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Old 08-13-2008, 06:28 PM   #21
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well lets see mine hurts and I have full range of motion and I have several other really cool things that still hurt, compression fx and other kewl sheet, but not everyone has discomfort post recovery/physical therapy, but I guess most guys don't continue to abuse themselves like others. so its possible that he won't have any pain after "full recovery" or recoverd as fully as it will. it also depends on what damage is done to the other areas of the shoulder too

I do think he should go get it pinned with a stabilization plate because if he doesn't it will not heal correctly and will be a debilitating problem.
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Old 08-13-2008, 06:37 PM   #22
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well lets see mine hurts and I have full range of motion and I have several other really cool things that still hurt, compression fx and other kewl sheet, but not everyone has discomfort post recovery/physical therapy, but I guess most guys don't continue to abuse themselves like others. so its possible that he won't have any pain after "full recovery" or recoverd as fully as it will. it also depends on what damage is done to the other areas of the shoulder too

I do think he should go get it pinned with a stabilization plate because if he doesn't it will not heal correctly and will be a debilitating problem.
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Old 08-13-2008, 06:55 PM   #23
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I say go with the metal....I had no option with my ankle and kinda glad I didn't. I still only have 75-80% mobility, but without the plates and screws I'd be much worse off. Go with the plate, you'll appreciate it later in life especially.
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Old 08-13-2008, 07:21 PM   #24
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for what its worth, I broke mine in the same manner and let it heal on its own operlapping. Its now been 4 years and I have no problem with range of motion or it "not being as strong" as a matter of fact it feels stronger.. The wait for it to heal was a though, despite that i was back on 2 in a week.
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Old 08-13-2008, 07:51 PM   #25
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Dude, mine looked worse than that and I let it heal on it's own. I have a bump there, that is all. No pain, no decreased ROM, no issues at all.

Some people don't have those results, some do, everyone is different.

If you're in a huge hurry or absolutely can't be out of work (if it causes that for you), I can see considering the surgery. But if Dr Sanders (who is quick to cut) gave you an option, I'd go with letting it heal on it's own

I'll see if I can find some pics of mine so you can see and compare- basically though, mine was broken in the same place, in basically "3" pieces (the "middle" piece was shattered in to about 3 of it's own pieces), and I've got nothing to complain about other than getting desk duty for a couple months.
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Old 08-13-2008, 07:52 PM   #26
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homie didnt even know.... get well soon man
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Old 08-13-2008, 08:20 PM   #27
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The clavicle will grow together if you put the two ends in the same room together. Most people have no issues without surgery. As far as it not being as strong...ANY break only regains 85%(give or take) of its original strength...regardless of surgical fixation or not. Yours doesn't look that bad. I could never give you medical advice on a forum, but if it were me or my family, I wouldn't go with surgery (assuming you have no circulation issues). But what do I know...
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Old 08-13-2008, 08:27 PM   #28
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How well have you healed up, Eric?? That doesnt look very pleasant at all...
Still stiff and sore at times but all good
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Old 08-13-2008, 08:28 PM   #29
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For you guys that let your heal on its own. How long did it take before you could use it completely without much pain?
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Old 08-13-2008, 08:39 PM   #30
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as you may know, i broke mine in May. Rode 3 track days with it broken and it hurt like a ! had the plate and 7 screws, was back on the bike in 7 days and did my first track day in 10 days. my shoulder and titty are still topicaly numb, but there has been no pain! i say get the plate and get back on the track!
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Old 08-13-2008, 08:41 PM   #31
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I had almost no pain, just occasionally if I played a lot of golf or slept on my left side. My range of motion is the same as before. I was back on the track within 3 months but it could have been sooner if work hadn't gotten in the way. I was also taking it easy because I had dislocated that same shoulder three months prior to breaking the collar bone. Most of my pain came from my chest being bruised in the landing from the highside.
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Old 08-13-2008, 08:50 PM   #32
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For you guys that let your heal on its own. How long did it take before you could use it completely without much pain?
Candie because of the location of your break it is almost the same as having to heal on it's own. There is a little better stability the way yours was repaired but it's still not as well as if it were pinned.

By the way the response above not to repair the break a very common opinion of the medical profession, but the medical profession mainly sees and studies mostly sedentary patients. If you don't ever use it much then letting it heal on its own isn't going to make much of a difference. Not many Docs in the profession of treating athletes would offer this advice.

Here are some studies indicating the dissatisfaction of nonsurgical treatment.Go read if you like. Bottom line is methods of these repairs are much better than they ever were before and the result is now much better than when these original opinions of non surgery were formed.

Hill JM, McGuire MH, Crosby LA. Closed treatment of displaced middle-third fractures of the clavicle gives poor results. J Bone Joint Surg Br. 1997;79B:537-539.
Lazarides S, Zafiropoulos G. Conservative treatment of fractures at the middle third of the clavicle: the relevance of shortening and clinical outcome. J Shoulder Elbow Surg. 2006;15:191-194.
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Old 08-13-2008, 08:51 PM   #33
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Something to consider...There are risks with every surgery. Risk for nerve/vascular damage. Risk with anesthesia. Risk with infection. In my opinion (value it for what it costs you), surgery should be performed only if it's unavoidable.

I'm glad it worked out for you Godsuki. It may be that for Iceman surgery is the best option. It may not be too. Everyone's break/healing potential/comorbidities are different.

Orthopedic surgery on the clavicle is not usually needed.

Iceman...goodluck with your healing. PM me if you have any questions...
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Old 08-13-2008, 08:53 PM   #34
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Well work is not an issue... I have a desk job. And yes Doc Mark is quick to cut me open for sure. For those who let it heal naturally, does your collar bone go back down after it heals and does your shoulder on the injuried side is even with the other side?? And was wondering if you guys that let it heal naturally have some post xrays pics of the collar bone after it healed. Seems like this is a very controversial issue.
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Old 08-13-2008, 08:54 PM   #35
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Godsuki...sorry about the num titty...
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Old 08-13-2008, 09:01 PM   #36
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thanks Jerran! Having a limp nipple wasnt on my wish list, but its better than a limp dik!
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Old 08-13-2008, 09:02 PM   #37
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thanks Jerran! Having a limp nipple wasnt on my wish list, but its better than a limp dik!

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Old 08-13-2008, 09:08 PM   #38
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Well work is not an issue... I have a desk job. And yes Doc Mark is quick to cut me open for sure. For those who let it heal naturally, does your collar bone go back down after it heals and does your shoulder on the injuried side is even with the other side?? And was wondering if you guys that let it heal naturally have some post xrays pics of the collar bone after it healed.
Look first of all they don't all heal together. Some stay separated. (If you don't plan to use it much it doesn't matter) If it does heal often it heals shorter than normal and often it heals below it's original position because of the weight of your arm pulling downward. (Again if you don't use it much it doesn't matter) I've had the opportunity to follow people up to 25 years after a break who have problems with the broken shoulder from slight to impingements that are very painful and debilitating and then some are just unstable with no problems. The clavicle is there to perform a very specific purpose, when it's altered it does make a difference.

Surgery is a risk. So is riding a motorcycle.

This is only my experience and opinion. I am not a Doctor and cannot give medical advice.
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Old 08-13-2008, 09:17 PM   #39
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Look first of all they don't all heal together. Some stay separated. (If you don't plan to use it much it doesn't matter) If it does heal often it heals shorter than normal and often it heals below it's original position because of the weight of your arm pulling downward. (Again if you don't use it much it doesn't matter) I've had the opportunity to follow people up to 25 years after a break who have problems with the broken shoulder from slight to impingements that are very painful and debilitating and then some are just unstable with no problems. The clavicle is there to perform a very specific purpose, when it's altered it does make a difference.

Surgery is a risk. So is riding a motorcycle.

This is only my experience and opinion. I am not a Doctor and cannot give medical advice.
XRCajun...You're right. Many people have long-term issues with malaligned fractures. Looking at Iceman's xrays and the amount of displacement makes me think that perhaps no surgery would be better. I could and may be wrong.

Even though I'm a doctor, I would never offer medical advice over the internet.
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Old 08-13-2008, 10:04 PM   #40
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Quote:
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Well work is not an issue... I have a desk job. And yes Doc Mark is quick to cut me open for sure. For those who let it heal naturally, does your collar bone go back down after it heals and does your shoulder on the injuried side is even with the other side?? And was wondering if you guys that let it heal naturally have some post xrays pics of the collar bone after it healed. Seems like this is a very controversial issue.
I don't think it's controversial, it's just that each person and MD's opinion is different with given situations. I know from lots of racing friends that have seen Dr Sanders that he prefers surgery.

Cajun, as far as studies go, for every 10 studies with one conclusion, you will find 10 more that will disagree. Doctors rarely have the same opinion unless they're in a group. With the Ortho's I've known, there are always two camps, one that prefers surgery for various reasons (mostly within reason), and those that don't (and call themselves "old school").

Ice, I don't have any pics after healing, but no, the bump doesn't "go down". I know from looking at the x-rays and talking to my Ortho that the bones did fuse, and there is no "gap". My shoulder doesn't appear narrower on the left, nor is my posture different. If I didn't show you the bump, you'd never know it was there. I play ice hockey once/ week, ride track days 2-3 days/ month, and have a very physically demanding profession. For the record, my Ortho is a sports specialist. He said he would cut on me if I wanted, but he didn't think it was necessary, and would cut on me if I was worried about the bump that would be there without surgery. He also discussed the "side effects" or possible problems as Jerran outlined with doing surgery- the ends didn't justify the means.

As I mentioned, my fracture looked worse than the one you posted.

I waited 3 months before riding again, by his advice. It didn't kill me. I waited 4 months before getting back on the ice (ice hockey) though, and that was by my choice, he said I could go back after 3.

If Sanders isn't forcing surgery, why do it? Personally, I opted out and let it heal.
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