Post-Clavicle Surgery: Healing of Ribs and Spine Explained - Orthopedics

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Post-operative recovery of the clavicle, ribs, and spine?


I would like to ask, about three months ago, I fractured my clavicle, and I have minor cracks in my spine and ribs.
I had surgery on my clavicle, and the areas of my spine and ribs are healing naturally.
However, there is a small patch of skin just below my left clavicle that has changed from yellow to a dark black color and feels a bit numb.
It has been like this for three months; is this normal?

Yi, 20~29 year old female. Ask Date: 2022/04/25

Dr. Chen Yongxue reply Orthopedics


Hello, it is normal to experience numbness below the scar after clavicle fracture surgery; this is a result of superficial nerve injury, and there is no need to worry.

Reply Date: 2022/04/25

More Info


After undergoing clavicle surgery and experiencing rib and spine injuries, it's understandable to have concerns about the healing process, especially with the symptoms you're describing. Let's break down the healing of your clavicle, ribs, and spine, as well as address the changes in your skin.


Healing Process After Clavicle Surgery
Clavicle fractures are common injuries, often resulting from falls or direct trauma. Surgical intervention, such as fixation with plates or screws, is typically performed to stabilize the bone and promote healing. The healing process for a clavicle fracture generally takes about 6 to 12 weeks, but this can vary based on factors such as age, overall health, and adherence to post-operative care.


Rib and Spine Healing
Rib fractures and minor spinal injuries, like the microfractures you mentioned, usually heal naturally without surgical intervention. The ribs typically heal within 6 to 8 weeks, while spinal injuries can take longer, depending on the severity and location of the injury. It's crucial to avoid activities that could exacerbate these injuries during the healing period.


Skin Changes and Sensation
The skin changes you described, specifically the area under your left clavicle turning from yellow to black and feeling numb, warrant attention. Skin discoloration can occur due to several reasons, including:
1. Bruising: After surgery or injury, bruising can lead to color changes in the skin as blood vessels break and heal. Initially, bruises may appear red or purple, then turn yellow or green as they heal, and can sometimes darken before resolving.

2. Nerve Involvement: The numbness you’re experiencing could indicate nerve irritation or damage, which can occur during surgery or from swelling in the area. This can lead to sensations of tingling or numbness.

3. Infection: Although less common, changes in skin color and sensation can also indicate an infection, especially if there are other symptoms like increased pain, warmth, or discharge from the surgical site.

4. Scar Tissue Formation: After surgery, scar tissue can form, which may affect the skin's appearance and sensation. This is a normal part of the healing process, but if it becomes excessive, it could lead to complications.


Recommendations
1. Follow-Up with Your Surgeon: Given the duration of your symptoms and the changes in your skin, it’s essential to follow up with your orthopedic surgeon or healthcare provider. They may recommend imaging studies, such as an X-ray or MRI, to assess the healing of your clavicle, ribs, and spine, as well as to evaluate the skin changes.

2. Physical Therapy: Engaging in physical therapy can help improve mobility and strength in the affected areas. A physical therapist can also provide exercises to promote healing and reduce stiffness.

3. Monitor Symptoms: Keep an eye on any changes in your symptoms. If you notice increased pain, swelling, or any signs of infection (such as fever or discharge), seek medical attention promptly.

4. Skin Care: For the skin discoloration, keeping the area clean and moisturized can help. If the discoloration persists or worsens, consult a dermatologist or your primary care physician for further evaluation.


Conclusion
In summary, while some skin discoloration and numbness can be part of the healing process after clavicle surgery and rib/spine injuries, it’s crucial to monitor these symptoms closely. Regular follow-ups with your healthcare provider will ensure that any complications are addressed promptly, and appropriate interventions can be made to facilitate your recovery. Remember, healing is a gradual process, and being proactive about your health will contribute to a better outcome.

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