Elbow Pain and Stiffness After Clavicle Fracture Recovery

Clavicle fracture issues?

1.
Doctor, is my inability to fully extend and bend my elbow due to my collarbone fracture that is still healing? (Currently, my collarbone is healing, and I am using a figure-eight shoulder sling and forearm sling.
During my follow-up appointment, the doctor mentioned that it's because I have kept my arm bent for a long time, which has caused the muscles to tighten, preventing me from straightening it.)
2.
I have bruising on my elbow that has turned yellow-green.
Can I massage my elbow to help the bruise heal faster?
3.
I feel tightness in my elbow and want to straighten it like my right arm, but I can't, and it becomes painful at a certain point.
Is this due to the collarbone issue or the bruising causing poor blood circulation?

ling, 20~29 year old female. Ask Date: 2018/06/22

Dr. Li Yongheng reply Orthopedics

Hello, indeed, if a clavicle fracture requires the use of a figure-of-eight shoulder strap and an arm sling, keeping the elbow fixed in a flexed position for more than three weeks may lead to difficulties in fully extending and bending the elbow due to lack of movement.
However, as long as you start moving it now, it typically will not cause permanent limitations in elbow mobility.
You must first have an X-ray of the elbow to ensure that there is no fracture in the joint before proceeding with any activity.
The bruising on the elbow that has turned yellow-green can be treated with heat application and massage to help dissipate the bruise.
Wishing you a speedy recovery.

Reply Date: 2018/06/22

More Info

After a clavicle fracture, it is common to experience elbow pain and stiffness, particularly if the arm has been immobilized for an extended period. Let's address your questions one by one.

1. Elbow Stiffness and Inability to Fully Extend: The inability to fully extend your elbow may indeed be related to the clavicle fracture and the subsequent immobilization. When an arm is kept in a bent position for a long time, the muscles and tendons can become tight, leading to stiffness. This is often compounded by the body's natural response to injury, which includes inflammation and muscle guarding. As your clavicle heals, it is crucial to engage in gentle range-of-motion exercises to prevent stiffness in the elbow. Your doctor’s advice about the tightness being due to muscle tension is valid; however, it is also essential to ensure that the joint itself is not restricted due to any other underlying issues.

2. Bruising and Massage: The yellow-green discoloration you see is a normal part of the healing process for bruises. It indicates that the body is breaking down the blood that has pooled under the skin. While gentle massage can help improve circulation and promote healing, it is essential to be cautious. Avoid massaging directly over the bruise if it is painful. Instead, focus on surrounding areas to help alleviate tightness and improve blood flow. Always consult with your healthcare provider before starting any massage therapy, especially in the context of recent injuries.

3. Tightness and Pain in the Elbow: The tightness you feel in your elbow, along with the pain when trying to extend it, could be due to several factors. First, the immobilization of your arm can lead to a condition known as "frozen shoulder" or adhesive capsulitis, which can affect the range of motion in the shoulder and, consequently, the elbow. Additionally, the bruising and swelling can lead to temporary changes in circulation, which might contribute to the sensation of tightness. It is also possible that the pain is a result of muscle strain from compensating for the injured area.
In terms of recovery, it is crucial to follow a structured rehabilitation program that includes stretching and strengthening exercises. Physical therapy can be highly beneficial in restoring range of motion and strength. Your therapist can guide you through exercises tailored to your specific needs, ensuring that you do not exacerbate any existing issues while promoting healing.

In summary, the stiffness and pain in your elbow are likely multifactorial, involving the healing process of your clavicle, muscle tightness from immobilization, and possibly the effects of bruising. It is essential to communicate openly with your healthcare provider about your symptoms and progress. They can provide you with a comprehensive rehabilitation plan that addresses your concerns and helps you regain full function of your arm. Remember, patience is key in recovery, and gradual progression in your rehabilitation will yield the best results.

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