Clavicle (Collar Bone) Surgery at Sanders Clinic (Before and After)

http://www.sandersclinic.net
Clavicle (collar bone) fractures are a common occurrence in Orthopaedics, accounting for nearly 2.6% of all fractures. They also occur most commonly in young active individuals. The patient in this video, a 28 year old male, fractured his right clavicle riding a motorcycle. After his injury, he visited an Orthopaedic surgeon. The treatment plan... a figure-8 brace. In a recent article from the Journal of Bone and Joint Surgery American Edition (2007)*, it was stated that for displaced midshaft clavicle fractures, the rate of nonunion (not healing) without operative treatment (e.g., a sling or figure-8 brace), was 15.1%. For the same type of fractures, with operative treatment (e.g., using a plate), the nonunion rate was 2.2%. Needless to say, after 8 weeks of being in a figure-8 brace, this patients clavicle did not heal. So, he decided to come to the Sanders Clinic for Orthopaedic Surgery and Sports Medicine, in Houston, Texas, where he met Mark Sanders, MD FAAOS. Here, the patient was educated about surgical fixation using a titanium locking plate and booked for surgery the next week. The video shows footage of the patient both before the surgery and 1 day after his surgery. After surgery, the patient came back to the office. His dressing was changed, x-rays were taken, and he began rehab. Because he was in a sling for 8 weeks prior to seeing Dr. Sanders, the muscles in his shoulder and arm had atrophied (weakened), making rehab slightly more difficult. Regardless, his clavicle is now fixed and he is on the road to having a normal life again. For more information about clavicle fractures, nonunions, or malunions treated surgically, the Sanders Clinic, Dr. Mark Sanders, or other injuries, please visit our website at http://www.sandersclinic.net or call 1-888-8DR-MARK. Thanks for watching!

* Canadian Orthopaedic Trauma Society, J Bone Joint Surg Am. 2007;89:1-10.

** Please DO NOT try this at home if you are not a Sanders Clinic patient.

***Consent from this patient has been obtained. For legal information, please visit http://sandersclinic.net/legal_notice.html

Category:

Sports

Tags:

• surgery
• reconstruction
• operation
• sanders
• clinic
• orthopaedic
• orthopedic
• sports
• medicine
• houston
• texas
• rehab
• therapy
• accelerated
• fast
• rehabilitation
• bone
• quick
• physical
• bicycle
• bike
• ski
• basketball
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• motocross
• skateboard
• motorcycle
• skiing
• injury
• outpatient
• hospital
• opposite
• autogenous
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• tibia
• clavicle
• collar
• shoulder
• locking
• plate
• screws
• titanium
• open
• reduction
• internal
• fixation
• metal
• precontoured
• xray
• fracture
• nonunion
• sling
• figure-8
• brace

[MrYakatori]

i have a question

i re-broke my collar bone about 1 week and 4 days ago almost 2 weeks now

i have gotten a big bump on it now and it feels weird

and it doesnt feel straight and i feel like i might need surgery

but i dont know if its too late or not

can i still get it done?

[sandersclinic]

@MrYakatori

There is no problem repairing a clavicle fracture at two weeks. Finding a competent person with experience with these problems is not so easy though.

[dr3w79]

I had a pin fitted just on 4 weeks ago.

while the xray show union developing I'm suffering greater pain then the break or the surgery in my trapezoid near the ac join. close enough to where the pin was drilled through. I have been injected with steroid which was mixed with local. this gave me instant relief for a short while.

What would you suggest is happening? and will it get better without another surgery?

[sandersclinic]

Clearly, the pin is irritating the soft tissues around the shoulder.  Hopefully the fracture will unite soon and you can have the pin removed.

I have seen this problem a few times before, and don't intall these pins.

[dr3w79]

I was told that the pin will never be removed? it has been three days since the steroid injection and I'm starting to feel some relief. I think it must have been muscle damage "collateral" from surgery. why would they choose to leave the pin in place for the rest of my life? what are the pro's and cons to this decision?

[sandersclinic]

I think that this issue that you will have trouble with the pin has all ready declared itself.

I would take it out as soon as fracture union was established. Period.

[izzatnadiri]

hi, i broke my clavicle bone 4 days ago.doctor said i dont need a surgery.i took painkillers several days and now pain is gone.at least it doesnt hurt much.however, there is a bump there.not big, and hardly noticeable.but i can feel it with my finger.is it possible that i might need a surgery even if doctor said that i dont? and can i already dome some stretching exercises of arm itself? btw im using sing.thanks in advance!

[jmecrg]

@amiralizb i was thinking the same

[jmecrg]

i am 3.5 weeks after my surgery .... dr sessions in henderson tx did mine ... feels tight going today to get staples out

[MrSPACEDUDE13]

its been 4 months and the anesthesia hasnt worn off so i cant feel it is there something wrong?

[stayfly2cam]

how long after do you get back to normal

[MrPrimoTurismo]

@sandersclinic i also have a qestion i have broke my collarbone about a month and half ago. its fused but in a shape like this ^ but not that extreme. im 17 year old young guy and now i often get lots of shoulder/neck pain i have also noticed that the side i broke it on is fairly level with the non broken side but the side i broke it on is now a bit shorter in length. My doctor says no surgery so far, he said being young as i am the bone should heal more stright over time, is this true.thax

[AlbyShore44]

i have a question

i fractured my clavicle about 6 months ago. The break looks close to the mans in this video, my doctor says i dont need surgery but i think otherwise. Will it ever be the same without surgery?

[amiralizb]

I did the same ORIF surgery 20 days ago and my doctor prohibited me from any shoulder movement above my head for a month! and this guy is doing therapy A DAY AFTER surgery!!!! what the hell?

[amiralizb]

I did the same ORIF surgery 20 days ago and my doctor prohibited me from any shoulder movement above my head for a month! and this guy is doing therapy A DAY AFTER surgery!!!! what the hell?

[wintherkill]

i broke my collar bone 15 days ago i crashed on a bike jump and landed strait on the collar bone