Post-Surgery Concerns After Clavicle Fracture: What to Expect

Postoperative Issues After Clavicle Surgery

Hello, Doctor.
I was in a car accident on September 14th, which resulted in a fractured left clavicle.
The doctor recommended surgery for internal fixation.
The surgery was completed around 11:30 PM on September 14th, and there haven't been any significant issues since then.
I have an 8 cm scar near my left neck and a 2 cm scar slightly behind my shoulder, both of which I have been applying scar treatment to.
However, this morning, on October 5th, when I touched the 2 cm scar on my shoulder, I felt a noticeable protrusion, but it doesn't hurt, just feels a bit sore occasionally.
Is this normal? I had a steel plate for fixation.
Do I need to keep the sling on all the time? What happens if I don't wear it? Will it be very painful when the hardware is removed later? How long will it take before I can lift heavy objects? I am currently unable to work because my job in a restaurant requires carrying trays.
Thank you for taking the time to answer my questions; I really appreciate it.
🙏🏼

Ariel, 10~19 year old female. Ask Date: 2020/10/05

Dr. Chen Bochen reply Orthopedics

Hello Ariel,
1.
The skin over the clavicle is very thin and close to the bone, so it is common to feel the metal plate after surgery.

2.
A triangular sling is generally used for 4-6 weeks.
The doctor will determine the duration based on the surgical condition and X-rays to assess bone healing.
If you feel uncomfortable, you can avoid wearing it too high, or you can purchase a "shoulder immobilizer" from a medical supply store for more comfort.

3.
You should not lift more than 2 kilograms within the first month.
After two months, it will depend on your recovery status (consult your attending physician).
If healing is progressing well, there will be no restrictions.

4.
Generally, removing the hardware is less painful compared to your fracture.
Wishing you a speedy recovery!

Reply Date: 2020/10/05

More Info

After a clavicle fracture surgery, it is common to have various concerns regarding recovery, potential complications, and the timeline for returning to normal activities. Your experience of having surgery on September 14 and noticing a raised area around the scar is not unusual. This could be a sign of scar tissue formation, which is a normal part of the healing process. Scar tissue can sometimes feel different from the surrounding skin, and it may be slightly raised or firm. As long as it is not painful and does not show signs of infection (such as increased redness, warmth, or discharge), it is generally considered normal.

Regarding the use of a sling, it is typically recommended to wear it for several weeks post-surgery to support the shoulder and prevent unnecessary movement that could disrupt healing. The sling helps immobilize the shoulder, allowing the clavicle to heal properly. If you do not wear the sling, you may risk moving your shoulder too much, which could lead to complications such as improper healing or displacement of the fracture. Always follow your surgeon's recommendations regarding the duration of sling use, as they will tailor their advice based on your specific situation.

As for the pain associated with the removal of hardware (like screws or plates), experiences can vary. Some patients report minimal discomfort during the removal process, while others may find it more painful. The procedure is typically done under local anesthesia or sedation, which helps manage pain during the surgery. After the removal, some soreness is expected, but it usually resolves within a few days.

In terms of returning to activities like lifting heavy objects or resuming work, this will depend on your healing progress and your doctor's advice. Generally, patients are advised to avoid heavy lifting for at least 6-12 weeks post-surgery, but this can vary based on individual healing rates and the nature of your job. Since you work in a restaurant and need to carry trays, it is crucial to discuss your specific job requirements with your physician. They may recommend a gradual return to work, starting with lighter duties before resuming full responsibilities.

In summary, while some discomfort and changes around the surgical site can be normal, it is essential to keep your healthcare provider informed about any concerns you have. They can provide personalized advice and ensure that your recovery is on track. Regular follow-ups are important to monitor your healing and adjust your rehabilitation plan as needed. Remember to be patient with your recovery process, as it can take time for the shoulder to regain strength and function.

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