Clavicle Fracture Fixation

A clavicle fracture is a break in the collarbone – a flat, long bone in the front of the shoulder that runs horizontally from the base of the neck to the shoulder. Clavicle fractures are common among athletes, especially those at risk for a fall or participating in impact sports. 70-80% of clavicle fractures happen mid-shaft, however not all breaks are the same. The collarbone can break in different patterns, some more complex than others. Breaks vary from a simple crack through the bone where both ends of the fracture still line up to a break containing multiple fragments of bone, referred to as a “comminution.” The term “displacement” refers to how far apart the ends of the bone are after an injury. In severe cases, one end of the bone can poke through the skin causing noticeable bleeding and contamination of the bone and soft tissues. These fractures are referred to as “open” fractures. Shoulder surgeon, Dr. James Mazzara specializes in the treatment of a clavicle fracture for patients in Manchester, South Windsor, Enfield, Glastonbury and surrounding Hartford communities.

Most collarbone fractures can be treated without surgery and can simply be allowed to heal. With some clavicle fractures, however, the pieces of the bone move far out of place and a clavicle fracture fixation is needed to restore the bones to their original position to allow them to heal correctly. Dr. Mazzara, shoulder surgeon, uses specially designed plates and pins during surgery to help align the bone in cases where comminution is present. Depending on the type of break, Dr. Mazzara may use a long pin in the center of the bone, referred to as intramedullary nailing. Once the bone heals, the hardware may be removed if it results in any discomfort. It is important to note that intramedullary nailing is not appropriate for all clavicle fracture fixation surgeries and Dr. Mazzara will recommend and explain the proper method to be used at the time of consultation.