Clavicle fracture
Hello Dr.
Chen, I had a car accident on October 23 that resulted in a fracture of my right clavicle.
I did not undergo surgery and opted for conservative treatment (using a figure-eight brace and arm sling).
The doctor advised me to rest for six months, but during my follow-up appointment on December 22, the doctor said I no longer needed to return.
However, I saw on the X-ray that the bone has not healed properly, and the clavicle still hurts.
Is it really true that I don't need to return for follow-up? I am very confused!
Yuyu, 20~29 year old female. Ask Date: 2021/12/25
Dr. Chen Bochen reply Orthopedics
Hello, if your clavicle fracture is not significantly displaced, conservative treatment has about a 70-90% chance of healing on its own (approximately three months).
However, if the pain persists, it is advisable to seek medical attention.
You may also consider consulting a different physician for your treatment.
Reply Date: 2021/12/25
More Info
Hello! It sounds like you’ve been through a challenging time with your clavicle fracture, and I understand your concerns regarding your recovery. Clavicle fractures are common injuries, especially from accidents like car crashes, and they can vary significantly in terms of healing and treatment.
Understanding Clavicle Fractures
The clavicle, or collarbone, connects the arm to the body and is a crucial bone for shoulder function. Fractures can occur in various ways, often due to falls or direct impacts. Treatment options typically depend on the fracture's type and severity. In many cases, non-surgical methods, such as using a figure-of-eight brace or sling, are effective. These methods help immobilize the area, allowing the bone to heal naturally.
Recovery Process
Recovery from a clavicle fracture generally takes about 6 to 12 weeks, but this can vary based on several factors, including the fracture's location, your age, overall health, and adherence to rehabilitation protocols. During this time, it’s essential to follow your doctor’s advice regarding rest and activity levels.
1. Initial Healing: In the first few weeks, the focus is on immobilization and pain management. You might experience swelling and discomfort, which is normal.
2. Follow-Up Care: Regular follow-ups are crucial to monitor the healing process through X-rays. If your doctor advised you to return for follow-ups, it’s typically to ensure that the bone is healing correctly.
3. Physical Therapy: Once the initial healing phase is over, physical therapy may be recommended to restore range of motion and strength. This is vital for regaining full function of the shoulder.
When to Seek Help
If you are experiencing ongoing pain or if your X-rays show that the bone has not healed properly, it is essential to communicate this with your healthcare provider. Here are some signs that you should seek further medical advice:
- Persistent Pain: If you continue to experience significant pain that interferes with daily activities, it may indicate that the fracture is not healing as expected.
- Limited Mobility: If you find it difficult to move your shoulder or arm, this could be a sign of complications.
- Visible Deformity: Any noticeable changes in the shape of your shoulder or collarbone area should be evaluated.
- Signs of Infection: If you notice redness, swelling, or warmth around the fracture site, or if you develop a fever, these could be signs of infection.
Conclusion
In your case, since you are still experiencing pain and have concerns about the X-ray results, it would be prudent to seek a second opinion or request a follow-up appointment with your doctor. It’s important to advocate for your health and ensure that you receive the appropriate care. Healing from a clavicle fracture can take time, and sometimes additional interventions, such as surgery, may be necessary if the bone does not heal correctly.
Remember, every individual heals at their own pace, and it’s essential to listen to your body and communicate openly with your healthcare provider about your concerns. Wishing you a smooth recovery!
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