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Fractured clavicle (collarbone)

Fractures of the collarbone (clavicle) are relatively common in football players, particularly younger players. They can occur from falls on hard ground or from a direct collision (shoulder clash).

Fortunately they can usually be treated without surgery and they usually heal well. Re-fractures can occur if players elect to return to play early (between 6-12 weeks after injury).

What are the advantages and disadvantages of surgery in professional players? Surgery can be used to stabilise a fractured clavicle, and it is thought that this may marginally reduce recovery time and decrease recurrence rates in professional players. However, no comparative studies have been performed to prove this. There is a much higher complication rate from surgery (infection, movement of plate and screws, need for later surgery to remove plates due to irritation) so that this is generally avoided in amateur athletes.

Fractured collarbone x-ray. Click on picture for the full sized scan.

Photograph of acute clavicle fracture, with normal bony landmarks obscured by swelling (red arrow)

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