Recovery Challenges After Car Accident: Managing Multiple Bone Injuries

Car accident resulting in a comminuted clavicle fracture, multiple rib fractures, and posterior spinal scoliosis?

Dear Dr.
Wang,
Hello.
My family member was involved in a car accident and fell to the ground, resulting in a comminuted fracture of the left clavicle and three fractured ribs on the left side (the hospital did not perform rib plating).
There are multiple contusions and bruises on the body, along with a developing scoliosis and persistent, unclear pain in the pelvis.
They also had a pre-existing condition of osteoporosis.
I have a few questions for you:
1.
Given that my family member has multiple injuries and osteoporosis, they have been unable to care for themselves for the past three months and require assistance from family members.
Is this situation normal? Based on your experience, do you find that recovery is generally slower for individuals with similar conditions?
2.
My family member has been injured for five months now, and their job requires lifting heavy objects.
For safety reasons, how long do you recommend waiting before they can return to work and lift heavy items?
3.
Regarding the spinal issues caused by the car accident, aside from pain medication, should we continue to monitor the situation? Do you have any recommendations for care or treatment that we should be aware of?
Thank you very much for taking the time to answer these three questions!

Mr. You, 40~49 year old female. Ask Date: 2020/05/12

Dr. Wang Shouji reply Orthopedics

Hello, it is possible for elderly patients with osteoporosis to require assistance for three to six months after multiple fractures.
The scoliosis should not be attributed to this injury; rather, if the patient is elderly and has been engaged in weight-bearing work, degeneration is more likely to cause the curvature.
It is advisable to reduce weight-bearing activities afterward.
The spinal issues should first be clarified to determine if they are related to this injury; if there were pre-existing problems, the recovery time may be prolonged.
Changhua Hospital cares about your health.
Dr.
Wang Shou-ji.

Reply Date: 2020/05/12

More Info

Recovering from a car accident that results in multiple bone injuries can be a complex and challenging process, especially when compounded by pre-existing conditions such as osteoporosis. Your family member's situation, involving a shattered clavicle, fractured ribs, and other injuries, requires a comprehensive approach to rehabilitation and recovery.

1. Inability to Self-Care: It is not uncommon for individuals with multiple fractures and significant injuries to require assistance with daily activities, especially in the initial months following the accident. The healing process for bone injuries can vary greatly among individuals, depending on factors such as age, overall health, and the severity of the injuries. In cases of osteoporosis, the healing process may be prolonged due to the fragility of the bones. Generally, a recovery period of three to six months is expected for significant fractures, but this can be longer for those with underlying conditions. Therefore, requiring assistance during this time is a normal part of the recovery process.

2. Returning to Work: For someone who needs to lift heavy objects as part of their job, it is crucial to ensure that they have fully healed before returning to such activities. Generally, it is advisable to wait at least six months after sustaining significant fractures before engaging in heavy lifting, but this timeline can vary based on the individual's healing progress and the nature of their work. A thorough evaluation by an orthopedic specialist or a rehabilitation physician is essential to determine when it is safe to resume such activities. They may recommend a gradual return to work, starting with lighter duties and progressively increasing the workload as tolerated.

3. Spinal Issues and Ongoing Pain: The presence of spinal issues, such as scoliosis, can complicate recovery from a traumatic injury. It is important to monitor any persistent pain and discuss it with a healthcare provider. Pain management may involve medications, physical therapy, and possibly interventions such as chiropractic care or acupuncture, depending on the severity and nature of the pain. Regular follow-ups with a healthcare provider are crucial to assess the healing process and to make adjustments to the treatment plan as necessary.
In addition to these considerations, a multidisciplinary approach to rehabilitation is often beneficial. This may include physical therapy to improve strength and mobility, occupational therapy to assist with daily living activities, and nutritional support to promote bone health. Engaging in low-impact activities, as recommended by a healthcare provider, can also aid in recovery without putting undue stress on healing bones.

Overall, the recovery journey after a car accident with multiple bone injuries is multifaceted and requires patience, support, and a tailored rehabilitation plan. Regular communication with healthcare providers and adherence to their recommendations will be key in navigating this challenging period and achieving the best possible outcome.

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