Shoulder Pain After Clavicle Fracture Surgery

There is a lot of soreness near the scapula?

Clavicle fractured twice due to a car accident.
It has been half a month since the surgery, and I am using a triangular sling for support.
I would like to know if there is a displacement or if it has fractured again, and why there is soreness near the scapula.

Wo jiu shi wo, 30~39 year old female. Ask Date: 2021/12/10

Dr. Chen Yongxue reply Orthopedics

Hello, I think it is likely due to prolonged use of the sling.
You can try to relax your shoulders and apply heat therapy.
If necessary, use muscle relaxants to alleviate the discomfort.
Thank you.

Reply Date: 2021/12/10

More Info

After a clavicle fracture surgery, experiencing shoulder pain, particularly around the scapula, can be concerning. It’s important to understand that post-surgical pain can arise from various factors, including the healing process, muscle tension, and potential complications.

Firstly, the pain you are experiencing could be a normal part of the healing process. After surgery, the body undergoes significant changes as it repairs the fractured bone. The surrounding muscles and soft tissues may also be affected, leading to discomfort. The use of a sling or triangular bandage can sometimes contribute to muscle stiffness and tension, particularly if it restricts movement for an extended period. This stiffness can lead to discomfort in the shoulder and scapular region.

However, it’s also essential to consider the possibility of complications. If you are experiencing increased pain, swelling, or any noticeable deformity in the shoulder area, it could indicate issues such as malunion (where the bone heals improperly) or nonunion (where the bone fails to heal). Additionally, if the pain is accompanied by numbness or tingling, it could suggest nerve involvement, which may require further evaluation.

To address your concerns, here are some steps you can take:
1. Follow-Up with Your Surgeon: It’s crucial to keep your follow-up appointments with your orthopedic surgeon. They may recommend imaging studies, such as X-rays, to assess the alignment of the clavicle and ensure that it is healing correctly. This will help determine if there is any displacement or if the fracture has re-occurred.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises that promote mobility and strength while ensuring that you do not aggravate the injury. They can also provide modalities such as heat or ice therapy to alleviate pain and reduce inflammation.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult your doctor before taking any medication to ensure it is appropriate for your situation.

4. Gentle Movement: While it’s essential to rest the shoulder, gentle movements and stretches, as advised by your healthcare provider, can help prevent stiffness and improve circulation to the area, which may alleviate some discomfort.

5. Monitor Symptoms: Keep track of your symptoms. If you notice any worsening pain, changes in the shape of your shoulder, or if you develop a fever, it’s essential to seek medical attention promptly.

In summary, while some discomfort after clavicle fracture surgery is normal, persistent or worsening pain should be evaluated by your healthcare provider. They can provide a thorough assessment and determine the best course of action to ensure proper healing and recovery. Remember, your body needs time to heal, and following your doctor's advice is crucial for a successful recovery.

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