Clavicle Fractures: Concerns About Hardware and Recovery - Orthopedics

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Clavicle fracture


Hello Doctor, I have a broken left clavicle and have already undergone surgery to have a plate installed.
It has been almost two years, and I plan to have it removed after my exams.
Recently, I noticed a screw protruding when I touch my clavicle.
Is this normal? Should I stop exercising or consider having surgery sooner? I am a bit afraid that the screw might break through the skin.
I do push-ups every day, but I'm worried about the screw coming out.
Also, how does the pain of removing the plate compare to the pain of the initial surgery? I am very afraid of pain and also of surgery.
Is there any psychological advice you can give me to help me cope? Thank you for your assistance, Doctor.

Mr. Wang, 10~19 year old female. Ask Date: 2018/04/16

Dr. Shi Guozheng reply Orthopedics


Let's take an X-ray to see if there are any changes.
The surgery to remove the bone screws is not difficult, and the recovery is quite fast.

Reply Date: 2018/04/16

More Info


Hello! It sounds like you have some valid concerns regarding your clavicle fracture recovery and the hardware that was implanted during your surgery. Let’s break down your questions and concerns.

First, it’s not uncommon to feel the hardware, such as screws or plates, under the skin after a clavicle fracture repair. The sensation of a "bump" where the screw is located can be normal, especially if the surrounding tissue has thinned out or if the hardware is positioned close to the surface of the skin. However, if you are experiencing pain, swelling, or any signs of infection (like redness or warmth), it would be wise to consult your orthopedic surgeon to ensure everything is healing properly.

Regarding your concern about the hardware potentially protruding through the skin, this is a rare occurrence but can happen if the hardware is not positioned correctly or if there is significant bone resorption around the screws. If you notice any changes in the area, such as increased pain or visible changes in the skin, it’s essential to seek medical advice sooner rather than later.

As for your exercise routine, if you are feeling discomfort or pain in the area of the hardware, it may be best to modify your activities. Push-ups and other upper body exercises can put strain on the clavicle and the surrounding muscles, which might exacerbate any discomfort you’re feeling. It’s always a good idea to discuss your exercise regimen with your healthcare provider, who can give you personalized advice based on your recovery status.

When it comes to the pain associated with removing the hardware, experiences can vary widely among individuals. Generally, the pain from removing screws or plates is often reported to be less intense than the initial surgery, but this can depend on various factors, including your pain tolerance and the complexity of the surgery. Many patients find that the discomfort from hardware removal is manageable with local anesthesia and post-operative pain management strategies.

If you are feeling anxious about the prospect of surgery, it might help to talk to your doctor about your fears. They can provide reassurance and information about what to expect during the procedure and recovery. Additionally, consider discussing your concerns with a mental health professional or a counselor who can help you develop coping strategies for managing anxiety related to medical procedures.

In the meantime, focus on maintaining a positive mindset. Remind yourself of the progress you’ve made since your injury and the importance of taking care of your body. Engaging in relaxation techniques, such as deep breathing or mindfulness meditation, can also help alleviate anxiety.

In summary, while it’s normal to feel the hardware after a clavicle fracture repair, any new or worsening symptoms should be evaluated by your doctor. Adjusting your exercise routine and discussing your concerns about pain and surgery with your healthcare provider can help you feel more at ease. Remember, you are not alone in this journey, and there are professionals available to support you through your recovery. Wishing you a smooth recovery and a positive experience with your upcoming decisions!

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