Clavicle Fractures: Recovery Challenges and Disability Benefits - Orthopedics

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Clavicle fracture


Hello, Dr.
Chang.
I was in a car accident on September 25th, resulting in an open fracture of my left clavicle, a comminuted fracture, and ligament tears.
I underwent surgery on the same day.
It has been almost three months now, and I have been undergoing rehabilitation, but I still feel uncomfortable and experience persistent pain.
I can also hear sounds coming from the bone.
I can only raise my arm a little bit, and when I move it, the entire bone seems to be shifting.
It takes about 1 to 2 minutes for it to slowly return to position.
When I try to hold a cup, my hand feels weak and trembles, and sometimes I can't hold it at all.
X-rays show no issues at the surgical site, but my shoulder bone is still painful, and I don't know what to do now.
Can I apply for a disability certificate in a situation like mine?

Zhen, 20~29 year old female. Ask Date: 2005/12/08

Dr. Zhang Shengben reply Orthopedics


1.
Bone healing is necessary before engaging in aggressive rehabilitation; until healing is complete, gentle rehabilitation is appropriate.
This should be discussed with a rehabilitation physician.
2.
The cause of shoulder pain may be due to stiffness from limited mobility or from non-union of the bone.
3.
If shoulder range of motion is indeed restricted, a short-term disability certificate can be applied for.

Reply Date: 2005/12/08

More Info


Clavicle fractures, especially those that are open and comminuted, can present significant challenges during recovery. Your situation, involving a left clavicle fracture with associated ligament damage, is complex and requires careful management.
First, it's important to understand that the clavicle, or collarbone, plays a crucial role in shoulder function. It connects the arm to the body and helps stabilize the shoulder joint. When a fracture occurs, especially an open or comminuted fracture, the surrounding soft tissues, including muscles, ligaments, and tendons, can also be affected. This can lead to complications such as pain, instability, and limited range of motion, which you are currently experiencing.

The fact that you are still feeling pain and hearing sounds from the bone indicates that there may be ongoing issues with the healing process. It's not uncommon for patients to experience discomfort and instability in the shoulder following such injuries, especially if there was significant soft tissue damage. The sensation of the bone moving or clicking can be a sign of instability in the joint or improper healing of the fracture.
Your rehabilitation process is crucial at this stage. Physical therapy should focus on restoring strength and mobility to the shoulder while also addressing any compensatory movements that may have developed due to pain or instability. It's essential to work closely with your physical therapist to ensure that you are performing exercises that are appropriate for your current condition. They may incorporate modalities such as ultrasound or electrical stimulation to help manage pain and promote healing.

Regarding your question about disability benefits, eligibility can vary based on the severity of your injury and how it impacts your daily life. In the United States, the Social Security Administration (SSA) has specific criteria for determining disability, which includes the ability to perform work-related activities. If your shoulder injury significantly limits your ability to perform daily tasks or work, you may qualify for benefits. It would be advisable to consult with a healthcare provider who can document your condition and its impact on your functionality. Additionally, seeking guidance from a legal expert in disability claims can help you navigate the application process.

In summary, your recovery from a clavicle fracture with associated complications will require a multifaceted approach, including ongoing rehabilitation, pain management, and possibly exploring disability benefits if your condition severely limits your daily activities. It's crucial to maintain open communication with your healthcare team to address any concerns and adjust your treatment plan as necessary. Remember that recovery can take time, and it's important to be patient with yourself as you work towards regaining full function.

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