Clavicle Injuries: Recovery Without Surgery

Clavicle issues

I was in a car accident last Sunday, and my clavicle is displaced by almost three centimeters, but I am not having surgery.
It has been almost a week now, and I only experience pain when I make large movements.
When I sleep, I only feel a slight stiffness, and there is a noticeable bump at the site of the clavicle injury.
Is this normal? I have been using a figure-eight shoulder strap for support, and I can raise my arm halfway after a week.
Sometimes, when doing chest expansion exercises, I still feel some stiffness.
I would like to know if this means that a callus is forming.
Will this condition heal without surgery? Is my recovery considered fast? How long until I can ride a motorcycle, or can I ride one now? When can I start lifting objects? Is the small bump on my back normal? When I go back to the clinic, they only suggest surgery, but I prefer to recover on my own.

An An, 10~19 year old female. Ask Date: 2020/07/20

Dr. Shi Guozheng reply Orthopedics

1.
The protrusions are normal.

2.
The formation of bone callus does not occur that quickly; it usually takes more than four weeks.

3.
It takes six to eight weeks before larger movements can be performed.

4.
It will take eight weeks before attempting to lift objects.

5.
If surgery is not performed, the stabilization of the fracture should last approximately twelve weeks, but follow-up is necessary to check if the bone has healed.

Reply Date: 2020/07/20

More Info

Clavicle injuries, particularly fractures, are common in accidents and can often be managed without surgery, depending on the severity and alignment of the fracture. In your case, with a three-centimeter overlap of the fractured ends, it is understandable to have concerns about recovery and the potential for complications.

Firstly, the presence of a "bump" or deformity at the fracture site is not uncommon. This is often due to the formation of a callus, which is the body's natural response to healing a fracture. As the bone heals, it can create a lump where the fracture occurred, which may feel firm or "bumpy." This is generally a normal part of the healing process, especially in cases where the fracture is not perfectly aligned.
Regarding your pain and discomfort, it is typical for patients to experience some pain or stiffness, especially when moving the arm or engaging in activities that require lifting or reaching. The fact that you can lift your arm halfway and perform some exercises indicates that you are making progress in your recovery. However, it is essential to listen to your body and avoid pushing through significant pain, as this could lead to further injury.

The healing process for clavicle fractures can vary widely among individuals. Generally, non-surgical management involves immobilization with a figure-eight brace or sling, which you mentioned you are using. This helps to stabilize the fracture and allows the bone to heal properly. Most clavicle fractures heal within 6 to 12 weeks, but the timeline can be influenced by factors such as age, overall health, and adherence to rehabilitation protocols.

As for your question about riding a motorcycle or lifting objects, it is crucial to consult with your healthcare provider. They can assess your specific situation and provide personalized recommendations based on your healing progress. Typically, patients are advised to avoid activities that could risk re-injury until they have regained sufficient strength and range of motion.
If you are experiencing significant discomfort or if the bump becomes more pronounced, it is advisable to seek further evaluation. While many clavicle fractures heal well without surgery, some cases may require surgical intervention, especially if there is significant displacement or if the fracture does not heal properly (a condition known as non-union).

In summary, your current symptoms and the presence of a bump are not unusual for a clavicle fracture healing without surgery. Continue to follow your doctor's advice, use your brace as directed, and engage in gentle range-of-motion exercises as tolerated. If you have concerns about your recovery or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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