Managing Clavicle Fracture Recovery: Concerns and Exercises After Two Weeks - Orthopedics

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Clavicle fracture has been present for two weeks..?


Hello, I have a fracture on the left clavicle, which has been two weeks.
It is close to the arm end.
I am currently undergoing conservative treatment, and I have been using all the necessary supports.
The recent X-ray shows overlapping of the fracture ends.
The doctor advised me to continue monitoring.
I tend to be anxious and lack confidence, so I still hesitate to move my arm.
Can I perform pendulum exercises? The doctor said not to do it if it hurts, but I feel tightness in the affected area when I rotate it, not pain.
Today, a mosquito landed on my left shoulder, and I swatted it away, which caused a brief pain that lasted about a minute before disappearing.
This startled me, and I am still very worried.
I feel that going back for another X-ray would be too much trouble for the hospital… so I’m asking here.
I’m concerned whether the force I used to swat the mosquito could cause the unhealed bone to displace.
Thank you, I have many questions and I appreciate your help.

Qian, 20~29 year old female. Ask Date: 2016/02/21

Dr. Shi Guozheng reply Orthopedics


A clavicle fracture can be treated conservatively using a triangular bandage or figure-eight strap for stabilization, which typically takes about six weeks to improve and twelve weeks for complete healing.
Therefore, pendulum exercises can usually be started around four weeks post-injury.
If you experienced a sharp pain in your shoulder after the impact that persists, there may be a concern; however, if the pain subsides quickly, it is likely not serious.
If you are still unsure, it is advisable to get it checked out.

Reply Date: 2016/02/21

More Info


Managing a clavicle fracture can be a challenging process, especially when it comes to understanding the recovery timeline and appropriate exercises. Based on your situation, where you have a left clavicle fracture near the arm end and have been undergoing conservative treatment for two weeks, it’s important to approach your recovery with caution and awareness.

Firstly, it’s good to hear that you are following your doctor's advice regarding immobilization and monitoring the fracture through X-rays. The overlapping of the fracture ends, as noted in your X-ray, is not uncommon and can sometimes indicate that the bones are aligning properly. However, it’s crucial to continue observing the fracture as your doctor suggested, as proper healing is essential to regain full function of your arm.

Regarding your concerns about movement and exercise, it’s understandable to feel anxious, especially if you are prone to panic. The key is to balance caution with gentle movement to promote healing. The pendulum exercise, which involves letting your arm hang down and moving it in small circles or back and forth, can be beneficial. This exercise helps maintain some mobility in the shoulder joint without putting too much strain on the fracture site. If you experience tightness rather than pain, it may be a sign that your body is responding to the movement, but you should always listen to your body. If any movement causes pain, it’s best to stop.

As for your concern about swatting a mosquito and the potential impact on your fracture, it’s unlikely that a quick, light motion like that would cause significant harm or displacement of the fracture. However, it’s always wise to be cautious and avoid sudden or forceful movements that could jeopardize your recovery. If you continue to feel anxious about your arm's stability, consider discussing your concerns with your doctor. They may provide reassurance or additional guidance on what movements are safe.

In terms of exercises, once your doctor gives the green light, you can gradually incorporate more range-of-motion exercises. These should be done gently and progressively, focusing on maintaining mobility in the shoulder and arm without overexerting yourself. Strengthening exercises can typically begin once the fracture shows signs of healing, which may take several weeks.

It’s also important to maintain a positive mindset during your recovery. Fractures can take time to heal, and patience is key. Engaging in light activities that do not involve the injured arm can help keep your spirits up while you recover. Additionally, consider discussing your feelings of anxiety with a healthcare professional, as they can provide strategies to help manage those feelings during your recovery.

In summary, continue to follow your doctor's advice, engage in gentle movements like pendulum exercises, and avoid any activities that cause pain. Monitor your progress and communicate any concerns with your healthcare provider. With time and appropriate care, you should be able to regain full function of your arm. Remember, healing is a process, and taking it one step at a time will lead to the best outcomes.

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