Sections View Full Chapter Figures Tables Videos Annotate 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 Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual 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