Clavicle fracture
Hello Dr.
Lee: A few days ago, I had another X-ray taken and showed it to the doctor! It turns out that I may not have noticed before that one end of my bone is not properly aligned, with two small fragments standing upright in the middle.
It has been two months since the incident, and when the doctor pressed on my clavicle, he asked if it hurt.
I do not feel any pain and can raise my arm high, but I do have less strength.
The doctor advised me to come back in two months.
I would like to ask if this means there is not much support? Is it already too late for surgery? I think my situation might be quite serious, and I really regret not having the surgery, as I am afraid that my arm will not be able to support weight in the future.
Thank you for your help!
Xiao Wen, 20~29 year old female. Ask Date: 2005/09/14
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, first of all, congratulations! You might be wondering what I am congratulating you for, but essentially, you have already completed more than half of the treatment process for your clavicle fracture, and your current condition is quite good.
I base this on the fact that "there is no pain when the doctor presses on the clavicle, and you can raise your arm high, although with less strength." Bone healing typically requires immobilization for six to eight weeks, followed by gradual movement.
X-rays will show significant bone growth after about three months; therefore, the gap still visible in your X-ray is not abnormal, so there's no need for regret.
Starting rehabilitation now will help you regain strength.
Surgery is not out of the question, but given the positive results from your current treatment, why take a step backward? Moreover, 95% of simple clavicle fractures heal well with conservative treatment.
Surgery is not necessarily bad, but anesthesia and surgery carry potential complications, so if it's not essential, why undergo surgery? Additionally, after surgery, you may need another procedure to remove internal fixation.
The human body is remarkable; while fractures can be painful, they can heal completely, restoring full function.
You are very young, which will aid in a quicker and better recovery.
Given the condition two months post-fracture, you are recovering very well.
Wishing you all the best!
Reply Date: 2005/09/14
More Info
Understanding clavicle fractures is crucial for ensuring proper healing and function of the shoulder. A clavicle fracture, commonly known as a broken collarbone, can occur due to trauma, such as falls or accidents. The healing process and treatment options can vary significantly based on the type and severity of the fracture.
From your description, it seems that you have a non-displaced or minimally displaced fracture, where the bone ends are not significantly misaligned. This type of fracture often heals well with conservative treatment, which typically includes rest, immobilization, and physical therapy. The fact that you can raise your arm without pain is a positive sign, indicating that the fracture may be healing adequately. However, the lack of strength you mentioned is not uncommon, as muscles around the shoulder may weaken due to disuse during the healing process.
Regarding your concerns about support and the possibility of surgery, it’s essential to understand that not all clavicle fractures require surgical intervention. Surgery is usually considered when there is significant displacement, multiple fractures, or if the fracture is associated with other injuries. In your case, since you are not experiencing pain and can move your arm, it suggests that the fracture may be stable. However, the presence of two small bones (likely referring to the fragments of the clavicle) could indicate a more complex fracture pattern that requires careful monitoring.
If you are worried about the long-term implications of not having surgery, it’s important to discuss these concerns with your orthopedic surgeon. They can provide a thorough evaluation, including imaging studies, to assess the healing process and the alignment of the bone. If the fracture is healing well, surgery may not be necessary. However, if there are signs of non-union (where the bone does not heal properly) or if the alignment worsens, surgical options may be revisited.
In terms of support, wearing a sling or a figure-of-eight bandage can help stabilize the shoulder during the healing process. Physical therapy is also crucial for regaining strength and range of motion once the initial healing has occurred. Your therapist can guide you through exercises tailored to your recovery stage, focusing on gradually increasing strength and mobility.
As for your concern about future weight-bearing capabilities, most individuals with properly healed clavicle fractures can return to their normal activities, including lifting and sports. However, it’s essential to follow your doctor’s advice and not rush the recovery process. Engaging in rehabilitation exercises will help strengthen the muscles around the shoulder, enhancing stability and function.
In conclusion, while it’s understandable to have concerns about your recovery, the absence of pain and the ability to raise your arm are encouraging signs. Continue to follow up with your orthopedic surgeon, adhere to any prescribed rehabilitation protocols, and communicate any changes in your condition. With proper care and attention, most clavicle fractures heal well, allowing individuals to return to their daily activities without significant limitations.
Similar Q&A
Understanding Clavicle Fractures: Treatment Options and Recovery Concerns
Dear Doctor, I would like to ask a question regarding my condition. I was in a car accident on the afternoon of August 22, and I experienced significant pain in my left clavicle. I was taken to the Chi Mei Medical Center emergency room in Tainan, where an X-ray was performed. Th...
Dr. Shi Guozheng reply Orthopedics
Clavicle fractures are usually treated conservatively, typically with a triangular sling or figure-of-eight bandage for about three months, unless it is an open fracture or there is a risk of the fracture site penetrating the skin. Additionally, if there are associated vascular o...[Read More] Understanding Clavicle Fractures: Treatment Options and Recovery Concerns
Understanding Complex Clavicle Fractures: Risks and Alternatives for Surgery
My mother recently had a car accident and fractured her clavicle in three places. The doctor mentioned that surgery might be necessary, but my mother has diabetes and hypertension, and she also has osteoporosis. If she undergoes surgery, what are the risks involved? Additionally,...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, ninety-five percent of clavicle fractures can heal without surgical intervention. However, conservative treatment (using a figure-of-eight bandage and a sling) has its inconveniences, such as not being able to frequently remove the bandage dur...[Read More] Understanding Complex Clavicle Fractures: Risks and Alternatives for Surgery
Understanding Clavicle Fractures: Recovery Tips and Nutritional Support
Hello, my sister had a car accident on Monday, August 1st, which resulted in a fractured clavicle. After X-ray examinations at Keelung Chang Gung Memorial Hospital and Keelung Kuang Wu Hospital, she was given a type of brace similar to a figure-of-eight splint, and surgery is not...
Dr. Shi Qiming reply Orthopedics
Hello: The clavicle is very close to the heart, and blood circulation is quite good in that area. Therefore, when a fracture occurs, the ends do not separate significantly and remain relatively stable, allowing for good blood flow. As long as the fracture ends are not excessively...[Read More] Understanding Clavicle Fractures: Recovery Tips and Nutritional Support
Understanding Clavicle End Fractures: Treatment Options and Concerns
A few days ago, I was in a car accident, and the hospital examined me and found that I have a fracture and ligament tear at the distal end of my clavicle. The distal end of the clavicle shows a vertical fracture, which is a closed fracture. The left clavicle is fractured, while t...
Dr. Chen Yongxue reply Orthopedics
Hello, distal clavicle fractures can sometimes be associated with acromioclavicular joint dislocation, causing the clavicle to elevate and move away from its original position. This type of displacement cannot be realigned through conservative treatment and requires surgical inte...[Read More] Understanding Clavicle End Fractures: Treatment Options and Concerns
Related FAQ
(Orthopedics)
Clavicle(Orthopedics)
Post-Clavicle Surgery(Orthopedics)
Clavicle(Rehabilitation)
Fracture Healing(Orthopedics)
Acromioclavicular Joint Dislocation(Orthopedics)
Coccygeal Fracture(Orthopedics)
Open Fracture(Orthopedics)
Ankle Fracture Recovery(Orthopedics)
Rib(Orthopedics)