![]() ![]() ![]() The scapula (shoulder blade) is a strong, triangular-shaped bone that is well-protected by muscle. However, if the break results in an overlapping of the bone ends, or if the bone is broken into multiple pieces, surgery may be necessary to prevent a nonunion of the break or shortening of the bone, either of which can reduce shoulder function. This bump will gradually get smaller over time. In some cases where this nonsurgical treatment is used, an excess of new bone growth will occur and create a bony prominence or bump at the healing site. Usually, a broken collarbone will heal without surgery by immobilizing it in a sling and treating the patient with ice (to reduce swelling) and pain medication. An X-ray will reveal the type of fracture and guide the appropriate treatment. If the skin is being pushed outward by a sharp bony spike, this is a surgical emergency that requires immediate evaluation by an orthopedic trauma surgeon. There may also be grinding between the broken segments (this is called "crepitus"). Any child who experiences a growth plate injury should receive specialized care by a pediatric orthopedic surgeon to avoid future problems with bone growth and function.Ī doctor's exam of the shoulder will usually show a visible deformity or bump at the site of the fracture. In children, the injury may occur at the growth plate, closer to the end of the bone. A broken collarbone (clavicular fracture) is a common injury that is often caused by a fall from a bicycle or injury during a contact sport like football.
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