Post-Surgery Concerns After Clavicle Fracture: Recovery Tips - Orthopedics

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Some issues after surgery for a clavicle fracture?


On October 28, I had a car accident that resulted in a fractured right clavicle.
Initially, I underwent conservative treatment, but in November, it was discovered that the bone was displaced, so I had surgery on November 15.
It has been about three weeks since the surgery.

1.
A week after the surgery, I had a follow-up appointment, and the doctor told me that I could stop using the arm sling at home and mentioned that the bone is healing.
When can I go outside without wearing it?
2.
Since I still have some anxiety post-surgery about making large movements that could displace the bone again, what other precautions should I take besides avoiding heavy lifting?
3.
I started doing rehabilitation exercises a week after the surgery.
Is this too early, and could it cause the bone to shift?
4.
When can I resume playing billiards? I am currently practicing billiards.

Yu Yang, 20~29 year old female. Ask Date: 2022/12/07

Dr. Chen Bochen reply Orthopedics


Hello, Yu-Yang.

1.
Generally, the arm sling can be discontinued after 4-6 weeks.

2.
Avoid raising the arm above the head.

3.
Mild activities are permissible unless the bone fixation is not stable enough.

4.
It is recommended to wait about 2 months before starting to practice billiards (an X-ray should be taken first to confirm that the fracture has healed).

Reply Date: 2022/12/07

More Info


After a clavicle fracture, especially following surgical intervention, it is essential to approach recovery with caution and a well-structured rehabilitation plan. Here are some insights and recommendations based on your situation and general medical knowledge regarding post-surgery recovery after a clavicle fracture.

1. Timeline for Recovery and Activity: You mentioned that your surgery was on November 15, and it has been about three weeks since then. Generally, the initial healing phase for a clavicle fracture can take about 6 to 12 weeks, depending on the severity of the fracture and the individual's healing capacity. While your doctor has indicated that the bone is healing well and you can stop using the arm sling at home, it is advisable to continue using it during activities that might put stress on the shoulder. As for when you can go out without the sling, this typically depends on your comfort level and the advice of your orthopedic surgeon. It is crucial to listen to your body; if you feel any discomfort or instability, it may be best to continue using the sling until you feel more secure.

2. Precautions Post-Surgery: Beyond avoiding heavy lifting, there are several precautions to consider. You should avoid any overhead activities or movements that could strain the shoulder, such as reaching up or behind your back. Sudden movements or twisting of the shoulder can also jeopardize the healing process. It’s essential to maintain a gentle range of motion in the shoulder to prevent stiffness, but this should be done cautiously and ideally under the guidance of a physical therapist.

3. Rehabilitation Timing: Starting rehabilitation exercises one week post-surgery can be appropriate, provided that your surgeon has given you the green light. Gentle range-of-motion exercises can help maintain flexibility and prevent stiffness. However, it’s crucial to avoid any exercises that cause pain or discomfort. If you are unsure about the appropriateness of your rehabilitation exercises, consult your physical therapist or orthopedic surgeon. They can provide tailored advice based on your specific condition and recovery progress.

4. Returning to Activities: Regarding your question about when you can return to playing billiards, this will depend on your healing progress and comfort level. Typically, low-impact activities can be resumed once you have regained sufficient range of motion and strength in your shoulder. However, it’s essential to avoid any activities that involve quick or jerky movements until you are fully healed. Your orthopedic surgeon will be the best person to assess your readiness to return to billiards or any other sport.

In summary, recovery from a clavicle fracture requires patience and adherence to medical advice. Regular follow-ups with your orthopedic surgeon are vital to monitor your healing process. Engaging in physical therapy can significantly aid your recovery, helping to restore strength and mobility while minimizing the risk of complications. Remember, every individual heals at their own pace, so it’s essential to listen to your body and consult with your healthcare provider before making any significant changes to your activity level.

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