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Training Center: What cyclists should do when they break their collarbone

As cyclists, we all know that sooner or later we will fall on our bikes, be it training or competition. Give this inevitable fact chances are you or someone you know has been sidelined with a collarbone (clavicle) fracture as a result. When we look at all the fractures in cyclists, the clavicle is the most common bone to be broken.

Crash-marred this year's Tour de France is a good example with the high number of riders left with fractures of the clavicle and gives us a good opportunity to take a closer look at the injury that has plagued the peloton.

The clavicle is an S-shaped bone that acts as a long buffer to attach the shoulder to the axial skeleton. Its peak the most anterior attachment to the sternum by the sternoclavicular joint and the posterior apex broadens and flattens it to be attached to the acromion through the acromioclavicular joint. The bone acts as a point of attachment of several muscles such as sternocleidomastoid, pectoralis major, and the sterno-in and on the lateral side of the anterior deltoid, trapezius and the clavicular head of pectoralis major is.

As for the characterization of the clavicle fractures, we tend to divide the bone into thirds with a median, middle and lateral.

Fracture to the medial third of the clavicle are rare and represent less than 3 percent of the breaks, while the lateral third portion is the second most frequently involved and represents 15-30 percent of all fractures.

The middle third of the clavicle is the narrowest section of the bone and lack of muscle and ligament attachment of the ends.These facts, taken together are considered to make it more susceptible to injury and is in fact the most common site of fractures (70-80 percent of all fractures of the clavicle).

Displacement is a term for a broken bone ends are not aligned and the mid-shaft fractures tend to have high rates of movement found an incidence between 48-73 percent.This high rate is probably related to the muscle attachments at the ends of the clavicle by pulling fragments of bone fracture away from their normal anatomic alignment with the actual weight of the upper end is contributing to this distraction, in some cases.

To illustrate the clinical aspects of the clavicular fracture among cyclists, Boulder Center for Sports Medicine Henderson own Neal, director of sports science, has given his blessing from his case. Neal during a criterium race in June this year, fell hard and made a powerful impact directly on the left shoulder.He felt a pressure in the anterior shoulder and found it painful and difficult to move his left arm thereafter.

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