Clavicle (Collarbone) Fractures

Clavicle (collarbone) fractures are one of the most common fractures in children. Most clavicle fractures heal well without surgery because children's bones have a strong ability to heal and remodel as they grow. Treatment typically focuses on protecting the injury while it heals and gradually returning to normal activities. 

Surgery may be considered if: 

• The bone breaks through the skin (open fracture). 

• There is damage to nearby nerves or blood vessels. 

• The fracture is significantly displaced (although many displaced fractures still heal without surgery). 

Typical treatment includes: 

• Immobilization for a few weeks to limit shoulder movement. 

• Use of a sling, figure-of-eight brace, or shoulder immobilizer. 

• For infants, a simple bandage or pinning the shirtsleeve to the chest may be used to keep the shoulder still. 

Recovery and activity restrictions: 

• Activity restrictions continue after immobilization to reduce the risk of re-injury. 

• Children may have an increased risk of a repeat fracture for 3–12 months after the injury. 

• Your healthcare team will advise when it is safe to return to sports and other activities.