Elbow Issues After Clavicle Fracture: Healing and Recovery Tips - Orthopedics

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Clavicle fracture issues?


1.
Doctor, is my inability to fully extend and bend my elbow due to my clavicle fracture that is still healing? (Currently, my clavicle is healing, and I am using a figure-eight sling and forearm sling.
During my follow-up appointment, the doctor mentioned that it is because I have been keeping my arm bent for a long time, which has caused the muscles to tighten, preventing me from straightening it.)
2.
I have a bruise 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 currently cannot, and it becomes painful at a certain point.
Is this due to the clavicle issue or because the bruise is causing poor blood circulation, leading to this condition?

ling, 20~29 year old female. Ask Date: 2018/06/23

Dr. Li Yongheng reply Orthopedics


Hello, indeed, if a clavicle fracture requires the use of a figure-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 there are no fractures in the joint before proceeding with any activities.
The bruising in the elbow that has turned yellow-green can be treated with heat application and gentle massage to help dissipate the bruise.
Wishing you a speedy recovery.

Reply Date: 2018/06/23

More Info


It sounds like you are experiencing significant discomfort and functional limitations in your elbow following a clavicle fracture. Let's address your questions one by one, while also providing some additional context regarding the healing process and recovery tips.

1. Elbow Extension and Clavicle Healing: The inability to fully extend your elbow can indeed be related to your clavicle fracture. When you have a fracture, especially in the shoulder area, it can lead to compensatory movements and postures that may affect the surrounding joints, including the elbow. If you have been keeping your arm in a bent position for an extended period, the muscles and connective tissues around the elbow may become tight, leading to a condition known as muscle contracture. This can restrict your range of motion and make it difficult to straighten your arm. It's crucial to follow your doctor's advice regarding rehabilitation and to engage in gentle stretching and strengthening exercises as your clavicle heals. Physical therapy can be particularly beneficial in restoring function and flexibility.

2. Bruising and Massage: The yellow-green discoloration you see in your elbow is a normal part of the healing process for bruises. This color change indicates that your body is breaking down the blood that has pooled under the skin. While gentle massage can help improve circulation and may assist in the healing of bruises, it’s essential to be cautious. If the area is still painful or tender, it might be best to avoid direct pressure until the pain subsides. Instead, you can try light circular motions around the bruise to promote blood flow without causing additional discomfort. Always consult with your healthcare provider before starting any massage techniques, especially in the context of an injury.

3. Tightness and Pain in the Elbow: The tightness and pain you are experiencing in your elbow could be attributed to several factors. First, the healing process of your clavicle may lead to altered biomechanics, which can affect how your elbow functions. Additionally, the presence of bruising and swelling can contribute to a feeling of tightness and discomfort. If blood circulation is compromised due to swelling or muscle tightness, it can exacerbate these symptoms. It’s essential to monitor your symptoms closely. If the pain worsens or if you notice any new symptoms, such as increased swelling or changes in color, you should seek medical attention promptly.


Additional Recovery Tips:
- Physical Therapy: Engaging in a structured physical therapy program can significantly aid in your recovery. A physical therapist can provide you with specific exercises tailored to your condition, focusing on both flexibility and strength.

- Gentle Stretching: Incorporate gentle stretching exercises for your elbow and shoulder. This can help alleviate tightness and improve your range of motion. However, avoid any movements that cause pain.

- Ice Therapy: If you experience swelling or pain, applying ice to the affected area can help reduce inflammation. Make sure to wrap the ice in a cloth to avoid direct contact with the skin.

- Gradual Return to Activity: As your clavicle heals, gradually reintroduce activities that involve the use of your arm. Start with light tasks and progressively increase the intensity as tolerated.

- Follow-Up Appointments: Keep all follow-up appointments with your healthcare provider to monitor your healing process. They may recommend imaging studies or adjustments to your treatment plan based on your recovery progress.

In conclusion, while your current symptoms may be related to the healing of your clavicle and the resulting muscle tightness, it’s crucial to approach your recovery holistically. With appropriate care, rehabilitation, and patience, you can expect to regain function in your elbow and alleviate discomfort. Always consult your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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