Stress Fracture | Dr. Daniel A. Romanelli, M.D

Stress Fractures

A stress fracture is a small crack in a bone caused by repetitive force or overuse, developing gradually over time. Common in weight-bearing bones like those in the lower leg and foot, stress fractures are often seen in athletes and individuals involved in high-impact activities.

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Immediate pain at the site of the fracture, usually along the collarbone

Swelling, bruising, or tenderness over the collarbone

Difficulty moving the arm or shoulder, especially lifting or raising the arm

A visible bump, deformity, or "tenting" where the broken bone pushes against the skin

A grinding sensation when moving the shoulder

Weakness or a sensation of the arm “hanging” due to the loss of support from the collarbone
Dr. Romanelli will perform a physical examination to assess the location and severity of the injury. X-rays are typically used to confirm the diagnosis, determine the type of fracture, and assess whether the bones are displaced (out of alignment). In some cases, a CT scan may be needed to get a clearer view of complex or severely displaced fractures.
Treatment for a clavicle fracture depends on the location, severity, and degree of displacement of the fracture. Non-surgical treatment is often effective for fractures where the bones remain aligned, while surgery may be required for more complex fractures.
Non-surgical treatment options for a clavicle fracture may include:

Immobilization: A sling or figure-8 brace may be used to immobilize the arm and shoulder, allowing the fracture to heal in the correct position.

Pain Management: Over-the-counter pain relievers or prescription medications can help manage discomfort during healing.

Rest and Activity Modification: Avoiding activities that involve heavy lifting, overhead movements, or stress on the shoulder will allow the bone to heal properly.

Follow-up X-rays: Periodic X-rays may be taken to ensure the bone is healing correctly and remains in proper alignment
Surgery may be necessary if the fracture is significantly displaced, involves multiple fragments, or fails to heal with conservative treatment. Surgical options include:

Open Reduction and Internal Fixation (ORIF): This procedure involves repositioning the broken bone fragments and securing them with plates, screws, or pins to ensure proper alignment during healing.

Intramedullary Rod Fixation: In some cases, a rod is inserted into the bone to stabilize the fracture from the inside, providing additional support during recovery.
Physical therapy is an essential part of recovery after a clavicle fracture, whether treated surgically or non-surgically. Once the bone has healed, physical therapy focuses on restoring strength, flexibility, and range of motion in the shoulder. Dr. Romanelli works closely with physical therapists to create a personalized rehabilitation plan that helps patients regain shoulder function and return to normal activities as quickly as possible.