Clavicle Fractures: Recovery and Nerve Sensation Issues - Orthopedics

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Dear Henry,
Thank you for sharing your concerns regarding your clavicle fracture and the ongoing symptoms you are experiencing. It’s understandable to feel anxious about your recovery, especially after a significant injury like a clavicle fracture. Let’s break down your situation and address your questions.

Firstly, it’s important to note that nerve sensation issues following a fracture, particularly in the area of the clavicle, can occur. The brachial plexus, a network of nerves that innervates the shoulder, arm, and hand, runs near the clavicle. If the fracture or the surgical procedure has impacted these nerves, it could lead to symptoms such as numbness, tingling, or a feeling of weakness in the affected area.
In your case, the persistent numbness extending 10 centimeters below the clavicle is concerning but not uncommon. Nerve healing can be a slow process, and it may take several months to years for full recovery, depending on the extent of the nerve injury. Generally, peripheral nerves regenerate at a rate of about 1 millimeter per day, which means that if the nerve was significantly damaged, it could take a considerable amount of time for sensation to return to normal.

Regarding your question about the possibility of further surgery to remove the plate, this is a decision that should be made with careful consideration. While some patients report relief from symptoms after hardware removal, others may experience increased discomfort or complications, including exacerbation of nerve symptoms. It’s crucial to have a thorough discussion with your orthopedic surgeon about the potential risks and benefits of the procedure, especially in relation to your current symptoms.

In terms of recovery, physical therapy can be beneficial. Engaging in rehabilitation exercises can help improve strength and mobility in the shoulder area, which may also assist in alleviating some of the nerve-related symptoms. A physical therapist can guide you through exercises that promote nerve gliding and improve overall function.
Additionally, if the numbness and tingling persist or worsen, it may be advisable to consult a neurologist. They can perform specific tests, such as nerve conduction studies or electromyography (EMG), to assess the function of the nerves and determine if there is any ongoing nerve damage that needs to be addressed.

Lastly, it’s essential to manage your expectations regarding recovery. While some patients may experience a full return to sensation and function, others may have lingering symptoms. Regular follow-ups with your healthcare providers will be crucial in monitoring your progress and making any necessary adjustments to your treatment plan.

In summary, while it is not uncommon to experience prolonged numbness after a clavicle fracture and surgery, it is essential to keep an open line of communication with your healthcare team. They can provide personalized advice based on your specific situation and help you navigate your recovery journey.
Take care, and I wish you the best in your recovery.

Sincerely,
Doctor Q&A Teams