Hard Lump at the Clavicle: Causes and When to Seek Medical Attention - Orthopedics

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There is a hard lump at the front end of the clavicle that feels like bone?


Hello, doctor.
Recently, I found a small round hard lump, less than one centimeter, at the front end of my clavicle.
It feels very hard, like bone, and is tender to the touch.
It's located at the rounded part of the clavicle closest to my throat.
When I press on it, I feel a sharp pain.
Could you please explain why this is happening? Do I need to go to a major hospital? Thank you, doctor.

Ni hao, 10~19 year old female. Ask Date: 2020/02/08

Dr. Zhan Xian reply Orthopedics


Hello, possible diagnoses include sternoclavicular joint dislocation, ligament inflammation, or a mass, etc.
Please visit the outpatient clinic for an examination!

Reply Date: 2020/02/08

More Info


When you discover a hard lump at the clavicle, especially one that is painful to the touch, it is essential to approach the situation with caution and seek medical evaluation. The clavicle, or collarbone, is a bone that connects the arm to the body and can be affected by various conditions. Here are some potential causes for the hard lump you are experiencing:
1. Bone Growths: The lump could be a benign bone growth, such as an osteoma, which is a slow-growing tumor made up of bone tissue. These are generally not harmful but can cause discomfort.

2. Lymphadenopathy: The area near the clavicle is home to lymph nodes, which can become enlarged due to infections, inflammation, or malignancies. If the lump is soft and movable, it may be a swollen lymph node.

3. Cysts: A cyst, such as an epidermoid cyst, can form near the clavicle. These are typically benign and filled with fluid or semi-solid material.

4. Injury or Trauma: If you have recently experienced any trauma or injury to the area, the lump could be a result of a hematoma (a localized collection of blood outside of blood vessels) or a bone bruise.

5. Infections: Infections in the area, such as osteomyelitis (an infection of the bone) or cellulitis (a skin infection), can also lead to localized swelling and pain.

6. Malignancy: Although less common, a hard lump in this area could indicate a more serious condition, such as a tumor or cancer that has metastasized to the clavicle.

Given that the lump is hard, painful, and located near the clavicle, it is advisable to seek medical attention. Here are some steps you should consider:
- Consult a Healthcare Provider: Schedule an appointment with a primary care physician or an orthopedic specialist. They will perform a physical examination and may order imaging studies, such as X-rays or CT scans, to assess the lump further.

- Monitor Symptoms: Keep track of any additional symptoms you may experience, such as fever, weight loss, night sweats, or changes in the size of the lump. These can provide important clues to your healthcare provider.

- Avoid Self-Diagnosis: While it may be tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety or misinterpretation of symptoms. Rely on professional medical advice for an accurate diagnosis.

- Follow-Up: Depending on the initial evaluation, your doctor may recommend further testing, such as a biopsy, to determine the nature of the lump.

In summary, while a hard lump at the clavicle can have various benign causes, the presence of pain and the specific location warrant a thorough evaluation by a healthcare professional. Early diagnosis and treatment are crucial, especially if the lump is related to a more serious condition. Do not hesitate to seek medical attention to ensure your health and peace of mind.

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