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Clavicle (clavicle) fractures are one of the most common fractures in children. In young children, clavicle fractures usually do not require surgery because the healing and remodeling (or remodeling) potential allows full range of shoulder movement.

If your child or teenager has an open fracture (bone protruding from the skin), nerves and blood vessels around the collarbone are injured, and/or the fracture is significantly displaced, they may need surgery. However, even if a large number of fractures are displaced, they usually heal without surgery, so clavicle fractures rarely require surgery.

Typical treatment for clavicle fractures includes short-term fixation to prevent shoulder movement for several weeks, and then long-term restriction of movement due to the risk of re-fracture. Fixing options include a sling (with or without a strap used to wrap the body and bring the sling closer to the body), a figure-eight brace or a shoulder fixator. If your child is a baby, you can sometimes use a simple elastic bandage or safety pin to attach the shirt sleeve to the chest and prevent shoulder movement.

Depending on the child’s age and the specific circumstances of the fracture, the difficulty of a clavicle fracture lies in the long-term risk of repeated fractures. Your child needs to be extra careful for 3 to 12 months after the injury. Your healthcare team will discuss when you can safely resume certain activities at the time of your appointment.

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