Blood clot after removal of clavicle plate?
Hello, Doctor.
After the clavicle removal and plate surgery last week, I had my stitches removed about ten days later and noticed a raised, hard lump of blood clot.
I would like to ask if this blood clot can be absorbed and resolved on its own? How long might that take? Will it eventually fibrose and become a permanent hard lump that could affect shoulder function? Thank you for your help and response, Doctor!
Mr. Wang, 20~29 year old female. Ask Date: 2019/04/26
Dr. Shi Guozheng reply Orthopedics
Typically, a hematoma will resolve on its own within two to four weeks, unless there is an infection or it becomes purulent, in which case it should not affect shoulder function.
Reply Date: 2019/04/26
More Info
After clavicle plate removal surgery, it is not uncommon for patients to experience the formation of a hematoma or a blood clot at the surgical site. This can occur as a result of the surgical trauma, and the body’s natural healing processes may lead to the accumulation of blood in the tissues, resulting in a firm, raised area that you described.
In most cases, these blood clots or hematomas can indeed resolve on their own. The body has a remarkable ability to reabsorb blood clots over time, and this process can take anywhere from a few weeks to several months, depending on various factors such as the size of the hematoma and the individual’s healing capacity. Generally, smaller hematomas may resolve within a few weeks, while larger ones could take longer.
It is important to monitor the area for any signs of infection, such as increased redness, warmth, swelling, or discharge. If the hematoma becomes painful or shows signs of infection, it is crucial to consult your healthcare provider promptly. In some cases, if a hematoma does not resolve on its own or if it causes significant discomfort or functional limitations, further intervention may be necessary, which could include aspiration (draining the hematoma) or surgical intervention.
Regarding your concern about the potential for fibrosis or the formation of a permanent hard lump, it is possible for a hematoma to lead to fibrous tissue formation as it heals. This fibrous tissue can sometimes feel firm or hard but does not always indicate a problem. In many cases, this fibrous tissue does not significantly impact shoulder function. However, if the area becomes excessively fibrotic, it could potentially limit mobility or cause discomfort.
To minimize the risk of complications, it is advisable to follow your surgeon's post-operative care instructions closely. This may include recommendations for activity restrictions, physical therapy, or exercises to promote healing and maintain shoulder mobility. Engaging in gentle range-of-motion exercises as advised can help prevent stiffness and maintain function in the shoulder joint.
If you have ongoing concerns about the lump or if it seems to be growing or changing, it is essential to follow up with your surgeon or healthcare provider. They may perform a physical examination and, if necessary, imaging studies such as an ultrasound to assess the hematoma and determine the best course of action.
In summary, while it is common to experience a blood clot or hematoma after clavicle plate removal surgery, most cases resolve on their own without complications. However, monitoring the area for any signs of infection and following up with your healthcare provider if you have concerns is crucial for ensuring optimal recovery and function.
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