Sleeping with a Clavicle Fracture: What You Need to Know - Orthopedics

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Sleeping with a clavicle fracture?


Hello doctor, I would like to ask about my right clavicle fracture, which has been 37 days since the injury.
Is it okay to have slight movement below the elbow while sleeping? Specifically, while lying flat and without moving the elbow, can I extend my arm straight and then bend it back to rest on my abdomen?

Niming, 10~19 year old female. Ask Date: 2017/11/14

Dr. Li Yongheng reply Orthopedics


Hello, if your clavicle fracture has been 37 days, you can move your elbow joint and below while sleeping, and this action should not cause any displacement of the fracture.
Wishing you a speedy recovery.

Reply Date: 2017/11/14

More Info


When dealing with a clavicle fracture, especially one that has been healing for 37 days, it's essential to understand the implications for sleep and movement. Clavicle fractures can be quite painful and may limit your range of motion, particularly in the shoulder and upper arm area. However, as you are in the healing phase, there are some considerations to keep in mind regarding your sleeping position and arm movement.

Firstly, it is generally advisable to keep the affected arm as still as possible to promote healing. This means avoiding any unnecessary movements that could disrupt the healing process. However, gentle movements of the elbow and forearm, as you described—extending the arm while keeping the elbow stationary—are typically acceptable as long as they do not cause pain. It is crucial to listen to your body; if you experience discomfort or pain while performing these movements, it would be best to refrain from them.

Sleeping positions can also significantly impact your comfort and healing. Many patients with clavicle fractures find it more comfortable to sleep in a semi-upright position or on their back with pillows supporting the affected arm. This position can help alleviate pressure on the fracture site and reduce pain during the night. If you prefer to sleep on your side, consider using a pillow to support the affected arm, keeping it elevated and preventing it from bearing weight.

It's also important to maintain a good sleep environment. Ensure that your sleeping area is comfortable and conducive to rest. This includes a supportive mattress and pillows that help maintain proper alignment of your spine and shoulder. If you find it difficult to get comfortable, experimenting with different pillow arrangements may help.

In terms of activity during the day, gentle range-of-motion exercises, as advised by your healthcare provider, can be beneficial. These exercises help maintain flexibility in the shoulder and prevent stiffness. However, any exercise should be done under the guidance of a physical therapist or healthcare professional to ensure that you are not putting undue stress on the healing bone.

If you have not already, consider following up with your healthcare provider for an evaluation of your healing progress. They may recommend imaging studies, such as an X-ray, to assess the fracture's healing status. They can also provide personalized advice on activity levels and any necessary modifications to your daily routine.

In summary, while some gentle movements of the elbow and forearm are typically acceptable, it is crucial to avoid any activities that cause pain. Prioritize a comfortable sleeping position that supports your healing, and consult with your healthcare provider for tailored advice and follow-up care. Remember, the healing process can vary from person to person, so it's essential to listen to your body and seek professional guidance as needed.

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