Collarbone Fracture Shaft Midportion - Causes, Symptoms and Treatment of Collarbone Fracture

Collarbone Fracture Shaft Midportion is a complete or incomplete break in the middle third of the clavicle (collarbone). This is the most common collarbone fracture.

Places where Collarbone Fracture Shaft Midportion

• Clavicle (collarbone).
• Shoulder joint.
• Soft tissue surrounding the fracture site, including nerves, tendons, ligaments, blood vessels and bone attached to ligaments.

Causes, Signs and Symptoms of Collarbone Fracture Shaft Midportion

• Direct blow or indirect stress to the clavicle, either at the shoulder or at the collarbone midpoint.

Severe pain at the fracture site. Swelling around the fracture. Visible deformity if the fracture is complete and bone fragments separate enough to distort normal body contours. Tenderness to the touch. Numbness or coldness in the shoulder and arm on the affected side, if the blood supply is impaired.

Medication treatment and Care for Collarbone Fracture Shaft Midportion

As first aid, use instructions for R.I.C.E., the first letters of REST, ICE, COMPRESSION and ELEVATION. Keep the person warm with blankets to decrease the possibility of shock. Cut away clothing, if possible. Don't move the injured area to remove clothing. Use a sling to immobilize the injured area and surrounding joints before taking the injured person to a medical facility.

The doctor will realign and set the broken bones with surgery or, if possible, without. Children rarely require surgery. Manipulation should be done as soon as possible after injury. Six or more hours after the fracture, bleeding and displacement of body fluids may lead to shock. Also, many tissues lose their elasticity and become difficult to return to normal.

Doctors generally prescribe general anesthesia, local anesthesia, or muscle relaxants to make bone manipulation and fixation of bone fragments possible. Narcotic or synthetic narcotic pain relievers for severe pain. Stool softeners to prevent constipation due to inactivity. Acetaminophen or aspirin for mild pain.

• Immobilization will be necessary. For this fracture, a sling usually works quite well.
• Use frequent ice massage. Fill a large Styrofoam cup with water and freeze. Tear a small amount of foam from the top so ice protrudes. Massage firmly over the injured area in a circle about the size of a baseball. Do this for 15 minutes at a time, 3 or 4 times a day, and before workouts or competition.
• After 48 hours, localized heat promotes healing by increasing blood circulation in the injured area. Use a heating pad, hot soaks, hot showers, heating pads, or heat liniments and ointments.

Dietary cure for Collarbone Fracture Shaft Midportion

Eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity. Drink only water before manipulation or surgery to treat the fracture. Solid food in your stomach makes vomiting while under anesthesia more hazardous.

Complications in Collarbone Fracture Shaft Midportion

Pressure on or injury to nearby nerves, ligaments, tendons, muscles, blood vessels or connective tissues. Delayed union or non-union of the fracture. This is frequent in fractures of the clavicle because of its naturally poor blood supply. Avascular necrosis (death of bone cells) due to interruption of the blood supply. Excessive scar tissue at the fracture site, causing compression on nerves and blood vessels in the neck. This may lead to pain, numbness and tingling in the neck, shoulder, arms and hands. Arrest of normal bone growth in children. Infection in open fractures (skin broken over fracture site), or at the incision if surgical setting was necessary. Shortening of the injured bones. Proneness to repeated collarbone injury. Unstable or arthritic joint following repeated injury. Prolonged healing time if activity is resumed too soon.

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