Clavicle fracture was caused by a shoulder impact?
Is it a concern if someone tapped Dr.
Shi's shoulder 46 days after a comminuted fracture of the midshaft? The force was not very strong, and there was no noticeable pain at the time.
Thank you very much!
Liu Xiansheng, 30~39 year old female. Ask Date: 2017/02/16
Dr. Shi Guozheng reply Orthopedics
If there is a displacement, it may cause pain or result in visible deformity.
Reply Date: 2017/02/16
More Info
After undergoing surgery for a mid-shaft clavicle fracture, it's understandable to be concerned about any potential impacts from external forces, such as someone tapping your shoulder. Generally speaking, the clavicle is a relatively superficial bone, and while it is important for shoulder stability and function, a gentle tap on the shoulder, especially if it did not cause immediate pain or discomfort, is unlikely to cause significant harm to the healing process.
However, there are several factors to consider regarding the safety of such actions post-surgery:
1. Healing Process: After clavicle surgery, the bone typically takes about 6-12 weeks to heal sufficiently, depending on the severity of the fracture and the individual's healing capacity. During this time, the bone is still vulnerable, and while minor impacts may not cause immediate issues, they can potentially disrupt the healing process if they occur frequently or with more force.
2. Pain Response: The absence of pain at the moment of impact is a good sign, but it is essential to monitor for any delayed pain or discomfort in the following days. If you experience increased pain, swelling, or any unusual symptoms, it would be wise to consult your healthcare provider.
3. Protective Measures: Following surgery, it is crucial to adhere to your doctor's recommendations regarding immobilization and activity restrictions. Using a sling or triangular bandage as advised helps protect the area from accidental bumps or jolts. If you are in a situation where your shoulder may be bumped frequently, it might be worth considering additional protective measures.
4. Physical Therapy: Engaging in physical therapy as recommended by your physician can help strengthen the shoulder and improve range of motion, which is vital for recovery. Therapists can also provide guidance on how to protect the shoulder during daily activities.
5. Long-term Considerations: While minor taps may not cause immediate issues, it is essential to be cautious about activities that could lead to falls or more significant impacts. As you progress in your recovery, gradually increasing your activity level while being mindful of your shoulder's condition is crucial.
In summary, a gentle tap on the shoulder after clavicle fracture surgery is generally not a cause for concern, especially if it did not elicit pain at the time. However, it is always best to err on the side of caution. Continue to follow your doctor's advice, monitor your symptoms, and engage in any prescribed rehabilitation exercises to ensure a smooth recovery. If you have any doubts or experience any changes in your condition, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.
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