Clavicle Fractures: Recovery, Driving, and Pain Management - Orthopedics

Share to:

Clavicle issues


Hello Doctor: On March 28th, I fractured my left clavicle into three pieces.
On April 11th, I underwent surgery where a self-funded plate was used to reconnect my left clavicle.
I purchased 10 cc of artificial bone graft, but it was still insufficient, leaving a small gap.
The doctor said it’s okay and that it will heal on its own.
I would like to ask if I can drive in my current condition? I will be using my right hand, and my left hand will only be used to signal.
Is there a risk that the clavicle plate might deform easily? Additionally, I am used to sleeping on my side, but I have only dared to sleep on my right side so far.
If I sleep on my left side, could that cause deformation? I sometimes experience pain near the tail end of the left side close to my arm; could that be due to deformation? Do I need to get another X-ray? My next follow-up appointment is on May 28th; should I go in for an earlier check-up? Thank you for your guidance.

TOMMY, 30~39 year old female. Ask Date: 2018/05/11

Dr. You Dianqi reply Orthopedics


Hello Tommy: It has been a month since your clavicle surgery on April 11.
As mentioned, your attending physician performed a reduction and fixation surgery using a self-funded plate and artificial bone.
Generally speaking, if a self-funded plate was used for fixation in a clavicle fracture like yours, the stability of the fixation should be quite good.
You mentioned using a turn signal and sleeping on your side, which should be fine now.
The pain in your left shoulder may not be due to any deformity; in my opinion, it should not be significant.
If your doctor scheduled a follow-up for May 28, you should adhere to that timeline.
However, if the pain is severe or you have concerns, you should return for an earlier consultation.
Please note that my responses are based on not having seen you in person, nor being able to conduct physical examinations or review your pre- and post-operative X-rays.
Therefore, the accuracy of my professional medical response is limited.
It is essential to rely on the opinion of your attending physician, who has treated you and can perform physical examinations and review your X-rays.
Whether using a turn signal, sleeping on your side, or concerns about deformity in your left shoulder should ultimately be guided by your attending physician's advice.
Wishing you a speedy recovery, thank you.

Reply Date: 2018/05/11

More Info


Clavicle fractures, particularly those that are displaced or involve multiple fragments, can be quite complex in terms of recovery and pain management. Given your situation, where you sustained a three-part fracture and underwent surgical intervention with a plate, it's essential to consider several factors regarding your recovery, driving, and pain management.


Recovery and Driving
After a clavicle fracture, the recovery process can vary significantly from person to person. Generally, the healing time for a clavicle fracture can range from 6 to 12 weeks, depending on the severity of the fracture and the individual's overall health. Since you had surgery on April 11 and are now in the recovery phase, it is crucial to follow your surgeon's advice regarding activity restrictions.

Regarding driving, it is generally advised that you should not drive until you have regained sufficient strength and mobility in your left arm, especially since you mentioned that you primarily use your right hand for driving. If your left arm is still weak or painful, it may not be safe to drive, as you need to be able to react quickly in case of an emergency. Additionally, if you are taking pain medications, these can impair your ability to drive safely. It would be best to consult your physician about your readiness to drive, as they can provide personalized advice based on your recovery progress.


Concerns About the Plate and Sleeping Position
You expressed concerns about the steel plate potentially deforming and the impact of your sleeping position on your recovery. Generally, surgical plates used in clavicle repairs are designed to be durable and should not deform under normal circumstances. However, if you experience significant pain or discomfort, it could indicate that something is not healing correctly, and you should bring this up with your doctor.

As for sleeping positions, it is common for patients to feel uncomfortable sleeping on the side of the injury. While side sleeping is generally not harmful, if you feel pain when lying on your left side, it may be best to avoid that position until you have healed more. If you are concerned that your sleeping position might affect the healing process, it is advisable to discuss this with your healthcare provider.


Pain Management and Follow-Up Care
Pain management is a critical aspect of recovery from a clavicle fracture. If you are experiencing pain near the end of the clavicle close to the arm, it could be related to the healing process or the surgical site. It is essential to manage pain effectively, as uncontrolled pain can hinder your recovery. Over-the-counter pain relievers such as acetaminophen or NSAIDs (like ibuprofen) can be helpful, but you should consult your doctor before taking any medication, especially if you have other health conditions or are on other medications.

Regarding your follow-up appointment on May 28, if you have concerns about your pain or the healing process, it may be prudent to request an earlier evaluation. An X-ray can help assess the healing of the fracture and the position of the plate. If you notice any unusual symptoms, such as increased swelling, redness, or fever, you should seek medical attention sooner.


Conclusion
In summary, your recovery from a clavicle fracture involves careful consideration of your pain management, activity levels, and follow-up care. It is crucial to communicate openly with your healthcare provider about your symptoms and concerns. They can provide tailored advice based on your specific situation and help ensure that you are on the right track to a full recovery. Always prioritize your safety, especially when it comes to activities like driving, and do not hesitate to seek medical advice if you feel uncertain about your recovery process.

Similar Q&A

Understanding Clavicle Fractures: Healing Challenges and Treatment Options

Hello, doctor. I was in a car accident on November 19, 2017, after 12 PM, where a small car collided with a mountain wall and flipped over. I was sitting on the far left, and there were two other guys pressing against me. Everyone else was fine, but I ended up with a fractured co...


Dr. Shi Guozheng reply Orthopedics
If a clavicle fracture is treated conservatively, there is a high chance of gradual healing with callus formation within approximately three months. If pain persists beyond three months and there are no signs of callus formation, surgical intervention should be considered. Since ...

[Read More] Understanding Clavicle Fractures: Healing Challenges and Treatment Options


Understanding Clavicle Fractures: Recovery, Rehabilitation, and Return to Work

Hello Doctor: I had a car accident on October 6 and fractured my right clavicle. I am using a self-paid titanium alloy plate. The doctor mentioned that the plate will be removed after four months. I would like to ask: 1. What does the diagnosis of open reduction and internal fixa...


Dr. Shi Guozheng reply Orthopedics
Open reduction involves making an incision at the site of the fracture to realign the bones to their original position. Internal fixation uses plates and screws to stabilize the fracture, allowing the bone to heal properly. Bone healing typically takes about three months. Patient...

[Read More] Understanding Clavicle Fractures: Recovery, Rehabilitation, and Return to Work


Clavicle Fracture: To Operate or Not? Understanding Risks and Recovery

Hello Dr. Shi: My friend had a car accident on June 2, resulting in a fractured clavicle. The doctor mentioned that surgery is optional, but undergoing surgery would require general anesthesia, which carries risks. Therefore, he returned home on his own. Another friend also had a...


Dr. Chen Xingyuan reply Orthopedics
Dear Ms. Hong, Surgical intervention for a clavicle fracture is necessary in cases of open fractures, associated neurovascular injuries, mid-shaft clavicle fractures with significant displacement, fractures with ends nearly penetrating the skin becoming open fractures, distal cl...

[Read More] Clavicle Fracture: To Operate or Not? Understanding Risks and Recovery


Seeking Help for Clavicle Fracture and Concerns After Car Accident Abroad

Hello Doctor, I am currently studying in the UK. A few days ago, I was hit by a car while crossing the street. An X-ray at the local public hospital revealed a significant fracture of my left clavicle/collarbone. At the time, my right knee was struck by the front of the car, ca...


Dr. Yang Zhengfan reply Orthopedics
Dear Jeffrey, You mentioned two issues, so I will address them separately: 1. Clavicle fracture: Generally speaking, clavicle fractures do not require surgical intervention and can be treated with a figure-of-eight brace. The healing rate is over 95%, provided that the fracture...

[Read More] Seeking Help for Clavicle Fracture and Concerns After Car Accident Abroad


Related FAQ

Clavicle Fracture

(Orthopedics)

Clavicle

(Orthopedics)

Post-Clavicle Surgery

(Orthopedics)

Clavicle

(Rehabilitation)

Acromioclavicular Joint Dislocation

(Orthopedics)

Ankle Fracture Recovery

(Orthopedics)

Fracture Healing

(Orthopedics)

Open Fracture

(Orthopedics)

Knee Fracture

(Orthopedics)

Elbow Fracture

(Orthopedics)