the Risks of Unhealed Clavicle Fractures in Seniors - Orthopedics

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Understanding the risks associated with unhealed clavicle fractures, especially in seniors, is crucial for making informed decisions about treatment options. In your mother's case, at the age of 78, a displaced fracture of the distal clavicle can lead to several complications if not properly addressed.

Firstly, it's important to understand that the clavicle, or collarbone, plays a significant role in shoulder stability and function. It connects the arm to the body and provides structural support for the shoulder girdle. When a fracture occurs, especially one that is displaced, the alignment of the bones can be compromised. If the fracture does not heal properly, or if the bones do not realign, several issues may arise.

1. Pain and Discomfort: One of the most immediate concerns is chronic pain. An unhealed or improperly healed clavicle can lead to persistent discomfort, especially during activities that involve arm movement. This pain can significantly affect your mother's quality of life, limiting her ability to perform daily tasks.

2. Reduced Range of Motion: The shoulder joint relies on the clavicle for proper movement. If the clavicle does not heal correctly, it can lead to stiffness and a reduced range of motion in the shoulder. This limitation can make it difficult for your mother to lift her arm, reach overhead, or perform other movements that require shoulder mobility.

3. Shoulder Instability: The clavicle helps stabilize the shoulder joint. If it remains fractured and does not heal, it can lead to instability in the shoulder. This instability can increase the risk of further injuries, such as dislocations or rotator cuff tears, which are particularly concerning in older adults.

4. Postural Changes: An unhealed clavicle fracture can also lead to compensatory changes in posture. Your mother may unconsciously adjust her posture to avoid pain, which can lead to additional musculoskeletal issues, such as neck or back pain.

5. Increased Risk of Osteoporosis: At 78, your mother may already be at risk for osteoporosis, a condition that weakens bones. If the clavicle does not heal properly, it may indicate a broader issue with bone health. This could increase her risk of future fractures, particularly in the hip, wrist, or spine.

6. Surgical Considerations: While surgery may seem daunting, it is often the most effective way to ensure proper healing of a displaced fracture. Surgical intervention can realign the bones, stabilize the fracture, and promote healing. The risks associated with surgery, such as infection or complications from anesthesia, must be weighed against the potential long-term consequences of leaving the fracture untreated.

In conclusion, while your mother may be apprehensive about surgery, it is essential to consider the potential long-term consequences of an unhealed clavicle fracture. Chronic pain, reduced mobility, and the risk of further injuries are significant concerns that could impact her overall health and quality of life. It may be beneficial to have a thorough discussion with her physician about the risks and benefits of surgical intervention versus conservative management. This conversation can help address her fears and provide clarity on the best path forward for her recovery.