Postoperative Care for Clavicle Fracture
Hello, doctor.
I had a car accident on November 11, 2020, resulting in a right shoulder clavicle fracture.
I underwent emergency surgery that day and had a plate installed.
Recently, during a follow-up visit, I had an X-ray taken.
The orthopedic surgeon who performed the surgery reviewed the X-ray and said that my bone has healed.
He mentioned that the plate can be removed or left in place.
I would like to ask if it is advisable to remove the plate, as I sometimes feel a tingling sensation in the area of the right clavicle, and recently, during intermittent exercise, I experience mild pain in my right elbow.
Is this situation a reason to consider plate removal?
Wang Shuqing, 50~59 year old female. Ask Date: 2021/07/24
Dr. Zhan Xian reply Orthopedics
Hello Ms.
Wang, once the fracture has healed, you can discuss the removal of the plate with your attending physician.
Reply Date: 2021/07/24
More Info
Post-surgery recovery from a clavicle fracture, especially after surgical intervention involving the placement of a plate, requires careful consideration of several factors. Your situation, involving a right shoulder clavicle fracture due to a car accident, is not uncommon, and many patients experience similar concerns during their recovery journey.
Firstly, it’s encouraging to hear that your orthopedic surgeon has confirmed that the bone is healing well, as seen on the X-ray. This is a positive sign, indicating that the surgical intervention was successful and that your body is responding to the treatment. The decision to remove the plate or leave it in place can depend on various factors, including the degree of healing, the presence of symptoms, and your overall activity level.
Regarding the sensations of tingling or "刺刺的" feelings in the area of the clavicle, this can be attributed to several factors. After surgery, it is common for patients to experience nerve irritation or sensitivity in the area surrounding the surgical site. This can be due to the surgical trauma, the presence of hardware (like the plate), or even the healing process itself. If the sensations are mild and intermittent, they may not be a cause for concern. However, if they become more frequent or painful, it would be advisable to discuss this with your surgeon.
The mild pain you are experiencing in your elbow during intermittent exercise could be related to compensatory movements. After a shoulder injury, it is common for patients to alter their movement patterns to avoid pain, which can lead to strain in other areas, such as the elbow. It’s essential to ensure that you are performing exercises correctly and not overloading your elbow joint. Engaging in physical therapy can be beneficial in this regard, as a therapist can help guide you through appropriate exercises that promote strength and flexibility without causing undue stress on your joints.
As for the question of whether you can have the plate removed, this decision typically depends on several criteria:
1. Healing Status: If the bone has healed adequately and there are no signs of complications, your surgeon may consider removing the plate. Generally, plates are left in place if they are not causing any issues.
2. Symptoms: If the sensations you are experiencing are bothersome and attributed to the plate, removal may be warranted. However, if the symptoms are manageable and not significantly impacting your quality of life, your surgeon may recommend leaving it in place.
3. Activity Level: If you are returning to activities that require significant shoulder mobility or strength, your surgeon may suggest removing the plate to prevent any potential complications or discomfort during those activities.
4. Personal Preference: Ultimately, your comfort and preference play a significant role in this decision. If you feel strongly about having the plate removed, it is essential to communicate this with your surgeon.
In conclusion, while the presence of the plate can sometimes lead to discomfort, it is crucial to weigh the benefits of removal against the risks of surgery. Regular follow-ups with your orthopedic surgeon, along with physical therapy, can help ensure that you are on the right track for recovery. Always feel free to express your concerns and preferences with your healthcare provider, as they can provide personalized advice based on your specific situation. Wishing you a smooth recovery and a return to your normal activities!
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