Shoulder Fracture

A shoulder fracture is an injury that can cause a lot of shoulder pain. Fractures in the shoulder can significantly diminish your quality of life, making even basic daily activities seem nearly unmanageable. Read on to learn the symptoms of each type of shoulder fracture and how they can be treated.

Our board-certified orthopedic and sports medicine specialist, Dr. Benjamin Szerlip, has aided thousands in recovering from shoulder fractures, enabling them to resume an active and healthy lifestyle. Schedule an appointment at our office in Georgetown or Austin, Texas, today!

Topic at a Glance

  • A shoulder fracture involves one of the three bones that form the shoulder joint: the upper arm bone (humerus), shoulder blade (scapula), or clavicle. These shoulder bones work together to form the ball and socket joint of the glenohumeral joint, as well as the acromioclavicular joint and sternoclavicular joint.
  • Shoulder fractures diagnosed in the emergency room typically involve imaging tests such as X-rays or a CT scan. Non-displaced shoulder fractures may heal with noninvasive methods, while severe shoulder fractures or a displaced fracture may require surgery such as shoulder fracture fixation surgery or even joint replacement.
  • Severe pain, swelling, bruising, deformity, and limited range of motion are common following a shoulder injury from a direct blow, sports injury, or car accident.
  • Whether shoulder fractures are treated surgically or non-surgically, physical therapy with a licensed physical therapist is essential to restore mobility, protect soft tissues, and ensure the bone heals in the correct position.

About the Shoulder

The shoulder joint has three bones that could potentially fracture. They include the Humerus (upper arm bone), Scapula (shoulder blade), and Clavicle (collarbone). They come together to form three joints in the shoulder. They are the glenohumeral joint, the acromioclavicular joint, and the sternoclavicular joint. These joints allow a great range of motion of your arm.

What is a Shoulder Fracture?

A shoulder fracture refers to a broken bone in any one of the three bones that make up the shoulder. A fracture may cause pieces of your broken bone and bone fragments to come out of alignment. When this happens, the fracture is referred to as a displaced fracture. Non-displaced fractures are when the bones break but stay within proper alignment.

The most prevalent form of shoulder fracture is a clavicle fracture.

What Are the Causes of a Shoulder Fracture?

There are many possible reasons why your shoulder may fracture. The force required to fracture each bone varies.

Clavicle fractures and proximal humerus fractures can be caused by a direct blow. Common causes include falls, collisions, or motor vehicle collisions.

The scapula does not break as easily as the clavicle and proximal humerus because it is well protected by the chest and surrounding muscles. Scapula fractures usually occur in high-energy trauma injuries, such as in high-speed motor vehicle collisions. Chest injuries commonly occur at the same time as scapula fractures.

A woman experiencing severe shoulder pain caused by a fall that fractured her shoulder in Austin, Texas.

How Do I Know if I Fractured My Shoulder?

You may have fractured your shoulder if you are experiencing the following:

  • Severe shoulder pain
  • Swelling around any of the bones of the shoulder
  • The bones are tender
  • Bruising around the shoulder joint
  • Difficulty moving your shoulder
  • A bump or lump within your shoulder (deformity)
 

Who is Likely to Fracture Their Shoulder?

You are at greater risk of fracturing your shoulder if you participate in sports.

How Shoulder Fractures Are Treated

The treatment for a shoulder fracture will vary based on the type and location of the injury. Following a period of immobilization, physical therapy is typically advised to restore your shoulder’s range of motion and functionality. This aids in your shoulder fracture repair and safe return to physical activity.

Clavicle Fractures

The majority of clavicle fractures can be managed non-surgically.

If the fracture has broken through the skin or is severely out of place, then surgery may be necessary. During surgery, your surgeon will fix the fracture with plates, screws, or rods.

Proximal Humerus Fractures

Surgery may be required if there is displacement of the bone fragments. Your surgeon will fix the fracture using plates, screws, or pins. For elderly patients, a shoulder replacement may offer more significant benefits in severe cases.

Scapula Fractures

Many scapula fractures can be treated without surgery. A sling or shoulder immobilizer will be used to immobilize your shoulder. You may also take NSAIDs and apply ice to control the pain and swelling.

Surgery for a scapula fracture is very rare. You may need surgery if you have fractured the area involving the ball and socket joint or if you also have fractured your clavicle. Surgical treatment involves realigning your bones and fixing them with plates and screws.

What Are the Risks of Shoulder Fracture Surgery?

The risks of shoulder fracture surgery are very low. Potential risks include the following:

  • Bleeding
  • Infection
  • Nerve damage
 

Despite these surgical risks, there is a chance that your bones may not heal properly.

Two professional wrestlers are exercising together to increase shoulder strength and stability in case of injury in Austin, Texas.

How to Prevent Shoulder Fractures

Most shoulder fractures occur during accidents and, therefore, can be difficult to prevent. Prevention includes being safety-conscious around the home and while playing sports. Older ones can take measures to maintain healthy bones by keeping up their calcium and vitamin D levels.

Seeking Help for Your Shoulder Injury

If you suspect you have a shoulder fracture, schedule an appointment with Dr. Benjamin Szerlip in Austin or Georgetown, Texas. He will create a tailored approach to your treatment, helping you return to the lifestyle that you love. Contact us today to get the help you deserve!

FAQs About Shoulder Fractures

What are the different types of shoulder fractures?

There are several types of shoulder fractures depending on which of the three bones is involved:

  • Clavicle fractures (collarbone)
  • Proximal humerus fractures involving the upper arm bone
  • Scapula fractures involving the shoulder blade
 

Each type of shoulder fracture may be classified as non-displaced (the bone breaks but remains in its correct position) or a displaced fracture, where bone fragments shift out of alignment. Severe shoulder fractures may also involve an open fracture, in which the broken bone penetrates the skin.

Shoulder fractures are diagnosed using a combination of physical examination and diagnostic tools. In many cases, patients first visit the emergency room after a fall, direct blow, sports injury, or car accident.

Common imaging tests include:

  • X rays
  • CT scan for complex fractures
  • Follow-up X-rays to monitor bone growth and healing
 

Early and accurate diagnosis ensures the fracture heals properly and reduces the risk of long-term shoulder instability or limited range of motion.

Not all shoulder fractures require surgery. Non-displaced fractures are often treated with immobilization and noninvasive methods such as slings and rest.

However, shoulder fracture fixation surgery or surgical repair may be recommended if:

  • There is a displaced fracture
  • The fracture affects the ball and socket joint
  • There is significant damage to soft tissues
  • The fracture is an open fracture
  • The bone fragments cannot be maintained in the correct position
 

In severe cases, especially in older adults, joint replacement using specialized implants may be considered. Surgical techniques may involve metal plates, screws, or even a bone graft to promote healing.

A shoulder fracture may cause the following symptoms:

  • Intense pain in the shoulder
  • Swelling and bruising
  • Visible deformity
  • Difficulty moving the arm
  • Limited range of motion
  • Tenderness over the bone
 

If you experience these symptoms after an injury, seek medical attention promptly at a qualified medical center.

Healing time depends on the type of shoulder fracture, severity, and overall health. Non-displaced shoulder fractures may heal within several weeks, while severe shoulder fractures treated with surgery may take several months.

Physical therapy plays a crucial role in recovery. A physical therapist will guide exercises to restore mobility in the shoulder joint and upper arm while protecting healing shoulder bones. Follow-up X-rays help confirm bone growth and ensure the fracture is healing properly.

Although shoulder fracture fixation surgery is generally safe, potential risks include:

  • Infection
  • Bleeding
  • Nerve damage
  • Shoulder instability
  • Delayed bone healing
 

Proper follow-up, adherence to rehabilitation, and monitoring with follow-up X-rays help reduce complications and support optimal recovery.


Dr. Szerlip has joined forces with Austin Orthopedic Institute