Post-Surgery Shoulder Positioning: Key Considerations for Recovery

Will having an abnormal posture after surgery cause problems?

Hello Doctor, I had a motorcycle accident on Monday night, landing on my right shoulder, and I have a fracture at the distal end of my right clavicle.
Following the doctor's advice, I underwent surgery on Tuesday to have a self-funded plate fixation.
It has been five days post-surgery (Saturday), and I can use the mouse normally at my computer desk, but I feel a slight foreign body sensation in my shoulder (I am taking pain medication).
I would like to ask:
1.
Would you recommend that I continue to rest and keep my arm elevated, or is it acceptable to do light office work as long as there is no pain?
2.
If I need to rest, how should I properly use the arm sling? I have heard that pulling the arm down could cause the fractured piece to shift downward, so should I be shrugging my shoulder?
3.
Does the position of my hand affect the healing process, or is it fine as long as the plate is secured? I am concerned that not keeping my arm elevated might cause the plate to misalign due to gravity.

4.
Typically, how long after surgery can I ride a motorcycle? I ask these questions because I haven't seen any information regarding when I can resume activities; most inquiries are about "it's been a month..." My company is also asking me to respond quickly about when I can return to work.
My next follow-up appointment is next Thursday, and I can't ask my attending physician then.
I am also worried that if I push it too much, it could lead to complications.
Thank you, Doctor.

Mr. Chen, 20~29 year old female. Ask Date: 2024/03/17

Dr. You Dianqi reply Orthopedics

Generally, recovery takes 3 to 4 weeks.
Only after confirming complete recovery can daily activities be resumed.
After about 2 weeks of rest, light activities or computer work may be possible, but since each person's condition and recovery situation varies, it is advisable to consult with the physician during follow-up visits before returning to work.
For fixed methods and subsequent rehabilitation, you can consult the rehabilitation department outpatient clinic.

Reply Date: 2024/03/17

More Info

Post-surgery shoulder positioning is crucial for optimal recovery, especially after a clavicle fracture. Here are some key considerations based on your situation:
1. Rest and Immobilization: After shoulder surgery, it is generally recommended to keep the arm immobilized for a certain period to allow for proper healing. Even if you feel minimal pain, it is essential to follow your doctor's advice regarding rest. Engaging in activities like using a computer can be tempting, but it may put unnecessary strain on your shoulder. If you can manage simple tasks without pain, ensure that you take frequent breaks and avoid any movements that could jeopardize your recovery.

2. Proper Sling Usage: When using a sling, it should support your arm comfortably and keep it close to your body. The arm should not hang down; instead, it should be positioned at a slight angle to prevent pulling on the fracture site. If you feel that your arm is being pulled down, you might need to adjust the sling or consult with a healthcare professional for proper fitting. It is not advisable to shrug your shoulder excessively, as this can lead to muscle tension and discomfort.

3. Hand Positioning and Healing: The position of your hand and arm can indeed affect the healing process. While the surgical site is stabilized with the plate, maintaining a proper position can help prevent additional strain on the shoulder. Avoid positions that might cause the arm to hang or pull on the surgical site. Keeping your arm elevated when possible can help reduce swelling and promote better blood circulation, which is vital for healing.

4. Activity Resumption: The timeline for resuming activities such as riding a bike varies based on individual recovery rates and the extent of the injury. Typically, light activities may be introduced after a few weeks, but high-impact activities or those that require significant shoulder movement should be avoided until your doctor gives the green light. It’s essential to listen to your body; if you experience pain or discomfort, it’s a sign that you may need to wait longer before resuming those activities.

5. Follow-Up Care: Since your next appointment is next Thursday, it’s crucial to prepare any questions or concerns you have for your doctor. Discuss your worries about returning to work and any specific activities you wish to resume. Your doctor can provide tailored advice based on your healing progress and the specifics of your surgery.

In summary, prioritize rest and proper immobilization of your shoulder. Avoid activities that could strain the area, and ensure your sling is fitted correctly to support your arm without pulling on the fracture site. Your hand and arm positioning can influence healing, so be mindful of how you hold your arm. Lastly, consult your doctor about resuming activities and any concerns you have regarding your recovery. Following these guidelines will help minimize the risk of complications and promote a smoother healing process.

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