The Collar Bone or Clavicle is one of the most frequently broken bones in the body. A broken Collar bone (broken Clavicle) is a very common shoulder injury in mountain bikers. A broken Collar bone usually occurs during a downhill section if the rider falls onto an out stretched hand. The force transmitted up the arm is often enough to cause this painful shoulder fracture.
Try not to fall! If the front wheel comes to an abrupt halt the rider typically goes over the handlebars - this is known as an 'Endo'. Be aware that this is more likely to happen on a descent, because you'll be moving faster and you're tilted forward. Look out for rocks and tree stumps as these are the obstacles that will cause a sudden stop. Also make sure that your pedals are level with weight distributed evenly between left and right pedal, because if you're unbalanced then you're more likely to go over the handlebars.
Apply Ice Packs (never apply ice directly to the skin) to the shoulder for pain relief. Pain killing drugs prescribed by a doctor can provide relief for the intense shoulder pain. Any suspected fractures should be assessed and treated at hospital. A Figure of 8 Shoulder Support and Sling can immobilise the shoulder and provide pain relief.
Once the treating doctor is satisfied that the collar bone is sufficiently healed then shoulder range of movement exercises can be progressed to gradually increase shoulder movement. These exercises may be a little uncomfortable, but with some encouragement from a Physiotherapist this discomfort should quickly resolve as normal movement returns. Shoulder strengthening should then begin using Resistance Bands to regain full function
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