Clavicle Deformities: Concerns and Treatment Options - Orthopedics

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Clavicular dislocation with acromial protrusion?


Normally, the clavicle is flat, but mine is curved upwards towards the shoulder, resulting in two prominent clavicles at the ends of my shoulders.
What impact could this have? I don't experience any pain or limitations in movement, but I'm still concerned.
I have consulted a chiropractor who taught me some exercises, claiming that they would help return it to its original position.
Is this credible, or is surgery necessary? Additionally, I occasionally do push-ups; could this be due to improper form, or is it simply because I have scoliosis (I have lumbar scoliosis)? The chiropractor advised me against doing push-ups.

Da Ming, 10~19 year old female. Ask Date: 2015/12/11

Dr. Shi Guozheng reply Orthopedics


If there are no fractures or dislocations, it is not necessary to worry about it.
Exercising will not cause it to return to its original position, and doing push-ups should not have any impact.

Reply Date: 2015/12/11

More Info


Understanding clavicle deformities can be quite complex, especially when considering their potential impacts on overall health and physical activity. In your case, it sounds like you have a noticeable curvature in your clavicle that extends upward toward your shoulder, resulting in prominent ends. While you mention that you do not experience pain or functional limitations, it is understandable to have concerns about the implications of this deformity.


Potential Impacts of Clavicle Deformities
1. Aesthetic Concerns: Many individuals with clavicle deformities may feel self-conscious about their appearance, especially if the deformity is pronounced. This can affect self-esteem and body image.

2. Functional Limitations: Although you currently do not experience pain or limitations in movement, it is important to monitor any changes over time. Clavicle deformities can sometimes lead to issues with shoulder mechanics, which may result in discomfort or reduced range of motion in the future.

3. Postural Issues: The alignment of the clavicle can influence overall posture. If the clavicle is not aligned properly, it may contribute to compensatory postural changes, which can lead to discomfort in the neck, shoulders, or back.

4. Injury Risk: An abnormal clavicle shape may increase the risk of certain injuries, particularly if it affects how the shoulder joint functions during physical activities.


Treatment Options
1. Physical Therapy: Engaging in physical therapy can be beneficial. A trained physical therapist can provide exercises that strengthen the muscles around the shoulder and improve posture. This may help alleviate any potential issues arising from the deformity.

2. Chiropractic Care: While some individuals find relief through chiropractic adjustments, it is essential to approach this with caution. Not all deformities can be corrected through manipulation, and improper techniques may exacerbate issues.

3. Surgical Intervention: Surgery is typically considered a last resort and is usually reserved for cases where the deformity causes significant pain, functional impairment, or other complications. If your condition remains asymptomatic, surgery may not be necessary.

4. Monitoring: Regular check-ups with a healthcare provider can help monitor any changes in your condition. If you notice any new symptoms, such as pain or decreased mobility, it would be wise to seek further evaluation.


Concerns About Exercise
Regarding your question about push-ups, it is possible that improper form could contribute to discomfort or exacerbate any underlying issues. If you have scoliosis (curvature of the spine), it may affect your posture during exercises like push-ups. Here are some considerations:
- Form and Technique: Ensure that you are using proper form when performing push-ups. Poor technique can lead to strain on the shoulders and back.

- Alternative Exercises: If push-ups are causing discomfort, consider alternative exercises that target similar muscle groups without putting undue stress on your shoulders. Exercises such as wall push-ups or incline push-ups may be gentler on your body.

- Consultation with a Professional: It may be beneficial to consult with a physical therapist or a certified personal trainer who can assess your form and provide tailored recommendations based on your specific needs.


Conclusion
In summary, while your clavicle deformity does not currently cause pain or functional limitations, it is essential to remain vigilant about any changes. Engaging in physical therapy and ensuring proper exercise techniques can help maintain shoulder health. If concerns persist, consider seeking a second opinion from an orthopedic specialist who can provide further insights into your condition and treatment options. Remember, proactive management is key to preventing potential complications in the future.

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