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 collarbone fracture that is still healing? (Currently, my collarbone is healing, and I am using a figure-eight shoulder strap 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 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 am unable to do so, and it becomes painful at a certain point.
Is this due to the collarbone issue or because the bruising is causing poor blood circulation, leading to this condition?

ling, 20~29 year old female. Ask Date: 2018/06/24

Dr. Li Yongheng reply Orthopedics


Hello, indeed, if a clavicle fracture has led to the use of a figure-eight shoulder strap and forearm sling, keeping the elbow fixed in a bent position for more than three weeks may result in an inability to fully extend or flex the elbow due to lack of movement.
However, as long as you start moving it now, it usually will not cause permanent limitations in elbow mobility.
You must first have an X-ray of the elbow to ensure that 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 massage to help dissipate the bruise.
Wishing you a speedy recovery.

Reply Date: 2018/06/24

More Info


After a clavicle fracture, it is common to experience issues with the elbow, especially if the arm has been immobilized for an extended period. Here are some insights regarding your questions about elbow issues and recovery.

1. Elbow Extension and Clavicle Healing: The inability to fully extend your elbow can indeed be related to your clavicle fracture. When the clavicle is fractured, it can affect the overall mechanics of the shoulder and arm. The muscles and tendons that control elbow movement may become tight or weak due to prolonged immobilization or altered movement patterns. If your doctor mentioned that your muscles are tight from keeping your arm bent, this is a plausible explanation. The muscles around the elbow, including the biceps and triceps, may have adapted to a shortened position, leading to difficulty in straightening the elbow. It is essential to follow your doctor's advice regarding rehabilitation exercises to gradually restore range of motion.

2. Bruising and Massage: The yellow-green bruising you are observing is a normal part of the healing process. Bruises change color as they heal, indicating that the body is reabsorbing the blood that has leaked into the tissues. While gentle massage can sometimes help improve circulation and promote healing, it is crucial to be cautious. If the area is still tender or painful, you should avoid deep pressure or aggressive massage, as this could exacerbate the injury or cause further discomfort. Instead, you might consider light, gentle strokes around the area, but always listen to your body and stop if it causes pain.

3. Tightness and Pain: The tightness and pain you are experiencing when trying to extend your elbow could be due to several factors. First, it could be related to the healing process of the clavicle, as the shoulder and elbow are interconnected. If the shoulder is not moving correctly due to the clavicle injury, it can lead to compensatory movements that affect the elbow. Second, the presence of bruising and swelling can also contribute to a feeling of tightness and discomfort. Swelling can restrict movement and lead to stiffness in the joint. It is essential to manage swelling through rest, ice, and elevation as needed.
In terms of recovery, here are some tips:
- Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can provide you with specific exercises to improve range of motion, strengthen the muscles around the elbow, and ensure proper mechanics as you heal.

- Gradual Mobilization: Start with gentle range-of-motion exercises as advised by your healthcare provider. Gradually increase the intensity and duration of these exercises as your pain decreases and your range of motion improves.

- Pain Management: If you experience significant pain, consider discussing pain management options with your doctor. This could include over-the-counter pain relievers or prescribed medications.

- Follow-Up Appointments: Keep all follow-up appointments with your healthcare provider to monitor the healing process of both your clavicle and elbow. They can assess your progress and make necessary adjustments to your treatment plan.

- Avoid Overexertion: While it is important to work on regaining movement, avoid pushing through severe pain or discomfort. Listen to your body and give yourself time to heal.

In summary, the issues you are experiencing with your elbow are likely interconnected with your clavicle fracture and the resulting immobilization. With appropriate care, rehabilitation, and time, you should be able to regain full function of your elbow. Always consult your healthcare provider before starting any new treatment or exercise regimen to ensure it is safe and appropriate for your specific situation.

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