Will a Bone Fracture Leave Long-Term Effects on Functionality? - Orthopedics

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Will there be any sequelae after a bone fracture?


Hello Doctor: I was in a motorcycle accident previously, and my clavicle (shoulder) hit the iron bar of an upright sign.
After examination, it was found that the bone had a slight fracture.
At that time, I was fitted with a figure-eight brace (the doctor said surgery was not necessary).
Now that it has healed, I notice that the area where I was injured is protruding (it feels like there is a step difference in the bone).
Will this affect future function or potentially lead to conditions such as arthritis or bone spurs? Thank you.

Qiao Yi, 20~29 year old female. Ask Date: 2000/12/10

Dr. Shi Qiming reply Orthopedics


Orthopedic surgeon Dr.
Yeh Min-nan responded: After the clavicle fractures and heals, there may be a difference in height, but this is merely an aesthetic issue and will not result in significant sequelae (there will be no bone spurs or rheumatism).

Reply Date: 2000/12/10

More Info


A bone fracture can indeed leave long-term effects on functionality, depending on several factors including the type of fracture, the location, the treatment method, and the individual's overall health and rehabilitation efforts. In your case, with a clavicle fracture that was treated conservatively without surgery, there are a few important considerations to keep in mind.

Firstly, the healing process for a clavicle fracture typically involves the formation of a callus, which is a natural part of bone healing. This callus can sometimes lead to a noticeable bump or irregularity at the fracture site, which you mentioned as a "凸起" or raised area. This is not uncommon and is often referred to as a "bony prominence." While it may be aesthetically concerning, it does not necessarily indicate a problem with functionality. However, it is essential to monitor this area for any signs of pain or discomfort, as well as any limitations in movement.

Regarding the potential for long-term effects, there are a few key points to consider:
1. Range of Motion and Strength: After a fracture, especially in the shoulder area, it is crucial to engage in rehabilitation exercises to restore full range of motion and strength. If the shoulder is not adequately rehabilitated, it may lead to stiffness or weakness, which can affect daily activities and overall functionality.

2. Risk of Osteoarthritis: While a clavicle fracture itself does not directly lead to osteoarthritis, improper healing or malunion (where the bone heals in an incorrect position) can increase the risk of joint issues later on. If the fracture site is not aligned properly, it may lead to abnormal stress on the surrounding joints, potentially resulting in pain or degenerative changes over time.

3. Development of Bone Spurs: The concern about developing bone spurs (osteophytes) is valid, particularly if there is abnormal movement or stress at the fracture site. Bone spurs can develop as a response to chronic irritation or instability in the joint. Regular follow-up with your healthcare provider and monitoring for any symptoms such as pain or limited mobility is essential.

4. Impact on Activities: As an individual who may engage in physical activities or sports, it is important to gradually return to these activities while being mindful of any discomfort or limitations. Engaging in appropriate physical therapy can help strengthen the muscles around the shoulder and improve overall function.

5. Psychological Factors: Your mental and emotional state can also play a role in recovery. Factors such as anxiety about re-injury or fear of pain can affect how you engage in rehabilitation and physical activity. It is important to address these concerns, possibly with the help of a mental health professional or a supportive rehabilitation team.

In conclusion, while a clavicle fracture can lead to long-term effects on functionality, many individuals recover well with appropriate treatment and rehabilitation. It is crucial to follow your healthcare provider's recommendations, engage in physical therapy, and monitor your symptoms. If you experience any persistent pain, decreased range of motion, or other concerning symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Regular follow-ups will help ensure that your recovery is on track and that any potential issues are addressed promptly.

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