Clavicle fracture
Hello Doctor: I fell on January 13 and sustained a clavicle fracture.
I consulted a doctor who said the right side is normal at 13.8 mm, while the fractured part on the left measures about 14.1 mm.
I'm not sure if this is due to the angle of the X-ray or something else, but as long as it doesn't shorten by 2 cm, we will try conservative treatment (non-surgical) for now.
Yesterday (January 18), I felt a lot of soreness in the injured area, possibly due to the weather change, but after applying ice at home, it improved significantly.
Today (January 19), I feel that the soreness has decreased and there is no pain.
The company nurse suggested that I consult another hospital to get a second opinion from another doctor.
However, I wanted to check with you if this situation is normal given that I am not experiencing any pain!
Mr. Zhang, 20~29 year old female. Ask Date: 2016/01/19
Dr. Shi Guozheng reply Orthopedics
Clavicle fractures can be treated either surgically or conservatively (non-surgically).
The choice of treatment depends on the location and severity of the fracture, so it is best to discuss with a physician before making a decision.
Generally, it takes about three months to recover, but if surgery is performed, it may allow for a quicker return to work.
Reply Date: 2016/01/19
More Info
Clavicle fractures are common injuries that can occur due to falls, sports injuries, or accidents. Understanding the recovery process and treatment options is essential for effective healing and regaining full function. Based on your description, it seems you have sustained a clavicle fracture on your left side, and your doctor has recommended a conservative treatment approach, which is often appropriate for non-displaced fractures.
Recovery Process
1. Initial Assessment: After a clavicle fracture, the first step is to assess the severity of the injury through physical examination and imaging studies, such as X-rays. Your doctor has noted that the fracture is not significantly shortening the bone, which is a positive sign. Non-displaced fractures, where the bone ends remain aligned, typically heal well with conservative treatment.
2. Conservative Treatment: This usually involves the use of a sling or a figure-of-eight bandage to immobilize the arm and shoulder. This immobilization helps reduce pain and allows the fracture to heal properly. The duration of immobilization can vary but typically lasts for about 4 to 6 weeks, depending on the fracture's nature and healing progress.
3. Pain Management: Ice therapy, as you mentioned, is an effective way to manage pain and swelling. Over-the-counter pain medications can also be used, but it’s essential to follow your doctor’s recommendations regarding medication, especially if you have any allergies or contraindications.
4. Physical Therapy: Once the initial healing phase is complete, physical therapy may be recommended to restore range of motion and strength. This usually begins with gentle range-of-motion exercises and progresses to strengthening exercises as healing allows. It’s crucial to follow the guidance of a physical therapist to avoid re-injury.
5. Monitoring Progress: Regular follow-up appointments with your healthcare provider are essential to monitor the healing process. X-rays may be repeated to ensure that the bone is healing correctly. If there are any concerns about the alignment or healing of the fracture, your doctor may consider alternative treatment options.
When to Seek Further Evaluation
While your current symptoms seem manageable, it’s important to be vigilant. If you experience increased pain, swelling, or any deformity in the shoulder area, you should seek medical attention promptly. Additionally, if you notice any changes in sensation or function in your arm, this could indicate complications that require further evaluation.
Surgical Intervention
In some cases, if the fracture is displaced (the bone ends are not aligned) or if there are complications such as non-union (failure to heal), surgical intervention may be necessary. This typically involves the use of plates and screws to stabilize the bone. However, since your doctor has indicated a conservative approach, it seems that your fracture is not currently presenting these complications.
Conclusion
In summary, your recovery from a clavicle fracture will largely depend on the nature of the fracture and your adherence to the treatment plan. It’s encouraging that you are experiencing less pain and discomfort. Continue to follow your doctor’s advice, and don’t hesitate to seek a second opinion if you feel uncertain about your treatment plan. Remember, recovery can take time, and patience is key to ensuring a full return to your normal activities. If you have any further questions or concerns, feel free to reach out to your healthcare provider for personalized advice.
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