaken within 2 days which was extremely quick; he explained his reasoning which was both thorough and reassuring, explaining both the options of undergoing surgery and deciding to undertake conservative management.On the day of the surgery Mr Granville-Chapman was again very reassuring as although this is minor surgery I was still somewhat apprehensive. He came to fully explain the procedure and afterI woke up was quick to check on how I was doing.Overall I am very happy with the careMr Granville-Chapman
I have been very pleased with my treatment so far. Mr Granville-Chapman combines brisk efficiency with a pleasant, sympathetic manner. My operation, however, is still to come ...
From the initial consultation, through surgery on a fractured wrist, and now post-operative follow up, it has been a very positive and reassuring experience with Mr Granville-Chapman. I would have no hesitation in recommending him to someone else.
A first class clinician. A skilled surgeon with an excellent bedside manner.
A very pleasant Consultant who knows exactly how to make pain go away.
Mr Granville - Chapman has an excellent bedside manner. He engaged with my 12 year old son at an appropriate level and took the time to ensure that he understood the procedure and answer all his questions. He is thoroughly professional and I would not hesitate to recommend him.
I have been very pleased with the attention I have received. Mr. Granville-Chapman has reassured me that my symptoms are normal. It is very easy to make appointments that suit me.
Mr Granville chapman I found be caring informative and professional I would recommend him to all if you have a problem don't hesitate to contact him you won't be disappointed.
I recently broke my right clavicle in a mountain bike accident and it was repaired by Mr Granville-Chapman by adding a plate on top of the bone. Having just finished the last post-op consultation, I can confirm that I have been very happy with the process all along. In particular, Jeremy took time to explain in detail why a plate was needed, what the procedure would entail, and also was very patient answering my questions comprehensively beforehand and after during the recovery phase. Would certainly trust this competent surgeon to fix any future fractures I might sustain.
Mr Granville-Chapman has looked after my 15 year old son brilliantly, explaining the surgery, recovery and best way forward, and Kate has been very supportive helping with logistics etc, thank you so much.
So far my experience with Mr Jeremy Granville-Chapman has been personal and informative with regard to the operation I will be having. I feel confident that my operation will be a success and for this reason I am very happy to have Mr Jeremy Granville-Chapman as my consultant.
Very knowledgeable and helpful. Takes the time to make sure you're getting the treatment you need.
Mr Jeremy Granville -Chapman is not only a highly skilled consultant but is able to put you straight away at ease .My appointments were arranged very swiftly which was great, when you are experiencing severe pain. I am very happy with my treatment so far . many thanks to everyone who was involved in my treatment.
Polite, helpful, professional. Makes an effort to ensure full understanding of issues and procedures to be done. Highly satisfied
Very pleasant. Clear, careful explanations & options/possibilities. I feel well informed, and happy that my concerns are being well addressed, with a plan of review of the symptoms.
Excellent advise with everything explained clearly and a successful treatment which has benefited be greatly.
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