Clavicle Fractures: Key Questions and Concerns

Questions about clavicular closed fractures?

Hello, doctor.
I had a motorcycle accident on October 7th and was taken to the emergency room, where it was diagnosed as a right clavicle fracture.
The fracture is not completely separated; the lower part is still connected, but the upper part is fractured.
The doctor informed me that I could either have surgery or not, and since he recommended against surgery, I went home with a triangular bandage and a figure-eight sling.
On October 9th, I had a follow-up appointment, and the X-ray showed a slight worsening of the fracture compared to the day of the accident.
The doctor again gave me the option of surgery or not, but he mentioned that if it were completely broken, surgery would be necessary.
I have a few questions: 1.
I am not using my right arm for anything, and I have been consistently wearing the figure-eight sling and triangular bandage.
Is it still easy for the bone to break further? 2.
Do I still need to wear the triangular bandage and figure-eight sling while sleeping? 3.
Last night, I noticed a very sore feeling in the biceps area of my right arm extending to the clavicle, which made it difficult for me to sleep.
Is this normal? I apologize for the many questions.

Xiao Yu, 10~19 year old female. Ask Date: 2017/10/12

Dr. Li Yongheng reply Orthopedics

Hello, if you have a clavicle fracture without significant displacement, it is advisable to stabilize it using a triangular bandage and a figure-eight strap.
As long as you are careful not to move or remove it (including during bathing and sleeping), it should not easily displace.
If you notice a very sore sensation in the biceps area of your right arm extending to the clavicle at night, which prevents you from sleeping, this is a normal phenomenon.
It is recommended that you take some anti-inflammatory pain relievers to alleviate the symptoms.
Wishing you a speedy recovery.

Reply Date: 2017/10/12

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your clavicle fracture. It’s understandable to have many questions after experiencing such an injury, especially when you are faced with treatment options and potential complications. Let’s address your questions one by one.

1. Risk of Further Fracture: Since you are currently using a triangular sling and a figure-of-eight bandage, you are providing support to your clavicle, which is crucial for healing. The risk of the bone breaking further largely depends on the stability of the fracture and your activity level. If you are avoiding using your right arm and keeping it immobilized, you are minimizing the risk of further injury. However, it’s essential to follow your doctor's advice closely and avoid any activities that could put stress on the fracture site.

2. Wearing the Sling During Sleep: It is generally recommended to continue wearing the sling and figure-of-eight bandage while sleeping, especially in the early stages of healing. This will help keep your arm in a stable position and prevent any accidental movements that could aggravate the fracture. However, if you find it uncomfortable, you should discuss this with your doctor, as they may have specific recommendations based on the severity of your fracture.

3. Muscle Discomfort: Experiencing soreness in the biceps area near the clavicle is not uncommon, especially after a fracture. This discomfort can arise from muscle strain due to the immobilization or from the body adjusting to the injury. However, if the pain is severe or accompanied by other symptoms such as swelling, numbness, or changes in skin color, it would be prudent to consult your doctor. They may want to assess whether there are any complications, such as nerve irritation or muscle strain.

Additional Considerations
- Follow-Up Care: Regular follow-up appointments are essential to monitor the healing process. Your doctor will likely perform X-rays to assess the alignment and healing of the fracture. If there are any concerns about the stability of the fracture or if it shows signs of displacement, they may recommend surgical intervention.

- Pain Management: If you are experiencing significant discomfort, discuss pain management options with your healthcare provider. They may suggest over-the-counter pain relief or prescribe medication that is appropriate for your situation.

- Physical Therapy: Once your doctor determines that the fracture is stable, they may recommend physical therapy to help restore strength and range of motion in your shoulder and arm. This is crucial for a full recovery and to prevent stiffness.

- Lifestyle Adjustments: During your recovery, it’s important to avoid activities that could jeopardize the healing process. This includes heavy lifting, sports, or any movements that could strain your shoulder.
- Nutrition: Ensure you are consuming a balanced diet rich in calcium and vitamin D, as these nutrients are vital for bone healing. Foods such as dairy products, leafy greens, and fortified foods can help support your recovery.

In conclusion, while your current treatment approach appears to be appropriate for a non-displaced clavicle fracture, it is essential to maintain open communication with your healthcare provider. They can provide tailored advice based on your specific situation and monitor your progress closely. If you have any further concerns or if your symptoms worsen, do not hesitate to seek medical attention.

Wishing you a smooth recovery!
Best regards.

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