Clavicle Fractures: Recovery Without Surgery - Orthopedics

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Clavicle fracture


I had a car accident on March 16 and suffered a dislocated clavicle fracture.
The doctor mentioned that surgery or non-surgery options were both viable.
I was afraid of the pain from a second surgery to remove the metal plate, so I chose not to have surgery.
I used a triangular sling for ten days, and now, 27 days later, I feel okay and have minimal pain.
I started taking traditional Chinese medicine from the beginning, and my Chinese medicine doctor advised me to raise my arm daily.
I'm a bit concerned that raising my arm might affect the healing of the bone.
I can now raise my arm to shoulder height, but it feels like the bone might be catching.
Is this correct?

Xiao Lin, 60~69 year old female. Ask Date: 2016/04/12

Dr. Shi Guozheng reply Orthopedics


A clavicle fracture that does not require surgery must be immobilized for approximately three months, and there are no medications that significantly aid in bone healing.
Since it has been less than a month, it is not advisable to perform shoulder abduction movements, as this may affect the healing of the bone.

Reply Date: 2016/04/12

More Info


Clavicle fractures, particularly those with displacement, can be a source of concern for many patients, especially when considering treatment options. In your case, you experienced a clavicle fracture due to a car accident on March 16, and you opted for conservative treatment instead of surgery. This decision is not uncommon, as many clavicle fractures can heal effectively without surgical intervention, particularly if the fracture is not significantly displaced.

When it comes to recovery from a clavicle fracture, the healing process typically takes about 6 to 12 weeks, depending on various factors such as the severity of the fracture, the patient's age, and overall health. In your situation, since you are 27 days post-injury and feeling relatively well with minimal pain, it suggests that your body is responding positively to the conservative treatment.

The use of a sling for the first few weeks is standard practice, as it helps immobilize the shoulder and allows the fracture to heal properly. After about 10 days, it's common for patients to start gentle range-of-motion exercises, which can help prevent stiffness in the shoulder joint. However, it is crucial to approach these exercises with caution, especially when it comes to lifting your arm.

You mentioned that you are now able to raise your arm to shoulder height, but you feel a sensation of "catching" in the bone. This could be due to several factors, including swelling, scar tissue formation, or even the alignment of the healing bone. It is essential to listen to your body; if you experience pain or discomfort while raising your arm, it may be a sign to ease back on the intensity of your movements.

Regarding your concern about lifting your arm high and its impact on bone healing, it is generally advisable to avoid any movements that cause pain or discomfort during the healing process. While gentle elevation of the arm can be beneficial, it should not be forced. If you feel that raising your arm is causing issues, it may be wise to limit that motion until you have further guidance from your healthcare provider.

Since you are also taking traditional Chinese medicine and following your practitioner’s advice, it is essential to communicate with both your Western and Eastern medicine providers about your recovery. They can work together to create a comprehensive rehabilitation plan that considers both perspectives.

In summary, while many clavicle fractures can heal without surgery, it is crucial to monitor your symptoms closely. If you experience persistent pain, difficulty moving your arm, or any other concerning symptoms, it would be wise to consult with your orthopedic specialist. They may recommend imaging studies, such as an X-ray, to assess the healing progress of your clavicle. Additionally, if you have any doubts about your rehabilitation exercises, consider seeking guidance from a physical therapist who specializes in shoulder injuries. They can provide you with a tailored exercise program that promotes healing while minimizing the risk of complications.

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