Clavicle Fractures: Pain, Recovery, and Hardware Concerns

Clavicle fracture, muscle pain, issues with the steel pin?

Hello, I had a car accident on September 13th this year, and my right clavicle was fractured in a zigzag pattern.
I underwent surgery on September 16th to repair it, and it has now been one month.
During my follow-up appointment, I had an X-ray taken, and it appeared as if there were two pieces of chalk with a chalk line in between.
The surgeon said that I no longer need to keep my arm in a sling and can lift some light objects.
I would like to ask the doctor:
1.
I am currently working and sometimes lift light objects, weighing no more than 2 kg.
Could this cause displacement of the clavicle?
2.
Occasionally, I lift heavier objects with my left hand.
Will this affect my right clavicle?
3.
My right arm sometimes experiences brief pain, lasting about 5 minutes.
Could this be due to overexertion?
4.
What is the ideal time frame for removing the plate and screws? If they are not removed, will the bone quality in that area be affected over time?
5.
If I do not keep my arm in a sling, will my shoulder become uneven?
I apologize for the trouble, and thank you for your answers.

Zhang Junqiang, 20~29 year old female. Ask Date: 2018/10/23

Dr. Chen Yongxue reply Orthopedics

1.
Currently, it has only been one month since the surgery, and it is not advisable to bear weight too early (approximately three months would be more ideal).

2.
Bearing weight on the left side should not have any significant impact.

3.
It is possible.

4.
The timing for the removal of the metal screws is related to the material of the screws and the degree of fracture healing.
If they are made of stainless steel, it is generally recommended to wait for over a year; if they are made of locking plates (titanium alloy), they should typically be removed after nine months.

5.
The purpose of using a sling is primarily to prevent premature weight-bearing on the fracture site and is not related to shoulder alignment.
Thank you.

Reply Date: 2018/10/23

More Info

Hello! It sounds like you've been through quite a challenging experience with your clavicle fracture. Let’s address your concerns regarding pain, recovery, and the hardware used in your surgery.

1. Weight Bearing and Fracture Stability: You mentioned that you are lifting light objects (around 2 kg) with your right hand. Generally, if your surgeon has advised that you can start using your arm without a sling, it suggests that your fracture is stable enough to handle some light activity. However, it's crucial to listen to your body. If you experience pain or discomfort while lifting, it may be a sign that you should reduce the weight or take a break. Lifting light weights should not typically cause displacement of the fracture, especially if it is healing well, but always consult your doctor if you have concerns.

2. Using Your Left Hand: When you lift heavier objects with your left hand, it should not directly affect your right clavicle. However, if you are compensating for the right side by overusing the left, it may lead to muscle fatigue or strain in your left shoulder or back. It's essential to maintain a balanced approach to avoid overloading one side of your body.

3. Pain in the Right Arm: Occasional pain in your right arm, especially after using it, can be normal during the recovery phase. This pain may be due to muscle fatigue or tension as your body adjusts to using the arm again. If the pain persists or worsens, it would be wise to consult your healthcare provider to rule out any complications.

4. Removal of Hardware: The timing for the removal of plates and screws can vary. Typically, if the hardware is not causing any issues, it may remain in place indefinitely. However, if you experience discomfort or if the hardware is prominent, your doctor may recommend removal after the bone has healed, usually around 6-12 months post-surgery. Leaving the hardware in place generally does not affect bone quality, but it can sometimes lead to irritation or discomfort.

5. Shoulder Alignment: Not using a sling may lead to some asymmetry in your shoulder, especially if you are favoring one side. However, as you regain strength and mobility in your right arm, this should improve. Engaging in physical therapy can help restore balance and strength to both shoulders, ensuring that you do not develop any long-term postural issues.

In summary, recovery from a clavicle fracture involves careful management of activity levels and awareness of your body’s signals. It’s essential to follow your surgeon’s advice and keep them informed of any concerns you have during your recovery. Engaging in physical therapy can also be beneficial in restoring function and preventing complications. Always prioritize your safety and comfort as you navigate your recovery journey. Wishing you a smooth and speedy recovery!

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