What is the first treatment for a clavicle fracture?

A clavicle fracture is a break in the collarbone, commonly after a fall or direct impact. An examination and imaging help show the fracture's position, whether the skin is threatened and whether nearby nerves or blood vessels are affected. Many uncomplicated fractures are supported while the bone heals.

A sling can reduce movement and make the arm more comfortable. It should be fitted and used as advised, because prolonged immobilisation can make the shoulder stiff. Fractures with major displacement, an open wound, skin pressure or other concerning findings may need a different plan.

Keep the arm supported as instructed, use prescribed or recommended pain relief, and apply a wrapped cold pack for short periods if advised. Keep the fingers, wrist and elbow moving gently when your clinician says it is safe, but avoid lifting, pushing and contact activity until cleared.

Learn about [Splinting](/treatments/trauma-and-fracture-care/splinting/) as a support option. Once healing allows, [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can restore shoulder movement and strength. [Fracture Fixation Surgery](/treatments/trauma-and-fracture-care/fracture-fixation-surgery/) may be considered when alignment, skin condition or function makes support alone unsuitable.

Get urgent care if the skin becomes pale, blue, very tight or broken over the fracture, or if the hand becomes cold, numb or weak. Worsening pain, increasing swelling, breathing difficulty or a new cough after the injury also needs prompt assessment. Contact your fracture clinic if the sling causes pressure, rubbing or worsening hand symptoms.

Ask where the fracture is located, whether its alignment is acceptable, how to use the sling, when shoulder movement can begin, and which signs should trigger an earlier review.