Clavicle Fractures: Symptoms, Treatment, and Recovery - Orthopedics

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The left clavicle is fractured, and there is numbness in the left little finger and ring finger?


Hello Doctor: Currently, my left clavicle is fractured and is being stabilized with a figure-eight strap.
On the night of the injury, while trying to get up, I lost my balance and supported myself with my left hand while squatting.
At that moment, I suddenly felt a sharp pain in my clavicle.
When I woke up the next day, I noticed that my left pinky and ring fingers were tingling, which I hadn't experienced before.
Could this be due to the bone shifting and compressing a nerve while I was supporting myself? Are there any precautions I should take while using the figure-eight strap? I was involved in a car accident where I hit a bus stop pole, and my left clavicle is noticeably lower than my right clavicle.
After healing, will the appearance of my left clavicle be similar to that of my right clavicle? Thank you for taking the time to respond amidst your busy schedule.

Shou Guzhe Suoku Ren, 10~19 year old female. Ask Date: 2015/08/04

Dr. Wang Shouji reply Orthopedics


Hello: If this situation occurs, you should return to the outpatient clinic for an examination as soon as possible.
The figure-eight shoulder strap immobilization does not directly stabilize the fracture with a plate, and there is still a possibility of displacement.
Thank you!

Reply Date: 2015/08/04

More Info


Clavicle fractures, commonly known as collarbone fractures, are prevalent injuries that can occur due to trauma, such as falls or accidents. Understanding the symptoms, treatment options, and recovery process is crucial for effective management and rehabilitation.


Symptoms of Clavicle Fractures
The primary symptoms of a clavicle fracture include:
1. Pain: This is usually localized to the area of the fracture and can be severe, especially with movement.

2. Swelling and Bruising: The area around the fracture may become swollen and bruised.

3. Deformity: In some cases, the collarbone may appear out of place or sag lower than the other side.

4. Limited Range of Motion: Patients often experience difficulty moving their shoulder or arm.

5. Numbness or Tingling: As you mentioned, sensations like tingling in the fingers can occur if the fracture causes nerve compression or irritation.


Treatment Options
The treatment for a clavicle fracture typically depends on the severity and location of the fracture. Here are common approaches:
1. Conservative Management: Most clavicle fractures can be treated non-surgically. This includes:
- Immobilization: Using a figure-of-eight brace or sling to keep the shoulder stable and reduce movement.

- Pain Management: Over-the-counter pain relievers like acetaminophen or NSAIDs (e.g., ibuprofen) can help manage pain.

- Physical Therapy: Once the initial pain subsides, physical therapy may be recommended to restore strength and range of motion.

2. Surgical Intervention: If the fracture is significantly displaced or involves multiple fragments, surgery may be necessary. This could involve the insertion of plates, screws, or pins to stabilize the bone.


Recovery Process
Recovery from a clavicle fracture typically takes about 6 to 12 weeks, depending on the severity of the injury and the individual's overall health. During this time, it is essential to follow your healthcare provider's recommendations closely:
- Follow-Up Appointments: Regular check-ups are crucial to monitor healing through physical examinations and imaging studies.

- Activity Modification: Avoid activities that could stress the fracture site, especially lifting or pushing heavy objects.

- Gradual Return to Activities: Once healing is confirmed, gradually reintroducing activities is important to prevent re-injury.


Concerns About Nerve Symptoms
Regarding your experience of tingling in your left hand, it is possible that the position you adopted while supporting yourself could have caused temporary nerve compression. The brachial plexus, a network of nerves that innervates the arm, runs near the clavicle. If the fracture or swelling is pressing on these nerves, it could lead to symptoms like tingling or numbness. It is advisable to inform your healthcare provider about these symptoms, as they may require further evaluation to rule out any complications.


Aesthetic Considerations Post-Recovery
As for the cosmetic outcome after healing, many patients find that their clavicle returns to a relatively normal appearance, although some may notice a slight difference in prominence or contour compared to the uninjured side. Factors influencing this include the severity of the fracture, the effectiveness of treatment, and individual healing responses. In some cases, surgical intervention can help achieve a more symmetrical appearance.


Conclusion
In summary, clavicle fractures are manageable injuries with a good prognosis when treated appropriately. It is essential to follow your healthcare provider's guidance throughout the recovery process and report any concerning symptoms, such as persistent tingling or pain. With proper care, most individuals can expect to return to their normal activities and achieve satisfactory healing outcomes. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

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