Clavicle Fractures: Recovery Time and Activity Restrictions - Rehabilitation

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Clavicle fracture


Dear Doctor: I have a right clavicle fracture due to a car accident.
The emergency physician said that surgery is not necessary and that using a figure-eight sling for stabilization will suffice, and it will heal naturally in a few months.
The doctor seemed very busy, so I didn't want to ask too many questions, even though I have several concerns.
How long does it typically take for a patient to recover? Am I currently unable to ride a bike or engage in physical activities? Thank you.

Zhaosheng, 30~39 year old female. Ask Date: 2008/08/30

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
Here are my responses and recommendations:
1.
For a clavicle fracture without displacement, you may consider using a figure-of-eight bandage for approximately three months for healing.

2.
During this time, rehabilitation can still be performed, including deep heat therapy to prevent shoulder joint stiffness.
You may also engage in isometric exercises and light movements under the guidance of a physician, ensuring that shoulder elevation does not exceed 90 degrees.

3.
It is advisable to temporarily avoid cycling.

Finally, I wish you safety and happiness!

Reply Date: 2008/08/30

More Info


Clavicle fractures, commonly resulting from trauma such as car accidents, are a frequent injury that can vary in severity. The recovery time and activity restrictions depend on several factors, including the type of fracture, the patient's age, overall health, and adherence to rehabilitation protocols.

In your case, since the emergency physician has determined that your right clavicle fracture does not require surgical intervention and can be managed with a figure-of-eight sling, you can expect a general recovery timeline. Most clavicle fractures heal within 6 to 12 weeks. However, the exact duration can vary based on the fracture's complexity. Simple, non-displaced fractures typically heal faster than displaced or comminuted fractures, which may take longer due to the need for more extensive healing.

During the initial healing phase, which usually lasts about 4 to 6 weeks, it is crucial to limit activities that could stress the clavicle. This includes avoiding heavy lifting, overhead movements, and any activities that could risk falling or further injury. Riding a bike or engaging in sports is generally discouraged during this period, as these activities can put undue stress on the healing bone and potentially lead to complications or delayed healing.

After the initial healing phase, your healthcare provider may recommend a gradual return to activities. Physical therapy can play a vital role in your recovery, focusing on restoring range of motion, strength, and function. The rehabilitation process typically begins with gentle range-of-motion exercises, progressing to strengthening exercises as tolerated. It's essential to follow your physician's guidance and not rush back into activities, as this could lead to re-injury.

In terms of specific activity restrictions, you should avoid any high-impact sports or activities that involve significant arm movement, especially overhead motions, until your doctor gives you the green light. This is crucial to ensure that the fracture heals properly and to prevent complications such as nonunion or malunion, where the bone does not heal correctly.

Additionally, it's important to monitor for any signs of complications, such as increased pain, swelling, or changes in the appearance of the shoulder. If you experience any of these symptoms, you should contact your healthcare provider promptly.

In summary, while clavicle fractures generally heal well with conservative treatment, the recovery process requires patience and adherence to activity restrictions. Expect a recovery time of approximately 6 to 12 weeks, with a gradual return to normal activities under the guidance of your healthcare provider. Always prioritize your healing and consult your physician before resuming any physical activities, especially those that could risk further injury.

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