Clavicle and Elbow Issues: What You Need to Know - Orthopedics

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Elbow issues and clavicle problems?


Hello, doctor.

1.
I would like to ask about my clavicle fracture.
The orthopedic surgeon mentioned that since it has been a month and the bone is healing well, I can remove the figure-eight brace.
I am concerned whether this might cause any displacement, or if as long as I avoid impact, it should be fine.
I worry about the potential effects.
2.
Initially, my elbow was not X-rayed.
During my third follow-up, I mentioned to the orthopedic surgeon that I couldn't touch my shoulder with my elbow.
The doctor decided to take X-rays from two angles.
The straight arm view showed no issues, but in the L-shaped view, there was a line present.
The doctor asked if I experienced pain in other positions, and I said I did not.
He found this strange, as it should be quite painful.
Since I am not experiencing pain, the doctor suggested we take another X-ray of the elbow during my next visit.
I would like to know what potential issues this might indicate.

Yi, 20~29 year old female. Ask Date: 2018/07/14

Dr. Wang Shouji reply Orthopedics


Hello: 1.
Given your age, if you have a clavicle fracture that is one month old and you are not experiencing pain, it should be fine to resume some activities, but avoid weight-bearing.
Continuous X-ray follow-up is necessary, and you should be monitored for at least three months.
2.
Without seeing the X-ray, I cannot assess the situation, but if there is no pain, it should not be a major concern.
Changhua Hospital cares about your health.

Reply Date: 2018/07/14

More Info


When dealing with clavicle and elbow issues, it's essential to understand the nature of the injuries and the healing process involved. Let's break down your concerns regarding the clavicle fracture and elbow pain.

1. Clavicle Fracture Recovery: You mentioned that your orthopedic doctor has indicated that your clavicle has healed well after a month, allowing for the removal of the figure-eight brace. Generally, once a clavicle fracture has sufficiently healed, the risk of displacement decreases significantly, especially if you avoid any high-impact activities or trauma to the area. The clavicle, or collarbone, is a critical bone that connects the arm to the body, and it typically heals well due to its rich blood supply. However, it is crucial to follow your doctor's advice regarding activity restrictions. If you are cautious and avoid any activities that could lead to a fall or direct impact, the likelihood of re-displacement is minimal. Nevertheless, it is always wise to monitor for any unusual pain or changes in the area, and to consult your doctor if you have concerns.

2. Elbow Pain and Functionality: Regarding your elbow, it is interesting that you initially did not have an X-ray taken, but after expressing your concerns about not being able to touch your shoulder with your elbow, your doctor decided to perform imaging. The fact that you do not experience pain in most positions but do feel discomfort when bending your elbow suggests that there might be a specific issue related to the mechanics of your elbow joint rather than a straightforward fracture or severe injury.
The presence of a line on the X-ray could indicate a possible fracture or a stress reaction, but since you are not experiencing significant pain, it may also suggest that the injury is not severe. Conditions such as tendinitis, bursitis, or even a minor ligament strain could cause discomfort during specific movements without causing constant pain.
Your doctor’s decision to take another X-ray at your next visit is prudent, as it will help to monitor any changes in the elbow joint and assess the healing process. It is also possible that they may consider other imaging modalities, such as an MRI, if they suspect soft tissue involvement or if the symptoms persist.

In summary, for your clavicle, as long as you are cautious and follow your doctor's recommendations, you should be fine. For your elbow, the lack of pain in most positions is a positive sign, but further evaluation will help clarify the situation. Always communicate openly with your healthcare provider about any new symptoms or concerns, as they can provide the best guidance based on your specific circumstances.

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