Clavicle Fractures: Recovery, Exercise, and Healing Concerns - Orthopedics

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Clavicle fracture


The fracture occurred on August 3, 2015, and the surgery for plate fixation was performed on August 25, 2015.
It has been approximately six months since then, and the removal of the plate is scheduled for March 4, 2016.
During today's follow-up visit, the X-ray showed signs that the fracture has not fully healed.
The doctor mentioned that these are traces of the fracture.
I have not experienced significant issues in daily life and have been lifting dumbbells.
I would like to ask Dr.
Shi the following questions:
1.
After six months, specifically in August, will I be able to practice judo, do push-ups, and perform pull-ups?
2.
How long after the plate removal should I wait before engaging in intense physical activities?
3.
Is the area where the fracture healed prone to re-fracture?

Mr. Li, 10~19 year old female. Ask Date: 2016/02/15

Dr. Shi Guozheng reply Orthopedics


After the removal of the steel plate from the fracture site, there is a possibility of re-fracture.
Therefore, it is important to allow the holes in the bone to heal completely before resuming physical activity, which typically takes about six months.

Reply Date: 2016/02/15

More Info


Clavicle fractures are common injuries, especially among athletes and active individuals. The recovery process can vary significantly based on the severity of the fracture, the treatment method, and the individual's overall health. In your case, it appears that you underwent surgery to fixate the fracture with a plate, which is a common approach for more severe or displaced clavicle fractures.


Recovery Timeline and Healing Process
Typically, clavicle fractures take about 6 to 12 weeks to heal, depending on various factors such as age, activity level, and the specific nature of the fracture. Since your surgery was performed on August 25, 2015, and you are now approximately six months post-operation, it is crucial to assess the healing progress through imaging, such as X-rays. The presence of "fracture traces" on the X-ray, as mentioned by your doctor, could indicate that the bone is still in the healing process, even if you are not experiencing significant pain or functional limitations in daily activities.


Exercise and Activity Recommendations
1. Engaging in Physical Activities: Given that you have been lifting weights and have minimal issues in daily life, it is essential to approach more strenuous activities like judo, push-ups, and pull-ups with caution. Generally, it is advisable to wait until you have full confidence in the stability of the clavicle and have received clearance from your orthopedic surgeon. Engaging in these activities too soon could risk re-injury or complications.

2. Post-Plate Removal Activities: After the plate is removed, which you anticipate will be around March 4, 2016, it is crucial to allow some time for the soft tissues and bone to adjust. Typically, it is recommended to wait at least 4 to 6 weeks post-surgery before engaging in high-impact or strenuous activities. This period allows the bone to regain its strength and the surrounding muscles and ligaments to adapt.

3. Risk of Re-Fracture: The concern about the healing site being prone to re-fracture is valid. While the bone may appear healed on an X-ray, the area can still be weaker than the surrounding bone for some time. Engaging in high-impact activities too soon can increase the risk of re-injury. It is essential to follow your doctor's advice regarding the timeline for returning to full activity.


Additional Considerations
- Physical Therapy: Consider engaging in a structured physical therapy program to strengthen the shoulder and surrounding muscles. This can help improve stability and function, reducing the risk of re-injury.


- Listen to Your Body: Pay attention to any pain or discomfort during activities. If you experience pain, it may be a sign that you need to modify your activities or consult with your healthcare provider.

- Regular Follow-ups: Continue to have regular follow-up appointments with your orthopedic surgeon to monitor the healing process and make any necessary adjustments to your rehabilitation plan.

In conclusion, while you may feel ready to return to more vigorous activities, it is essential to prioritize your recovery and follow medical advice closely. Healing is a gradual process, and taking the necessary precautions will help ensure a successful return to your desired activities without compromising your long-term health.

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