Clavicle Fracture: Non-Surgical Treatment and Healing Time for Young Adults

Clavicle fracture

Dear Doctor: I was in a car accident on December 17, which resulted in a fractured clavicle.
I am currently leaning towards non-surgical treatment.
A few days ago, I showed my X-rays to a traditional Chinese medicine doctor, who advised me to use an 8-shaped shoulder strap and a triangular bandage for stabilization, along with medication.
There is currently no damage to other organs.
I would like to ask whether surgery is absolutely necessary.
If I opt for non-surgical treatment, considering my age of 23, how long will it typically take for the bone to heal and reconnect?

Eason, 20~29 year old female. Ask Date: 2021/12/20

Dr. Shi Guozheng reply Orthopedics

If surgery is not performed, it will take about three months for it to heal, but if it does not heal, surgery will be necessary.
On the other hand, if immediate surgery is performed, there are benefits such as quicker recovery and faster pain relief.
The downside is that it requires surgery and may incur some costs.

Reply Date: 2021/12/20

More Info

Clavicle fractures, particularly in young adults, are quite common and often do not require surgical intervention. The decision to treat a clavicle fracture non-surgically typically depends on the type and severity of the fracture, as well as the degree of displacement. In your case, since you are using a figure-of-eight bandage and a sling, it suggests that your fracture may not be significantly displaced, which is a positive sign for non-surgical treatment.

Non-Surgical Treatment
The non-surgical approach to treating a clavicle fracture usually involves immobilization. The figure-of-eight bandage helps to stabilize the fracture by bringing the shoulders back and keeping the fractured ends of the bone in close proximity. This method is effective for many types of clavicle fractures, especially those that are non-displaced or minimally displaced. The use of a sling also provides additional support and comfort.

Healing Time
For young adults, the healing time for a clavicle fracture typically ranges from 6 to 12 weeks. Factors that can influence the healing process include:
1. Age: Younger individuals tend to heal faster due to better blood circulation and bone remodeling capabilities.

2. Fracture Type: Non-displaced fractures generally heal more quickly than displaced fractures.

3. Overall Health: Nutritional status, activity level, and any underlying health conditions can impact healing.

After about 6 weeks, you should have a follow-up X-ray to assess the healing progress. If the fracture shows signs of healing, you may be advised to gradually start moving your arm and shoulder to regain strength and mobility.

Monitoring and Follow-Up
It is crucial to attend follow-up appointments with your healthcare provider. They will monitor your healing process and may adjust your treatment plan based on your recovery. If you experience increased pain, swelling, or any unusual symptoms, it is essential to contact your doctor immediately.

When to Consider Surgery
While many clavicle fractures heal well with conservative treatment, surgery may be considered in certain situations, such as:
- Significant displacement of the fracture.

- Fractures that involve the joint surface (especially if the fracture is near the acromion).

- Fractures that do not heal properly (non-union) after a reasonable period.

In such cases, surgical options may involve the use of plates and screws to stabilize the bone.

Conclusion
In summary, it is entirely possible to treat a clavicle fracture non-surgically, especially if it is stable and not significantly displaced. With proper immobilization and care, you can expect to see healing within 6 to 12 weeks. Always keep an open line of communication with your healthcare provider regarding your progress and any concerns you may have. They are best equipped to guide you through your recovery process and ensure that you regain full function of your shoulder and arm.

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