Clavicle Fractures: Recovery Tips and Surgical Considerations - Orthopedics

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Clavicle fracture


Due to a car accident, I sustained a fracture of the distal clavicle on my left shoulder.
It has been approximately 11 days since the injury.
The doctor advised that I use a figure-eight brace for six weeks and that I do not need to use a sling.
During my last follow-up appointment, the doctor mentioned that there seems to be slight displacement, but the range is acceptable, and surgery may not be necessary.
It could also be an issue with the angle of the X-ray that gives the impression of displacement.
Will this increase the likelihood of needing surgery? I would like to inquire about the following: 1.
Should I wear the figure-eight brace while sleeping or remove it during sleep? 2.
When lying flat, is it acceptable to use my other side to prop myself up (with slight pressure on the left shoulder to keep it stable), or is it recommended to have someone assist me for a few weeks? 3.
What are the precautions regarding the figure-eight brace and the appropriate tightness? 4.
What is the angle for using the figure-eight brace in conjunction with a sling, and how long will I need the sling for assistance? 5.
Are there any other important considerations I should be aware of?

Shinnn, 20~29 year old female. Ask Date: 2024/05/14

Dr. Zhan Xian reply Orthopedics


The figure-eight shoulder strap is used to stabilize a non-displaced clavicle fracture to prevent displacement and alleviate pain.
The affected arm should not lift heavy objects, and when sleeping, it is recommended to lie flat and avoid sleeping on the side of the fracture.
For the first 1 to 2 weeks after the fracture, it is advisable to avoid removing the figure-eight shoulder strap, and sponge bathing is recommended instead of taking a shower.
Generally, it is necessary to wear the strap for about 4 to 6 weeks; however, the actual duration should be based on your attending physician's instructions.
Thank you.

Reply Date: 2024/05/14

More Info


Clavicle fractures, particularly those resulting from trauma such as car accidents, can be a significant concern for recovery and rehabilitation. Understanding the nature of the injury, the treatment options, and the recovery process is crucial for optimal healing. Here are some insights and recommendations based on your situation.


Understanding Clavicle Fractures
Clavicle fractures can occur at various locations along the bone, with the distal (end) portion being particularly vulnerable to injury. The treatment approach often depends on the fracture's type and severity. In many cases, non-surgical management is sufficient, especially if the fracture is stable and the alignment is acceptable. However, if there is significant displacement or if the fracture does not heal properly, surgical intervention may be necessary.


Recovery Tips
1. Use of the Figure-Eight Brace: The figure-eight brace is designed to stabilize the clavicle and promote proper alignment during the healing process. It is generally recommended to wear the brace at all times, including while sleeping, for the first few weeks. This continuous support helps maintain the correct position of the bone and minimizes the risk of displacement. If you find it uncomfortable to sleep with the brace, consult your physician about possible adjustments or alternatives.

2. Movement and Support: When lying flat, it is advisable to avoid putting weight on the injured shoulder. If you need to prop yourself up, use your uninjured arm for support. It is best to have someone assist you during the initial weeks to prevent any strain on the healing clavicle. Gradually, as you gain strength and confidence, you may be able to perform more movements independently, but always prioritize safety.

3. Brace Adjustments: The figure-eight brace should be snug but not overly tight. You should be able to breathe comfortably and have some range of motion in your arms without excessive pain. If you experience numbness, tingling, or increased pain, the brace may be too tight, and you should adjust it or consult your healthcare provider.

4. Use of a Sling: While the figure-eight brace is effective, some patients may also benefit from using a sling, especially in the early stages of recovery. The sling can provide additional support and comfort. If prescribed, you should wear it as directed, typically for the first few weeks, until your doctor advises otherwise.

5. Monitoring for Complications: Keep an eye on your symptoms. If you notice increased pain, swelling, or any changes in the appearance of your shoulder, contact your healthcare provider. These could be signs of complications, such as non-union or malunion of the fracture.

6. Follow-Up Care: Regular follow-up appointments with your orthopedic surgeon are essential. They will monitor the healing process through physical examinations and imaging studies, such as X-rays. If there is any concern about the alignment or healing of the fracture, your doctor will discuss the possibility of surgical intervention.

7. Physical Therapy: Once the initial healing has occurred, your doctor may recommend physical therapy to restore strength and range of motion. Engaging in rehabilitation exercises under the guidance of a qualified therapist can significantly enhance recovery and help prevent stiffness.


Nutritional Considerations
Nutrition plays a vital role in bone healing. Ensure you are consuming a balanced diet rich in calcium and vitamin D, which are essential for bone health. Foods such as dairy products, leafy greens, and fortified foods can help meet these nutritional needs. Staying hydrated and maintaining a healthy lifestyle will also support your recovery.


Conclusion
In summary, while your current treatment plan with the figure-eight brace is appropriate, it is crucial to adhere to your doctor's recommendations and attend follow-up appointments. Monitor your symptoms closely, and do not hesitate to reach out to your healthcare provider with any concerns. With proper care, most clavicle fractures heal well, allowing you to return to your normal activities.

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