Sections View Full Chapter Figures Tables Videos Full Chapter Figures Tables Videos Supplementary Content ++ Key Features ++ Injury by fall on to shoulder or outstretched hand or by direct trauma Severe pain in the shoulder Fracture nonunion is unusual in young patients Athletes cannot return to contact sports for 8–12 weeks ++ Clinical Findings ++ Focal swelling, deformity, and tenderness are present over the clavicle ++ Diagnosis ++ Diagnosis is made by radiographs of the clavicle Fractures are most common in the middle third of the bone ++ Treatment ++ Initial treatment is focused on pain control and protection with a sling and swathe Early range of motion is permitted based on pain level Progressive rehabilitation is important Absolute surgical indications for acute clavicular fractures include open fractures or neurovascular compromise GET ACCESS TO THIS RESOURCE Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth Get Free Access Through Your Institution Contact your institution's library to ask if they subscribe to McGraw-Hill Medical Products. Access My Subscription GET ACCESS TO THIS RESOURCE Subscription Options Pay Per View Timed Access to all of AccessPediatrics 24 Hour $34.95 (USD) Buy Now 48 Hour $54.95 (USD) Buy Now Best Value AccessPediatrics Full Site: One-Year Individual Subscription $595 USD Buy Now View All Subscription Options