Clavicle Fracture Recovery: When Can You Resume Normal Activities?

In the case of a clavicle fracture treated conservatively, when can one return to normal activities?

Two months ago, I had a car accident that resulted in a displaced clavicle fracture.
Since the displacement was minimal and it was a closed fracture, the doctor mentioned that surgery was optional.
Due to my keloid-prone skin, I opted for conservative treatment, using a figure-eight shoulder strap and a sling.
It has been two months now, and I will be returning to the orthopedic clinic for follow-up every two to three weeks.
During my most recent follow-up, the doctor said my recovery looks good and the angle is nice.
However, the X-ray still shows the fractured bone… Although I can feel that the fracture site has become harder.
Currently, I am resting at home, but I will need to return to work out of town in a month.
I would like to ask the doctor the following questions:
1.
I have been using the figure-eight shoulder strap and sling for two months now.
When can I remove them? Will removing them cause the fracture to displace again?
2.
When I take off the figure-eight shoulder strap to shower, is there a risk of the bone displacing? (I am currently wearing the figure-eight shoulder strap even while showering because I am afraid of moving the fracture site, so my family helps me with bathing.)
3.
When can I start driving? (A few days ago, during my follow-up, the doctor said I should be able to, but I am not very confident and fear the fracture might displace since I still have not removed the figure-eight shoulder strap.)
4.
Due to work, I often need to raise my hand to write on the blackboard.
When can I start performing arm-raising movements?
5.
What rehabilitation exercises can I do at this stage?
6.
Am I currently able to raise my arm to dress myself?
Thank you, doctor, for answering my questions! I hope to regain my independence in daily activities and avoid further injury to the fracture site!

Yuan Yuan, 20~29 year old female. Ask Date: 2019/01/26

Dr. Shi Guozheng reply Orthopedics

1.
Three months; removing it too early may cause displacement.

2.
If it has been fixed for more than two months, it can be temporarily removed for bathing.

3.
It is safer to wait until three months.

4.
Three months.

5.
Allow the arm to hang down and perform pendulum exercises.

6.
Ultimately, an X-ray is necessary to confirm that the fracture has healed before applying significant force.

Reply Date: 2019/01/26

More Info

Recovering from a clavicle fracture can be a challenging process, especially when considering the need to return to normal activities and work. Based on your situation, here are some insights and recommendations regarding your recovery and rehabilitation.

1. Duration of Sling and Support: Typically, after a clavicle fracture, especially a non-displaced one, the use of a sling or support (like the figure-eight bandage you mentioned) is recommended for about 4 to 6 weeks. Since you have been using it for two months, it may be time to discuss with your orthopedic doctor about gradually reducing or removing the support. However, it is crucial to follow your doctor's advice, as they will assess the healing progress through physical examination and X-rays. Removing the sling too early could potentially lead to re-displacement, especially if the bone has not fully healed.

2. Bathing and Movement Concerns: It’s understandable to be concerned about moving the fractured area, especially during activities like bathing. While it is generally safe to remove the sling for short periods (like during a shower), you should be cautious. If you feel uncomfortable or if the area is still tender, it might be wise to keep the sling on during bathing, or have someone assist you to minimize movement. If you are particularly worried about displacement, consider using a waterproof cover for the sling during showers to keep it dry while still providing some support.

3. Driving: The ability to drive after a clavicle fracture largely depends on your comfort and range of motion. If your doctor has indicated that you may be able to drive, ensure that you can perform necessary movements without pain or restriction. It is essential to be able to turn your head and use your arms without discomfort. If you feel unsure, it might be prudent to wait until you have more confidence in your healing before getting behind the wheel.

4. Raising Your Arm: Activities that require raising your arm, such as writing on a blackboard, should be approached with caution. Generally, you can start gentle range-of-motion exercises after a few weeks, but lifting your arm above shoulder level may take longer. Your doctor or physical therapist will provide guidance on when it is safe to resume these activities based on your healing progress.

5. Rehabilitation Exercises: Rehabilitation exercises are crucial for regaining strength and mobility. Initially, focus on gentle range-of-motion exercises that do not cause pain. These may include pendulum swings or shoulder shrugs. As healing progresses, your therapist may introduce strengthening exercises. Always consult with your healthcare provider before starting any new exercises to ensure they are appropriate for your stage of recovery.

6. Dressing and Daily Activities: You may find it challenging to dress independently at this stage. It is generally advisable to avoid lifting your arm too much until you have more strength and range of motion. You can try wearing loose-fitting clothing that is easier to put on without raising your arm too high.
In summary, while your recovery seems to be progressing well, it is essential to continue following your doctor's advice and to communicate any concerns you have during your follow-up appointments. Healing from a clavicle fracture can take time, and patience is key. As you approach your return to work and daily activities, prioritize safety and gradual progression to avoid setbacks.

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