broken clavicle – am I being paranoid?

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  • broken clavicle – am I being paranoid?
  • CalD
    Member

    Sounds pretty much identical to my break, I did mine in France and was strapped up and told to get on with it. Dr in the uk said surgery would just be additional risk with infection etc and I didn’t fancy being part metal. Doesn’t give me any bother apart from car seatbelts rubbing on the nubbin on long journeys. I’m sure they’ll pin you up good though and you’ll be fine.

    WackoAK
    Member

    Probably! Below is pic a of of mine which I broke about 4 years ago. I remember feeling the same as you but the doc always said it was looking OK. I’ve had no issues at all from mine.

    Edit: typically never read your whole post! Only one break on mine and no surgery needed despite it sticking out a lot more than it does now as per the image.

    hallz
    Member

    Ok i broke my clavicle at the end of April and tbh the e-ray looked bad to me but never concerned the doctors at all. Its about 9 weeks since the accident and i’m still not 100% although it is getting stronger all the time. When i was signed off from the hospital on 20th June they said my bones were back up to about 80% strength and it would take another 4 – 8 weeks from then to reach 100%.

    At the time that i did it, i considered surgery but was advised that the scarring that the op will leave would be very bad. For that reason alone I wouldn’t have gone down that route!

    Having said that, your situation might be slightly different if its broken in 2 places. If the doctors were happy with your condition, why are you having an op? Is it just to guarantee full strength?

    My x-ray experience is here.

    Steve77
    Member

    DOn’t worry they’re not going to go through the hassle of scheduling it just to cancel it on the day because they’ve decided they’re happy with how it’s healing. A ‘medical reason for you not to have the operation’ would be they discover you’re allergic to the anesthetic. Your doctor didn’t want you to have the op because if you don’t you’ll still be 99% as good as new but if you do and get an infection it’s really bad news

    mickolas
    Member

    about 2.5 weeks ago I broke my clavicle in an mtb otb incident. no experience of this, vicarious or personal, so didn’t know what to expect. I was told it was fractured in 2 places but it would heal fine on it’s own, with a lump in the bone where the break was. I took this to mean a hairline fracture and not a break.

    today I had my first assessment since thw accident and saw the xray(from the day of the accident) for the first time. the bone is in twain! the ends overlap by about an inch! (apparently a ‘displaced fracture’.) the doctor said he was ‘very happy’ with it. “an operation [to plate or pin it] would be useful in the case of a triathlete or someone who needs to regain full strength”!

    I don’t want to have a weak, short shoulder for the rest of my life and risk back problems through asymmetry, and I am more than a little upset that this displacement was not mentioned at the time and I was allowed to belive it was simply swelling.

    I am told the window of opportunity for this operation is four weeks from the date of the accident. I am scheduled for the ‘elective surgery’ (rather than ‘trauma surgery’) next tuesday. that will be 3.5 weeks. I am worried because the nurse who rang me with the appointment repeatedly stressed ‘provided that the pre-op team don’t find a medical reason for you not to have the operation’.

    also, the doc didn’t seem to want me to have it. and he had three nurses in his tiny consultation room during my meeting with him (is that normal?).

    I really hope I’m being paranoid and they’re not going to try and find some reason not to operate…

    please tell me I’m being irrational.

    mickolas
    Member

    genuine thanks for the reassurance. I think I may be being ott. still want the op though to give the best outlook for the longterm (barring infections/dying under anaesthetic etc). I am worried about it being weaker or causing back probs. atm, if I left it I think I would be among the luckier ones as after just two weeks, I have the majority of my mobility, if very little strength.

    keep thinking back to a broken femur 12 years ago, which was ‘rodded’ straight away. I was advised to not have the rod removed, but couldn’t shake the fear of what would happen if I had a similar (motorbike) accident and the rod bent while still inside the femur. can’t imagine how that could be fixed without dismantling the bone or removing the leg.

    my point is, I understand the doc doesn’t want to recommend a procedure that isn’t 100% critical, but the risks/benefits I am weighing up are different to his.

    hallz
    Member

    Well good luck fella!

    Things could be worse for you of course, you could be having the op at Bolton Hospital…

    jim25
    Member

    I broke my left collar bone in 3 pieces 7 years ago. It wasnt plated but left to heal naturally and have a similar looking lump as the one pictured above. I’m a carpenter and as such am lifting heavy beams and all sorts most of the time. I dont have any problem with stregth in the bone or any twisting of the body. One arm is slightly shorter than the other but I’ve never found that to be a problem anywhere in live!

    no_eyed_deer
    Member

    Mine sounds very similar to yours OP – although I couldn’t actually read the details – some 7 years on it still makes me wince at the thought.

    Mine was a clean solid break in the middle that hadn’t fused, some 8-10 weeks later. I got put on a 6 week waiting list for an op for a clavicle plate. Then spent about 3 weeks recovering from that. So all in, about 5 months out of action!

    NHS delays notwithstanding, the operation was the best thing. The collar bone’s never been a problem since and I recuperated my shoulder by taking up swimming (something I sill do regularly 7 years on). I am also part titanium 8)

    Okayee edit (I have now managed to read the OPs post): Didn’t realised that yours had fused. It will probably be fine, from what I’ve heard anecdotally, although TBH I was actually quite ‘pleased’ in the end when I found out mine wasn’t healing..

    kudos100
    Member

    Broke mine 2 years ago and I didn’t have it operated on even though I snapped the end clean of and it fractured upwards in the middle.

    I was really paranoid about regaining full mobility of my shoulder. Eventually I spoke to the shoulder specialist at the hospital and he said that I shouldn’t have a problem with lifting weights or climbing.

    Due to the way it broke, my collar bone is slightly shorted and my scapular is twisted, but it is strong and I only notice it when it is cold or after long car journeys.

    I think you will be fine, if they have scheduled the operation, no reason to think they won’t go through with it.

    kudos100
    Member

    double post.

    milko9000
    Member

    The clavicle is such an annoying bone! So many different ways for it to break and heal, and so unprotected that it’s easy to do.

    I say this because I’m healing up from doing mine too. As far as I can tell, no separation happened in mine, and certainly no doctors interested in doing surgery on it. But all the advice I’ve had (two doctors and a physio) is to keep it immobile as possible in the sling, so now I’m almost five weeks in and getting a bit fed up of it. Meanwhile online I see all sorts of advice about getting it moving with pendulum exercises and stuff.

    And the summer is passing me by!

    rewski
    Member

    I’m no doc, but I’d hurry and get it plated, sounds like they don’t want to operate because the overlapping bone is already uniting, mine was in three pieces and spread apart, the main bone almost compound so mine was a trauma op, I went private on the company policy, right as rain now.

    rosscopeco
    Member

    I broke my RH clavicle in a similar OTB fashion when I was 24. Being right handed I thought my Rugby days were over. However, they gave me the option of a plate but I decided not to following advise from my rugby club physios. So….other than a 6 – 8 week recovery period building the muscle up around the shoulder I then got back to playing club rugby at a reasonably high level as an inside (crash ball) centre for another 6 years with no ill effects. The best way to protect a joint / bone is to build muscle round it….oh, and drink lots of milk!

    Premier Icon jairaj
    Subscriber

    I broke mine last year. mine was only broken in one place, mid shaft and there was a lot of over lap too but mine was a clean break it was shattered into lots of pieces.

    At my first fracture clinic appointment the doc gave me the choice of surgery or not. Saying he thought case could be made either way but he thought it would heal fine without surgery.

    I wasn’t happy about the fact I had to make the call so I contacted a few other surgeons and upper limb specialists to get more information. They all said because I was an active person they would recommend surgery as I would get back on my feet a little quicker. But had I not been an active person a natural healing process would be recommended. The old trends with doctors was to operate almost all the time. But recent trends are to allow the clavicle to heal by it self, patients have little or no mobility issues and the strength is as normal. The overlap may look large but it will be reduced as it heals.

    If you are booked in for an op then chances are it will go ahead. They will only cancel it if you are found to have a medical condition or allergy or if by some miracle the bone is showing vast accelerated healing negating the need for the op.

    Good luck I’m sure you’ll be fine. Hope you’re back on the bike soon. And listen to the docs, if they don’t move it, then .. don’t move it! 🙂

    Premier Icon soulwood
    Subscriber

    I broke my right clavicle leaving a step as it overlapped by an inch, this was 26 years ago. I’ve had no strength problems, but I now notice that my head is slightly to one side in photo’s. I recently went to have a full 360 degree x ray for teeth, the nurse was constantly moving my head straight when I thought it was. I have monthly osteo treatments for my neck to loosen up and keep my head straight. I know when it is due as I think the peak on my helmet is wonky, try to adjust it and realise it’s me.

    makeitorange
    Member

    Not quite the same injury(so this could be complete useless to you!), but I separated my shoulder. For those who don’t know this is breaking the ligaments that hold the clavicle to the scapula so you end up with simliar situation of the bone sticking up and not being properly connected. My shoulder felt weak and floppy and the doctor gave me similar advise (don’t operate unless you’re an Olympic javelin thrower!). I had the same reaction as you and went for a second opinion who said the same as the first doc so I decided to trust them.

    That was a year ago, I regained full use of the shoulder pretty quickly (3 months-ish and I was back on the bike) and now I am lifting heavier weights at the gym than I ever have. It does sometimes ache, and it doesn’t enjoy full tricep-dips very much, but I can’t imagination a screw in my shoulder would be completely trouble free either.

    longmover
    Member

    I broke my right clavicle 14 years ago, I have the occasional problem with it now. The bone is a bit a shorter now and pulls my shoulder forwards a bit.

    mrlugz
    Member

    I had my collarbone plated a week after I bust it.

    I have an occasional issue with camelbaks and seatbelts, but it feels very strong.

    I did get a mild infection after the surgery, but a course of antibiotics sorted that. You can feel the screw heads through the surface and airports become ‘interesting’

    But the scar looks cool (IMHO)

    carbosteve
    Member

    I’m now on my second broken clavicle. 7 weeks into healing from breaking my right, after breaking my left 3 years ago.

    In both cases they looked pretty fkd on the x-ray with displacement and overlap.

    I now have symmetrical lumps and narrower by about 75mm on both sides.
    I was offered surgery this time round but as my left healed fine with no loss of movement or strength and this one looked almost identical on the x-ray to last time along with Dr’s advices, I opted for the natural approach.

    The first four weeks seem to drag by with very little progress, but then all of a sudden they start to get strong and then every day it just gets better.

    I have an appointment in two weeks and all being well that should that. However last time I had a four week appointment and was then told to be careful for another 4 weeks, then assume will be ok. No follow up appointment! Mine now feels pretty good so I’m back to riding again (nothing too crazy just yet though)

    I now consider myself an expert on collar bone breaks as I have read everything the internet has to offer on the subject twice over. Both times I have consumed unhealthy doses of calcium, cod liver oil (for Vit D) and glycosamine. In summary:

    1) Surgery or natural method they take a while to heal and it can be a bit depressing especially when it’s biking weather, but soon enough you will be back to normal

    2) Doctors are vague and seem to guarantee nothing, but trust them all the same, they see this all the time. Some say it is the most common break and 95% are said to heal fine naturally.

    3) Collar bones break – Unfortunately an occupation hazard of cycling.

    However you get mended try not to worry about it and welcome to the club!

    tomj
    Member

    I’m not an orthopaedic surgeon but I am a doc who regularly anaesthetises for shoulder surgery. The management of clavicle fractures is controversial, even amongst surgeons. Most do not need surgery and will heal perfectly well with immobilisation – even if there is some overlap. Surgery is usually indicated if there is a significant overlap or such severe ‘tenting’ of the skin that it’s causing damage. Otherwise it’s not clear. Surgery probably speeds up recovery and probably gets the strength back quicker. How important that is for a non-professional sports person I don’t know. The downside is the risks of surgery. These are pretty slim if you are fit and healthy but anytime you put metalwork in the big risk is infection, which can range from very minor to do severe the metalwork has to be removed. Again this is rare but not unknown.
    This is why the surgeon wants to be certain that you definitely want the op. it’s not like some fractures that need to be fixed ASAP and its pretty specialised surgery which is why you’re on a dedicated op list. The nurse is saying what they say to everyone at pre-op so there are no cancelations or surprises on the day. If you’re fit and healthy with no major allergies there shouldn’t be a problem. As an aside smoking is a big no no with healing any fracture and is a risk for infection if there’s metalwork.

    Hope this helps. Remember I’m not a surgeon or your doctor so this isn’t formal advice. Ultimately neither approach is wrong and I suspect your surgeon wants to make sure you know the risks and benefits of both.

    mickolas
    Member

    thanks everyone. was just feeling a bit unsure yesterday, especially after googling bolton royal following Hallz comment!

    your experiences make me feel like not having it pinned would not be the end of the world at all, but I am happier to be having it done. had my pre-op today and all is well. roll on Tuesday!

    poonprice
    Member

    I broke mine 9 weeks ago and they just said to leave it, its snapped into effectively 3 pieces.

    At the 6 week appointment there was no sign of bone growth, I had a chest x-ray last week and got a glimpse of my collarbone and still no sign of bone growth.

    I have an appointment with the consultant next week for another xray which will be 10 weeks.

    I’ve seen 3 different consultants and non of them want to operate, so guess your lucky they gave you the option.

    Let us know how it goes.

    Premier Icon ir_bandito
    Subscriber

    I did something similar years ago (anyone go to the BUSA champs on the IoW in 2000?)

    About 4 years later, still in pain, unable to carry a rucasac or lie on my right side, I had the lump chamfered off.
    All is well now 🙂

    Squidward
    Member

    I had a displaced fracture (by about an inch) to my collarbone in May 2011. Being a sponsored rider I was desperate to get on back on the bike ASAP. The consultant said I was right on the borderline of plating it or not: and although they preferred not to plate it, they would do so if I insisted. After taking a second opinion and the collective wisdom of my coach and numerous other riders I let it heal naturally. I didn’t want a plate remaining in there if I was to fall on it again (likely) and I didn’t want the time out of riding at a later date to have it removed.

    It took 12 weeks before I was confident in its strength to get back on the road bike (but that was a road trip to the Pyrenees), and 4 months before I was back on the mtb properly – much longer than I had hoped for.

    However, after following good physio advice and really working hard at my rehab it did eventually heal well, and I came back a much stronger rider. Within a year I podiumed at a national 24hr solo, with no ill effects.

    I still have a lump in the collarbone similar to WackoAK, but other than having to occasionally rearrange a camelback strap I don’t notice it at all.

    If you provide your body with the best conditions for it to heal itself by resting, getting plenty of sleep, eating healthily, taking supplements (such as calcium, potassium and vit C & D), and not doing too much on it too soon you should recover well whichever option you choose. Recovery isn’t a competition. Everyone heals at different rates, so try not to get too hung up about expected recovery time from other’s experiences, your body will tell you when you are ready to ride again if you just listen to it.

    Fitness can be maintained well on a turbo trainer, and will give you a hunger to ride a proper bike when you are able to do so again.

    Be realistic, keep positive, and you should be back riding better, faster, stronger than before.

    hallz
    Member

    @poonprice – new bone growth doesn’t show on an x-ray! So really don’t worry too much that you cant see any…

    @mickolas – i saw that you mentioned MK Cycles on another post, realised that you must live near me and took a stab that your op would be at Bolton Hospital. God i’m so funny…! 😀

    mickolas
    Member

    hallz, I lived next to the ‘flowers’ estate in Farnworth for a couple of years about 8 years ago (practically on the doorstep of Bolton Royal for those who don’t know). in darwen now and they’re sending me to Burnley for the op.

    I did ask about risk of infection and what they thought of the bad press Bolton got. the nurses don’t seem too upset by the ‘revelations’. seems it is a statistical inevitability that Bolton will come off bad on paper because of the nature and volume of their intake. and the waiting times for trauma victims because they are picking up the slack due to closures elsewhere.

    anyway, I am reassured that the likelihood of infection is minimal during the procedure and that the ‘danger zone’ is post-op, when a large part of the risk is dependant on me taking appropriate measures to protect myself. also, given I am generally robust and in good shape, my risk is fairly small. and credit to the nurses for not taking any offense at my bumbling enquiries (“having an operation – will I die?”).

    poonprice
    Member

    @hallz as far as I know they expect to see some sign of fusing/bone growth at 6 week x-ray.

    owenfs7
    Member

    As others have said the clavicle normally heals very well without intervention (I’ve broken mine three times so I should know). I don’t want to add to your worries but there major nerves in that area which is why my wife elected not to have surgery on hers when she dislocated it and she is an orthopaedic surgeon.

    mickolas
    Member

    thank owen – it is something to think about. the surgeon doing my procedure is very experienced and tutors trainee surgeons, so I’m hopeful that I’m in good hands; I acknowledge that there’s no such thing as a sure thing though.

    mickolas
    Member

    that’s cool – looks like you a pet salamander on your shoulder. Did you get a copy of your xrays or did you photograph them yourself?

    nockmeister
    Member

    Did mine two years ago…plated after two weeks as it wasn’t knitting (the older you are the less chance of it not knitting)
    Like Lugz i have the odd chafing moment, and I can feel the screw heads etc. I took a pic of the PC screen when the Consultant showed me his handywork 🙂

    oh as owen7 states, i have a numb area around my shoulder as they cut through some nerves, not a biggie and it was discussed prior

    prezet
    Member

    You’re not being irrational. I did exactly when I cased some trails on a bmx. I had to then drive about 60 miles to the hospital (where my other half works) – the doctor said he wanted to leave it. Then I saw the x-rays (like yourself) and I pretty much insisted on an operation to put it right – for similar reasons, that I wanted the full strength back.

    The operation was quick, but the healing process took a while, and my shoulder was numb (cut through nerves) for months after. I’m glad I had the op as it’s back to 100% strength – the only niggle is when I have a rucksack on and the straps rub on the screws under my skin. It has a sharp, shooting pain.

    Operations are obviously more expensive than letting it heal naturally so the docs would rather take that approach, and to avoid any possible complications arising from an op. But, if you’re an active person, don’t take the risk of it healing badly and get the op.

    Premier Icon seosamh77
    Subscriber

    broke mine about 14 years ago, never got an op, got a lump where it broke though, but it’s as strong as ever.

    Mind mine took about 3 months to get to a reasonable strength, 6 months before I had confidence, and a year before i was confident enough for it to take a good proper dunt(ie falling on it..)

    Premier Icon glenh
    Subscriber

    prezet – Member
    You’re not being irrational. I did exactly when I cased some trails on a bmx. I had to then drive about 60 miles to the hospital (where my other half works) – the doctor said he wanted to leave it. Then I saw the x-rays (like yourself) and I pretty much insisted on an operation to put it right – for similar reasons, that I wanted the full strength back.

    I don’t think having a displaced fracture necessarily causes any weakness. When I did mine it was displaced by about 15mm and was left to heal naturally. I ended up with a lump similar to the photo above, but I’ve seen an x-ray of the site since and there’s more bone at the fracture site now than there was before, so I doubt it’s weaker.
    I do however have some pain issues due to the now misaligned shoulder.

    poonprice
    Member

    OP any updates to add after your operation? Hope all went well.

    I’ve just had another consultation today at 10 weeks and it seems mines not knitting and i’m now on the waiting list for an op to have it pinned and plated.

    Annoyingly mine has some fibrous tissue holding it together which is now allowing me to ride without much pain and hitting the trails at 70% , But i’ll be back down to 0% after the op sometime in september and I guess no riding until the lovely dusty trails have turned into mud pits…..

    What a waste of a great summer 🙁

    Sancho
    Member

    broke mine looks like a Z now, but no problems with it.
    However a friend who smashed his had it plated and had endless problems with the plates and the skin not healing over the plates, took him months and had repeat surgery.

    Sounds like you will be fine without surgery.

    mickolas
    Member

    well my surgery was postponed and now will take place on the 16th July. I’m seriously bored (hence all the time spent on STW :P). I’ve uninstalled the ebay app from my phone to try and stop me ruining myself buying parts I don’t need for bikes I can’t ride.

    poonprice – I feel for you. I feel bad for complaining because I haven’t really got it too bad.

    glenh – I agree the bone will be as strong either way. I was worried about “power” if you like. also some of my concern, I have to admit, is vanity because I want it to be straight again.

    sancho – hope your mate got sortef in the end!

    Superficial
    Member

    I think some people posting are perhaps underestimating the risks of surgery and the potential complications. There’s a reason that most clavicle fractures are not plated, and it’s nothing to do with cost/waiting lists. Most people on here do not need special dispensation – we are not elite athletes and probably shouldn’t insist on a surgical fix because it might get us back on the bike sooner.

    FWIW I had my clavicle plated, it needed it for reasons described well by Tomj (significant displacement and skin tenting / necrosis), but I wouldn’t push for it if I had been advised against surgery. It was about 4 months until I was riding a mountain bike again, 9 months until I could lie on that side without pain, and I have some prominent metalwork which causes problems with rucksacks occasionally.

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