Symptoms after clavicle fracture surgery?
Hello Dr.
Shih: A year ago, I suffered a clavicle fracture due to a car accident and underwent surgery to insert a plate.
It has now been a year since the surgery, and the bone has healed.
However, I am experiencing persistent numbness in the area below the clavicle, approximately 10 centimeters down from the clavicle.
Is this condition normal? When can I expect to regain normal sensation? Thank you, Dr.
Shih.
ROY, 30~39 year old female. Ask Date: 2023/05/09
Dr. Shi Guozheng reply Orthopedics
Numbness near the surgical site related to the wound is usually associated with the sensory nerves in the skin.
After a surgical incision, superficial nerves may be severed, but they typically regenerate over time.
If the numbness does not improve, it is necessary to consult a physician for further evaluation.
Reply Date: 2023/05/09
More Info
After a clavicle fracture surgery, it is not uncommon for patients to experience lingering symptoms, including numbness or tingling in the area surrounding the surgical site. In your case, having undergone surgery a year ago and still experiencing persistent numbness about 10 centimeters below the clavicle raises some important considerations.
Firstly, it's essential to understand that the nerves in the vicinity of the clavicle can be affected during surgery. The brachial plexus, a network of nerves that innervates the arm, runs close to the clavicle. If these nerves were stretched or compressed during the surgical procedure, it could lead to sensations of numbness or tingling. This condition is sometimes referred to as neuropathy, which can occur post-surgery due to nerve irritation or damage.
Another possibility is that the hardware used in the surgery, such as plates and screws, could be contributing to your symptoms. In some cases, the presence of metal implants can lead to irritation of the surrounding tissues or nerves, resulting in discomfort or abnormal sensations. If the numbness persists, it may be worthwhile to discuss with your orthopedic surgeon the option of imaging studies, such as an X-ray or MRI, to evaluate the position of the hardware and assess for any complications.
In terms of recovery, the timeline for regaining full sensation can vary significantly from person to person. Some individuals may experience gradual improvement over several months, while others may take longer. Physical therapy can be beneficial in these situations, focusing on exercises that promote nerve healing and improve range of motion. Techniques such as desensitization therapy, where the affected area is gradually exposed to different textures and sensations, can also help in reducing numbness.
If the numbness is accompanied by pain, weakness, or any other concerning symptoms, it is crucial to seek further evaluation from your healthcare provider. They may recommend additional interventions, such as nerve conduction studies, to assess the function of the nerves in your arm and shoulder.
In summary, while some degree of numbness can be expected after clavicle surgery, persistent symptoms warrant further investigation. It is advisable to maintain open communication with your healthcare provider regarding your symptoms and recovery progress. They can provide tailored recommendations based on your specific situation and help you navigate the path to recovery. If you have not already done so, consider scheduling a follow-up appointment to discuss your concerns and explore potential treatment options to alleviate your symptoms.
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