Shoulder and Rib Injuries: Recovery Tips and Support Options - Orthopedics

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Scapular fracture, clavicular fracture, rib fracture?


I have six fractured ribs on my left chest, along with a traumatic pneumothorax, a fracture of the left clavicle shaft, and a fracture at the acromion of the left scapula.
I was just discharged yesterday, and the doctor advised me to use a sling.
However, I am wondering if I can use a figure-eight bandage instead.

Li Bo, 40~49 year old female. Ask Date: 2020/08/16

Dr. Chen Yongxue reply Orthopedics


Hello, the figure-eight shoulder strap is specifically used for mid-clavicular fractures.
I suggest you follow the advice of your attending physician.

Reply Date: 2020/08/16

More Info


Injuries to the shoulder and ribs, particularly those involving fractures and traumatic pneumothorax, can be quite complex and require careful management to ensure proper healing and recovery. Based on your situation, where you have sustained multiple injuries including six fractured ribs, a traumatic pneumothorax, a midshaft clavicle fracture, and a scapular fracture, it is crucial to follow your physician's recommendations closely.


Understanding Your Injuries
1. Rib Fractures: Rib fractures can lead to significant pain and difficulty with breathing, especially if multiple ribs are involved. The pain can be exacerbated by coughing, deep breathing, or movement. It's essential to manage pain effectively to encourage deep breathing, which helps prevent complications like pneumonia.

2. Traumatic Pneumothorax: This condition occurs when air leaks into the space between the lung and chest wall, which can collapse the lung. Treatment often involves monitoring and, in some cases, inserting a chest tube to remove the air and allow the lung to re-expand. Recovery from a pneumothorax can take time, and it’s important to avoid activities that could exacerbate the condition.

3. Clavicle and Scapular Fractures: These injuries can significantly affect shoulder mobility and function. The clavicle is crucial for shoulder stability, and a fracture can lead to pain and limited range of motion. Scapular fractures, while less common, can also impact shoulder function and may require specific rehabilitation exercises to restore mobility.


Recovery Tips
1. Follow Medical Advice: It’s vital to adhere to your doctor’s instructions regarding immobilization and activity restrictions. If your doctor has advised using a triangular sling, it is likely for optimal support and to minimize movement of the shoulder during the healing process.

2. Pain Management: Use prescribed pain medications as directed. Over-the-counter pain relievers like ibuprofen or acetaminophen can also help manage pain and inflammation, but consult your doctor before combining medications.

3. Breathing Exercises: To prevent complications from rib fractures and pneumothorax, practice deep breathing exercises. This can help expand your lungs and reduce the risk of pneumonia. Use a pillow to support your chest when coughing or taking deep breaths to minimize pain.

4. Physical Therapy: Once your doctor gives the green light, consider starting physical therapy. A physical therapist can guide you through exercises to improve shoulder mobility and strength while ensuring that you do not aggravate your injuries.

5. Gradual Return to Activity: As you heal, gradually reintroduce activities. Listen to your body and avoid pushing through pain. Activities that involve lifting or overhead movements should be approached with caution until you have regained sufficient strength and mobility.


Support Options
1. Sling Use: Regarding your question about using an "eight-shaped" bandage instead of a triangular sling, it’s essential to consult your physician or physical therapist. The triangular sling is designed to provide specific support and immobilization for your shoulder, which is crucial for healing. Changing to a different type of support without professional guidance may not provide the necessary stabilization.

2. Emotional Support: Dealing with multiple injuries can be emotionally taxing. Consider seeking support from friends, family, or a mental health professional if you feel overwhelmed.

3. Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential to monitor your recovery progress. They can adjust your treatment plan as needed and provide additional support or referrals to specialists if complications arise.

In conclusion, recovery from shoulder and rib injuries requires a comprehensive approach that includes medical management, pain control, physical therapy, and emotional support. Always consult with your healthcare provider before making changes to your treatment plan or support devices. Your health and recovery should always be the top priority.

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