Is It Normal for Clavicle Implant to Protrude and Cause Pain?

Protruding clavicle implant screw?

In mid-April 2014, I underwent fixation of a clavicular displacement with a steel pin, but recently the head of the pin has protruded from the back of my hand, causing pain and bruising.
Is this normal?

Xiao Guo, 40~49 year old female. Ask Date: 2014/05/14

Dr. Shi Guozheng reply Orthopedics

The fixation screws for a clavicle fracture may sometimes protrude and press against the skin and the underlying soft tissue.
Typically, they can only be removed after the fracture has healed; however, if an infection occurs, the situation may differ.
Current pain can be managed with medication, and it is essential to monitor for any other complications.
Regular follow-up appointments are necessary for further management.

Reply Date: 2014/05/14

More Info

It is not uncommon for patients who have undergone clavicle surgery, particularly those involving the placement of hardware such as plates or screws, to experience protrusion of the implant over time. However, the presence of pain and skin discoloration, such as bruising, indicates that there may be complications that need to be addressed.

When a clavicle implant protrudes, it can cause discomfort for several reasons. First, the hardware may irritate the surrounding soft tissues, including muscles, tendons, and nerves. This irritation can lead to inflammation, which in turn can cause pain and swelling. Additionally, if the implant is pressing against the skin, it can lead to skin irritation or even ulceration, resulting in bruising or discoloration.

The fact that you are experiencing pain and visible changes in the skin suggests that the situation may not be normal and warrants further evaluation. It is essential to consult with your orthopedic surgeon or healthcare provider to assess the condition of the implant and the surrounding tissues. They may recommend imaging studies, such as X-rays or CT scans, to determine the position of the implant and check for any signs of complications, such as infection or hardware failure.

In some cases, if the implant is causing significant discomfort or if there are complications, surgical intervention may be necessary to remove or revise the hardware. It is also important to consider factors such as your overall health, activity level, and any underlying conditions that may affect healing and recovery.

In summary, while some protrusion of the clavicle implant can occur, the associated pain and skin changes you are experiencing are not typical and should be evaluated by a medical professional. Prompt attention to these symptoms can help prevent further complications and ensure appropriate management of your condition.

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