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Help! Broken collar bone anyone to offer some good advice?post #1 of 76/3/13 at 12:14amThread StarterMy son broke his clavicle bone over the weekend an we at set to go to the ortho tomorrow. Any advice regarding surgery or not? What were your experiences with this. I'm hoping we see a dr with a let it heal approach but we will see what he advices is tomorrow. I know th Eric dr said pins and plates probably but from reading on the net a lot of dr's depending where it's broken will advise the let heal approach. Thanks for any advice you can share.post #2 of 76/3/13 at 12:57amI broke my hand years ago, and was referred to a hand specialist by the ER doc. The specialist gave me the "possibility of surgery, and inserting pins" speech, when I interrupted and asked if he had looked at the x-ray. He hadn't, so I refused to listen until he looked, and showed me. After he looked, he decided it was fine the way it was. I had the distinct impression that he was no longer interested in having much to do with me. I was annoyed by his scare tatics.
Based on what I went through, I advise not worrying (as much as possible). Insist upon seeing the x-rays yourself, if you haven't seen them yet. Remain calm. Have an idea from online of when plates or pins are really needed, and when they are not. It really depends on what your son's bones look like right now, whether surgery is in his best interest. Just make your decisions on facts, not conjecture. And insist the doctor does the same.
I wish you well! I hope surgery is not needed.
Edited to add : I tried to find some images that showed what kind of break needs surgery, and couldn't. This link mentions that most do not. http://www.google.com/url?sa=t&source=web&cd=5&ved=0CDgQFjAE&url=http%3A%2F%2Fwww.mayoclinic.com%2Fhealth%2Fbroken-collarbone%2FDS01184&ei=_VmsUa-AILCC0QGUvoGwCw&usg=AFQjCNHcCDukhdCZlQtPhlHjq3n_uzd1Xw
The only other reason I can think of for recommending surgery would be how active your son normally is. I can see a doctor recommending a plate if he is usually very active, or if it will be difficult for you to help him dress and bathe. If that is the reason given for putting in a plate, you can suggest the doctor x-ray the shoulder again in a week to see if it is staying in position without the plate. I hope this helps.
Edited by pek64 - 6/3/13 at 2:05ampost #3 of 76/3/13 at 5:48ampost #4 of 76/3/13 at 6:46amThread StarterFrom what all I have read online it does depend where the break occurred. Says if at the ends of the joint is when most recommend surgery. I think we may can get away with less intervention because I don't think it was at the end but I need to see X-ray and ask more questions. I know I have also read that it is an area where less intervention is better due to infection and all the nerves in the area. He is still young even if at the end I may say well dr can we try this approach and then take a look in a few weeks to check on the healing then and do lots of praying. We have the summer so activity wise it's gonna stink but if we can avoid less intervention I think the better. Thanks for the healing wishes they are really needed.post #5 of 76/5/13 at 7:01amThread StarterWell dr gave us upfront advice that he let'shis patients decide if they rather have a plate put in or just let it heal! A relief at first but now I'm like how is this large bone ever going to look or repair right. ;(. Would feel better if bone was set and cast or something. ;( he has had some rough nights with not much sleeping in the recliner. ;(.post #6 of 76/5/13 at 8:05am
I'm not a doctor, there, that's my disclaimer.
I've known a few people with collar bone fractures (some clients, and DH before I met him). The ones who had surgery ended up with it because the fracture was too complex and wouldn't heal on its own. DH's was clean and they just let the bones heal together the way they were so that now you can clearly see there are two pieces sitting on top of one another. I'm telling you this to illustrate that it may not ever look right again, but DH has good mobility and use of his shoulder.
From a mechanical standpoint you want to get it as straight as possible, whether that is through surgery or not. The collar bone plays an important role in shoulder motion and clearance under the acromion as the shoulder lifts above 90 degrees. Surprisingly a lot of muscles also attach on the collar bone and rely on the ability to create pull from the collar bone and the scapula at the same time. With that in mind keeping the shoulder immobilized but also limiting movement at the neck would be good. Did they give your son a sling that also straps his arm to his torso? Try to get it positioned where the chest isn't collapsed too much, i.e. like a slouching position.
Good luck and I hope your son has a speedy recovery!post #7 of 76/5/13 at 8:33amAlso wishing your son a great recovery!
My father broke his collar bone after I moved away from home, and it healed without a plate. I don't know much about his experiences and, as he's passed on, can't ask him. They don't use a cast for a collar bone. I'm not sure why. It's bound to be frustrating, but if he has the plate put in, then either he will have to live with remaining, or have another surgery and bone healing time to have it removed. This will be over sooner without the plate. That's the upside. The downside is the added inconveniences. A tough choice.
Again, my best to you and your family! May it go smoothly!
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