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Department
X-ray of the shoulder joint at the private clinic Oxford Medical Kyiv

Clavicle fracture

A clavicle fracture usually occurs as a result of a severe fall or a direct blow to the shoulder and is accompanied by sharp pain, inability to move the arm normally, and a feeling of instability in the shoulder girdle.

At the Oxford Medical Medical Center in Kyiv, a 24-hour trauma unit is available, where you can seek medical care immediately after an injury, regardless of the time of day. The availability of modern digital X-ray equipment allows for rapid diagnosis of a clavicle fracture, detection of displacement, and assessment of the extent of the injury.

You can schedule an appointment by phone. If a clavicle fracture is suspected, do not delay seeking medical attention.

Clavicle Fracture: Symptoms and Signs

Symptoms of a clavicle fracture appear immediately after the injury and,
as a rule, leave no doubt about the severity of the damage.

The main signs include:

pain in the clavicle or shoulder area that increases with movement;

limited or complete inability to move the arm;

swelling and visible deformity in the area of injury;

bruising and sharp pain on touch.

List of diseases

The appearance of these symptoms is a reason to seek medical attention immediately, as only an X-ray examination can accurately confirm a clavicle fracture and determine the further treatment strategy.

First Aid for a Clavicle Fracture

Proper first aid for a clavicle fracture helps reduce pain, prevent additional displacement of bone fragments, and safely transport the injured person to a medical facility. The main goal is to limit movements of the shoulder girdle as much as possible.

Recommended actions:

  • immobilize the arm in a bent position, pressing the elbow against the body, using a sling, bandage, or available materials;

  • apply cold to the injured area through a cloth for 10–15 minutes to reduce pain and swelling;

  • avoid any active movements of the arm and do not attempt to realign or “set” the clavicle on your own;

  • if necessary, take a pain reliever provided there are no contraindications;

  • seek medical attention as soon as possible for an X-ray examination and to determine the further treatment approach.

If there is pronounced deformity, increasing pain, numbness of the arm, or impaired sensation in the fingers, immediate emergency medical care is required.

Clavicle Fractures: Classification

The type of injury determines the treatment approach, the duration of immobilization, and the prognosis for restoring arm function.

By fracture line location

  • Fracture of the middle third of the clavicle. The most common variant, accounting for the majority of clinical cases. This area is most often injured during a fall onto the shoulder or an outstretched arm.

  • Fracture of the lateral (acromial) third of the clavicle. Located closer to the shoulder joint and may be associated with ligament injuries, affecting the stability of the shoulder girdle.

  • Fracture of the medial (sternal) third of the clavicle. Occurs less frequently and requires special attention due to its anatomical proximity to major blood vessels and organs of the chest.

By skin integrity

  • Closed clavicle fracture. The skin over the fracture site remains intact, with no open wound. This is the most common type.

  • Open clavicle fracture. Accompanied by a disruption of skin integrity and an increased risk of infectious complications, therefore requiring urgent medical care.

By the presence of fragment displacement

  • Fracture without displacement. Bone fragments retain a relatively correct anatomical position, which usually allows for conservative treatment.

  • Displaced clavicle fracture. Bone fragments shift relative to each other, which may lead to visible deformity, prolonged healing time, and an increased risk of complications if not properly treated.

When assessing a fracture, the physician also considers its stability and possible associated injuries to soft tissues, nerve, or vascular structures. This comprehensive classification makes it possible to choose the safest and most effective treatment strategy for each individual patient.

Treatment of a Clavicle Fracture

The type of injury determines the treatment tactics, duration of immobilization, and prognosis for restoring hand function. To accurately assess the nature of the fracture and select the optimal treatment tactics, a clinical examination and an X-ray of the shoulder are mandatory, which allows visualization of the fracture line, the position of the fragments, and associated changes.

Conservative treatment

In most cases, clavicle fractures are treated without surgery if the bone fragments are not significantly displaced and the fracture remains stable. The main goals are to reduce pain, immobilize the shoulder girdle, and create proper conditions for bone healing.

Conservative treatment usually includes:

  • immobilization of the arm and shoulder girdle using a bandage or orthosis during the healing period;

  • use of pain-relieving and anti-inflammatory medications as prescribed by a physician;

  • limiting load on the injured arm and avoiding movements that increase pain;

  • regular follow-up examinations and, if necessary, repeat X-ray imaging to assess the healing process.

It is important not to delay treatment, as improper fixation or premature loading of the arm may lead to bone deformity, chronic pain, and restricted movement in the shoulder joint.

Surgical treatment

Surgical intervention may be recommended in cases of significant fragment displacement, unstable fractures, or a high risk of improper bone healing. The aim of surgery is to realign the bone fragments and securely fix them in the correct position.

Most commonly, osteosynthesis is performed — fixation of the clavicle using a metal plate and screws or other stabilizing systems. It is important to understand that even after surgery, the arm still requires temporary immobilization. A fixation bandage or orthosis is used to reduce load and ensure proper tissue healing.

The duration of clavicle fracture treatment depends on the type of injury and the chosen approach:

  • in uncomplicated fractures without displacement, bone healing usually takes 4–6 weeks;

  • in displaced fractures, the treatment period often extends to 6–8 weeks or longer;

  • after surgical treatment, timelines are determined individually, but stable fixation allows earlier initiation of controlled movements, while full return to sports or physical work is possible only with a physician’s approval.

The final treatment duration, length of immobilization, and load regimen are determined by a trauma specialist based on clinical progress and the results of follow-up examinations.

Rehabilitation After a Clavicle Fracture

Rehabilitation after a clavicle fracture is a mandatory stage of recovery, regardless of whether the fracture was treated conservatively or surgically. Its goal is to restore shoulder joint mobility, muscle strength, and prevent the development of chronic pain.

During rehabilitation, it is recommended to:

  • follow the immobilization regimen for the period determined by the physician, even if pain has decreased, as premature removal of a bandage or orthosis may lead to recurrent displacement of bone fragments;

  • avoid lifting the arm, sudden movements in the shoulder joint, weight-bearing on the injured limb, and lifting heavy objects until complete bone healing;

  • perform movements of the fingers, wrist, and elbow permitted by the physician to maintain blood circulation and prevent stiffness, without engaging the shoulder girdle;

  • gradually restore movements in the shoulder joint after bone healing has been confirmed, starting with a limited range of motion and guided by the absence of pain;

  • increase load gradually, avoiding sudden movements and exercises performed “through pain,” as this may prolong the recovery period;

  • perform therapeutic exercises and rehabilitation programs only on the recommendation of a physician or rehabilitation specialist to restore shoulder girdle muscle strength;

  • avoid carrying bags on the injured shoulder, prolonged stay in uncomfortable positions, and everyday loads with the affected arm;

  • return to physical work, sports, and an active lifestyle only after the physician’s approval, when the bone has fully healed and the shoulder is ready for loading;

  • seek medical attention promptly if pain increases, swelling appears, numbness of the fingers occurs, weakness in the arm develops, or sensory disturbances arise.

Following these recommendations during rehabilitation after a clavicle fracture helps reduce the risk of complications, restore full arm function, and safely return to a normal lifestyle.

Clavicle Fracture: Consequences and Complications

In most cases, a clavicle fracture heals without serious problems when timely and appropriate treatment is provided. However, significant fragment displacement, violation of immobilization protocols, or premature loading may lead to complications that affect shoulder girdle function and quality of life.

Possible consequences and complications include:

  • improper healing of the clavicle with deformity formation, which may be visually noticeable and affect shoulder girdle biomechanics;

  • chronic pain in the clavicle or shoulder area that persists during physical activity, manual work, or prolonged staying in one position;

  • limited mobility of the shoulder joint resulting from prolonged immobilization or insufficient rehabilitation;

  • decreased strength of the shoulder girdle muscles and rapid fatigue of the arm during routine daily activities;

  • irritation or injury to nerve structures, which may manifest as numbness, tingling, or weakness in the arm;

  • delayed union or nonunion of the fracture, more commonly observed in displaced fractures, in the presence of comorbid conditions, or when medical recommendations are not followed;

  • discomfort during physical exertion or sports activities even after completion of the main course of treatment.

Regular follow-up examinations, adherence to the prescribed treatment regimen, and comprehensive rehabilitation significantly reduce the risk of these complications. Timely medical consultation in case of pain, stiffness, or sensory disturbances allows for prompt adjustment of the recovery strategy and helps prevent long-term functional limitations.

Cost of Clavicle Fracture Treatment in Kyiv at Oxford Medical Clinic

The cost of treatment depends on the type of fracture and the chosen approach — conservative or surgical.

You can pre-check the prices for medical services in Kyiv on our website. The final cost is determined individually during the appointment with a traumatologist, after the examination and assessment of the clinical situation. You can make an appointment for a consultation at a time convenient for you by phone or via the online form on the website.

Frequently Asked Questions

How long does a clavicle fracture take to heal?

On average, a clavicle fracture heals within 4–6 weeks. Exact timelines depend on the type of fracture, the presence of fragment displacement, the patient’s age, and the chosen treatment method. In complex fractures or after surgical intervention, the recovery period may take longer and requires comprehensive rehabilitation.

How should you sleep with a clavicle fracture?

It is recommended to sleep on your back or on the uninjured side, avoiding pressure on the injured area. To reduce strain on the shoulder, you can place a pillow under the arm or along the torso. Sleeping on the side of the fractured clavicle is usually not recommended until the pain decreases and the doctor gives permission.

How to restore arm movement after a clavicle fracture?

Arm rehabilitation should begin only after the physician’s approval and confirmation of bone healing. Initially, gentle, pain-free movements of the shoulder joint are performed, with a gradual increase in range of motion. Therapeutic exercises and rehabilitation programs are selected individually to restore mobility and strength without the risk of complications.

Is it possible to move the arm with a clavicle fracture?

In the acute phase, shoulder movements are restricted to prevent fragment displacement and increased pain. Movements of the fingers, wrist, and elbow are usually allowed if they do not cause discomfort. Active movements in the shoulder joint are possible only after the physician’s approval.

When can you return to sports after a clavicle fracture?

Returning to sports is possible only after complete fracture healing and completion of rehabilitation. Light physical activity may sometimes be allowed after 6–8 weeks, but contact sports and strength training are permitted much later, only with the physician’s approval.

Is a cast applied for a clavicle fracture?

A cast is rarely used for clavicle fractures. Most often, special bandages or orthoses are used to immobilize the shoulder girdle and restrict movement. The method of fixation is chosen by the physician depending on the type and stability of the fracture.

( Rating: 4.65 , Votes: 75 )
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Advantages of the Oxford Medical Trauma Center in Poznyaki

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Possibility of hospitalization in a surgical hospital

Reviews
Юлія 28.01.2026
Дуже професійний лікар. Уважно вислухав мої скарги на біль в стопі. Позадавав питання додаткові та встановив основну причину захворювання. Навіть особисто зробив устілки для мене і не потрібно нікуди ходити за ними. Я вражена. Рекомендую
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Катерина 26.01.2026
Звернулася після травми, дуже хвилювалася. Лікар усе спокійно перевірив, показав знімки й пояснив, що нічого критичного немає. Призначене лікування допомогло, рухатися стало легше. Дуже вдячна.
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