Do You Need Rehab for a Clavicle Fracture? Recovery and Risks - Rehabilitation

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Clavicle fracture


Hello, Director Su! I accidentally fell and fractured my clavicle because my palm hit the ground first.
I am currently wearing a brace.
Do I need rehabilitation? Will there be any long-term effects? Thank you!

Bill, 10~19 year old female. Ask Date: 2007/10/13

Dr. Su Hongci reply Rehabilitation


Clavicle fractures are one of the most common types of fractures.
They typically heal well without the need for surgical intervention.
Most cases can be managed by using a figure-of-eight shoulder strap to immobilize the shoulder in an upward and backward position.
A triangular bandage can also be used to support the weight of the arm, alleviating pain in the fractured area.
It generally takes about six weeks for the fracture to heal sufficiently.
Patients should avoid lifting heavy objects, engaging in vigorous activities, or experiencing impacts until the fracture has healed, after which strength training can be resumed.
Wishing you good health!

Reply Date: 2007/10/13

More Info


When it comes to recovering from a clavicle fracture, rehabilitation is an essential part of the healing process. While many clavicle fractures can heal well with conservative treatment, such as wearing a sling or figure-of-eight bandage, rehabilitation can help ensure a full recovery and minimize the risk of complications or long-term issues.


Understanding Clavicle Fractures
Clavicle fractures are common injuries, often resulting from falls, sports injuries, or accidents. The clavicle, or collarbone, connects the arm to the body and plays a crucial role in shoulder movement. Most clavicle fractures occur in the middle third of the bone and can be classified as displaced or non-displaced. Displaced fractures may require more careful monitoring and potentially surgical intervention, while non-displaced fractures often heal well with conservative treatment.


The Importance of Rehabilitation
1. Restoration of Range of Motion: After a period of immobilization, it is crucial to restore the range of motion in the shoulder joint. Rehabilitation exercises can help prevent stiffness and improve flexibility. Gentle stretching and mobility exercises should be introduced gradually, often starting as soon as the pain allows.

2. Strengthening: Once the initial healing phase has passed, strengthening exercises become important. These exercises focus on the muscles surrounding the shoulder and upper back, which can help support the clavicle and improve overall shoulder function. Strengthening the rotator cuff and scapular stabilizers is particularly important.

3. Pain Management: Rehabilitation can also include modalities for pain management, such as ultrasound therapy, electrical stimulation, or manual therapy techniques. These can help alleviate pain and promote healing.

4. Functional Training: As you progress, rehabilitation will include functional training to help you return to daily activities and sports. This may involve specific exercises that mimic the movements you need to perform in your daily life or sport.


Risks of Not Undergoing Rehabilitation
If rehabilitation is not pursued, there are several risks associated with a clavicle fracture:
- Stiffness: Prolonged immobilization can lead to stiffness in the shoulder joint, making it difficult to regain full range of motion.

- Weakness: Without strengthening exercises, the muscles around the shoulder may remain weak, leading to instability and increased risk of re-injury.

- Chronic Pain: Some individuals may experience chronic pain or discomfort if the shoulder does not heal properly or if compensatory movement patterns develop.

- Malunion or Nonunion: In some cases, the bone may not heal correctly, leading to malunion (healing in an incorrect position) or nonunion (failure to heal). This can result in ongoing pain and dysfunction.


Conclusion
In summary, while a clavicle fracture can heal with conservative treatment, engaging in a structured rehabilitation program is highly recommended to ensure a complete recovery. It helps restore range of motion, strengthen the shoulder, manage pain, and prepare you for a return to normal activities. If you have concerns about your recovery or the potential for long-term issues, it is advisable to consult with a healthcare professional or a physical therapist who can tailor a rehabilitation program to your specific needs. Always follow your doctor's recommendations regarding the timing and type of rehabilitation based on your individual injury and recovery progress.

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