Can Clavicle Reconstruction Restore Its Original Appearance?

Q: Can Clavicle Reconstruction Restore Its Original Appearance?

Hello： If there is significant functional impairment and pain due to improper healing, reconstructive surgery may be considered; however, complete restoration to the pre-injury appearance may not be achievable. <br>If there is only mild deformity with occasional soreness and mini

Can the clavicle be reconstructed?

Hello, Doctor! I was in a car accident at the end of 2006, resulting in a fracture of the outer third of my right clavicle.
The fracture was clean, and the X-ray showed some overlap.
I initially used a figure-of-eight brace, but it did not heal properly, so I underwent surgery to fix it, and the metal plate was removed a year later.
After the surgery, I noticed that my right shoulder appears shorter, and the clavicles are misaligned.
The injured clavicle is thicker and shorter, and the fracture site (the posterior third) is indented.
Occasionally, if I accidentally bump that area, it feels uncomfortable and tingles, and my right shoulder is prone to fatigue and soreness.
Otherwise, it does not significantly affect my daily life.
The main concern is that I find it aesthetically unpleasing.
I would like to know if there are any options for clavicle reconstruction or cosmetic surgery that could restore the clavicle to its pre-injury appearance.
Thank you for taking the time to read this.

Awei, 20~29 year old female. Ask Date: 2012/08/07

Dr. Li Wenhong reply Orthopedics

Hello: If there is significant functional impairment and pain due to improper healing, reconstructive surgery may be considered; however, complete restoration to the pre-injury appearance may not be achievable.
If there is only mild deformity with occasional soreness and minimal functional impact, it may be acceptable.
It is recommended that you consult an orthopedic specialist in an outpatient clinic for further advice.
Changhua Hospital, Orthopedics, Dr.
Li Wen-Hong.

Reply Date: 2012/08/07

More Info

Clavicle reconstruction after a fracture can be a complex process, and while it is possible to restore some functionality and appearance, achieving the original appearance of the clavicle may not always be feasible.
When a clavicle is fractured, especially in the outer third, it can lead to complications such as malunion (where the bone heals in an incorrect position) or nonunion (where the bone fails to heal). In your case, it sounds like you experienced a malunion, which is common when the fracture is not properly aligned during the healing process. The fact that you have a noticeable difference in shoulder height and the appearance of the clavicle indicates that the healing did not restore the bone to its original shape.

Surgical options for clavicle reconstruction typically involve procedures to realign the bone and stabilize it, often using plates, screws, or bone grafts. In some cases, if the malunion is significant and causing functional issues or discomfort, a corrective osteotomy may be performed. This involves cutting the bone to realign it properly and then stabilizing it again. However, the goal of such surgery is often to improve function and reduce pain rather than to restore the clavicle to its exact pre-injury appearance.

Regarding your concerns about the cosmetic aspect, while surgery can improve the contour of the clavicle, it may not completely return it to its original state. Factors such as the extent of the initial injury, the healing process, and individual anatomical differences all play a role in the final outcome. Additionally, the scar tissue and the way the body heals can also affect the appearance of the area.

If you are considering surgical options, it is essential to consult with an orthopedic surgeon who specializes in shoulder and clavicle injuries. They can assess your specific situation, including the degree of malunion and any associated symptoms you may be experiencing, such as shoulder fatigue and discomfort. They will also discuss the potential risks and benefits of surgery, including recovery time and the likelihood of achieving your desired cosmetic outcome.

In terms of non-surgical options, physical therapy may help improve shoulder strength and function, which can alleviate some discomfort and improve the overall appearance of the shoulder area. However, it is important to have realistic expectations about what non-surgical interventions can achieve.

In summary, while clavicle reconstruction can improve both function and appearance, it may not fully restore the clavicle to its original state. Consulting with a qualified orthopedic surgeon will provide you with the best options tailored to your specific needs and goals.

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