the Risk of Locking Plate Displacement After Clavicle Fracture

Possible displacement of interlocking plates in clavicle fractures?

Hello, Doctor.
I fractured my clavicle on September 1st and underwent surgery where an interlocking plate was used to stabilize it.
I'm concerned about the possibility of the plate shifting postoperatively.
Initially, I didn't feel much discomfort, but a week later, during daily activities, I started to feel something catching in my clavicle and shoulder.
Could this indicate a displacement? I have an X-ray scheduled for two weeks from now, but I'm unsure if my feelings are psychological or if there is indeed a displacement; something just feels off.
I have ridden my motorcycle a couple of times, but I didn't hit the surgical area.
Could movement cause the plate to shift?

Bo You, 20~29 year old female. Ask Date: 2015/09/13

Dr. Shi Guozheng reply Orthopedics

The likelihood of displacement of the bone plate you are using is low, and it should not shift significantly.
An X-ray is necessary to confirm this.

Reply Date: 2015/09/13

More Info

After a clavicle fracture, the use of a locking plate is a common surgical intervention aimed at stabilizing the bone and facilitating proper healing. However, concerns about the potential displacement of the plate post-surgery are valid and warrant a thorough understanding.

Firstly, the risk of plate displacement after surgery is generally low, especially if the surgical procedure was performed correctly and the patient follows post-operative care instructions. Locking plates are designed to provide stable fixation, which minimizes the chances of movement. However, certain factors can contribute to the risk of displacement, including the type of fracture, the quality of the bone, and the patient's activity level during the healing process.

In your case, feeling a sensation of something "catching" in your shoulder after a week could be attributed to several factors. It might not necessarily indicate that the plate has displaced. Post-operative discomfort, swelling, and the formation of scar tissue can create sensations that may feel unusual. Additionally, the psychological aspect of recovery can lead to heightened awareness of sensations in the surgical area, which might be interpreted as a problem when it could be a normal part of the healing process.

Regarding your activities, riding a motorcycle or engaging in other movements does not typically cause the plate to displace, especially if there was no direct trauma to the area. However, excessive or inappropriate movements, particularly those that involve lifting or straining the shoulder, could potentially compromise the stability of the fixation. It’s crucial to adhere to your surgeon's recommendations regarding activity restrictions during the recovery phase.

You mentioned having an X-ray scheduled in two weeks, which is an excellent step to assess the status of the plate and the healing of the bone. X-rays will provide a clear picture of whether the plate is in the correct position and if the bone is healing as expected. If you have concerns about your symptoms before the scheduled X-ray, do not hesitate to reach out to your healthcare provider for advice.

In summary, while the risk of locking plate displacement exists, it is relatively low with proper surgical technique and adherence to post-operative care. The sensations you are experiencing may be part of the normal healing process, but it is essential to monitor them and discuss any significant changes with your doctor. Regular follow-up appointments and imaging studies will help ensure that your recovery is on track and that any potential issues are addressed promptly.

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