Post-Accident Clavicle Fracture: Recovery Questions and Concerns - Orthopedics

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Hello, and thank you for reaching out with your questions regarding your recovery from a clavicle fracture. It’s great to see that you are proactive about your rehabilitation. Let’s address your concerns one by one.

1. Use of a Sling: After surgery for a clavicle fracture, it is common to use a sling to immobilize the arm and shoulder. The duration for which you need to wear the sling can vary based on the specific nature of your fracture and the surgeon's recommendations. Generally, patients are advised to wear the sling for about 2 to 6 weeks post-surgery. However, since you have undergone an open reduction and internal fixation (ORIF) with a hook plate, your surgeon may suggest a longer period of immobilization to ensure proper healing. Always follow your surgeon's specific instructions regarding sling use.

2. Activity Level: It is crucial to balance rest and activity during your recovery. While it is important to start gentle movements to prevent stiffness, you should avoid any activities that could put stress on the fracture site or the fixation device. Typically, light range-of-motion exercises can begin after a few weeks, but you should consult your orthopedic surgeon or physical therapist for personalized guidance. Engaging in activities too soon could jeopardize the healing process.

3. Shoulder Movement: Similar to your arm, shoulder movement is also important for recovery, but it should be approached cautiously. Gentle shoulder exercises may be recommended, but you should wait until your doctor gives you the green light. Early movement can help maintain flexibility and prevent stiffness, but it should not cause pain or discomfort.

4. Raising the Arm: It is common for patients to experience limitations in raising their arm until the hardware (the hook plate) is removed. The fixation device provides stability to the fracture site, and excessive movement could risk displacing the fracture or causing pain. Once your doctor assesses that the bone has healed adequately, they will provide guidance on when you can start lifting your arm normally.

5. Shoulder Pain and Sleep Issues: Post-operative discomfort, including pain in the shoulder, is common after clavicle surgery. This discomfort can last for several weeks to months, depending on individual healing rates and pain tolerance. To alleviate pain while sleeping, consider using pillows for support or sleeping in a more upright position. If the pain persists or worsens, consult your doctor for further evaluation and management options.

6. Returning to Work: The timeline for returning to work can vary significantly based on the nature of your job and the extent of your recovery. If your job is physically demanding, you may need more time off compared to a desk job. Generally, patients can expect to return to light office work within 4 to 6 weeks post-surgery, but this should be confirmed with your healthcare provider based on your specific recovery progress.

In summary, while it is essential to start moving your arm and shoulder to promote healing, it is equally important to do so under the guidance of your healthcare team to avoid complications. Regular follow-ups with your orthopedic surgeon will help monitor your recovery and adjust your rehabilitation plan as needed. Wishing you a smooth and speedy recovery!