Clavicle Fracture Recovery: Timeline and Precautions

Clavicle fracture?

Hello Doctor, I was in a car accident on October 25 and was diagnosed with a broken clavicle after being taken to the hospital.
I chose to pay out of pocket for surgery to have a plate and screws installed.
The surgery was very successful, and since the operation, I have been wearing a sling and have been very careful.
When I returned for a follow-up appointment a month later, the doctor said I could start doing some movements and no longer needed to wear the sling.
So far, my left arm can perform some movements more naturally, but I still feel some stiffness in the muscles around my shoulder and armpit.
Is this all normal? I have read many articles stating that the sling should be worn for three months, but I stopped wearing it after one month.
Although I have been careful not to use my left arm too much, I have done some light movements, such as raising my arm and pendulum exercises.
If my recovery continues to go well, how long will it be before I can start riding a bicycle and motorcycle? When can I play basketball again? Is there a risk of the screws shifting? What should I be cautious about?

KID, 10~19 year old female. Ask Date: 2016/12/14

Dr. Hong Ximing reply Orthopedics

Clavicle fracture, fixed with surgical screws, has been six weeks; normal rehabilitation exercises can be performed, and there is no need to use a sling.
However, it is important to avoid excessive movements.
As for activities like cycling or basketball, they should be determined based on the degree of fracture healing.

Reply Date: 2016/12/14

More Info

Recovering from a clavicle fracture can be a complex process, and it’s great to hear that your surgery went well and you are already seeing some progress. Let’s break down your concerns regarding the recovery timeline, precautions, and what to expect moving forward.

Recovery Timeline
Typically, the recovery period for a clavicle fracture can vary significantly depending on the severity of the fracture, the type of treatment (surgical vs. non-surgical), and individual healing factors. Generally, for a surgical repair using plates or screws, the initial healing phase can take about 6 to 12 weeks. During this time, it’s crucial to follow your physician's recommendations regarding immobilization and activity levels.

Since you mentioned that you were advised to stop using the sling after one month, this is somewhat earlier than the typical recommendation of 6 to 8 weeks for many patients. However, if your doctor assessed that your fracture is healing well and you are able to perform movements without significant pain, it may be appropriate for you to start gentle exercises.

Normal Sensations and Symptoms
Feeling a sensation of tightness or discomfort in the shoulder and underarm area is common during the recovery phase. This can be attributed to muscle stiffness, scar tissue formation, or even nerve irritation as the body heals. It’s important to engage in gentle stretching and mobility exercises as advised by your physical therapist or physician to help alleviate these sensations.

Activity Resumption
Regarding your questions about returning to activities like cycling, motorcycling, and playing basketball, it’s essential to approach these activities with caution. Generally, you can expect to return to low-impact activities like cycling around 6 to 8 weeks post-surgery, provided you have adequate range of motion and strength. High-impact activities, such as basketball, may require a longer recovery time—often around 3 to 6 months—depending on your healing progress and comfort level.

Risk of Hardware Migration
As for your concern about the hardware (the screws or plates) moving, this is a valid concern. Generally, if the fracture is healing well, the risk of hardware migration is low. However, it’s crucial to avoid any high-impact activities or movements that could stress the area until your doctor gives you the green light. Regular follow-ups with your orthopedic surgeon will help monitor the healing process and ensure that everything is in place.

Precautions
Here are some precautions to keep in mind during your recovery:
1. Follow-Up Appointments: Attend all scheduled follow-ups with your orthopedic surgeon to monitor healing.

2. Physical Therapy: Engage in physical therapy as recommended to regain strength and mobility safely.

3. Avoid High-Impact Activities: Steer clear of activities that could risk re-injury until cleared by your doctor.

4. Listen to Your Body: If you experience increased pain, swelling, or any unusual symptoms, contact your healthcare provider immediately.

5. Gradual Return to Activities: Gradually increase the intensity of your activities based on your comfort and the advice of your healthcare team.

Conclusion
In summary, while your early transition from the sling is not typical, it may be appropriate for your specific situation. Continue to monitor your symptoms, engage in prescribed exercises, and maintain open communication with your healthcare providers. Recovery from a clavicle fracture can take time, but with patience and proper care, you can expect to return to your normal activities, including sports, in due course. Always prioritize safety and listen to your body as you navigate your recovery journey.

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