bsbs1876 said:
Thanks *****. It sucked to go under the knife again but it is what it is. The neck stiffness is a lot better and my bone and muscles feel pretty good. I have some stitches in me again right now so the main focus is getting that to heal back up (some itchiness/standard suture pain and annoyance right now). I am still bandaged up again now so can't tell symmetry yet. I guess I'm a bit unlucky as this wasn't the plan but the good news is it hasn't hindered bone healing so that is still on course. The important part is the clavicle is now straight! B
Hi brad, i am sorry to hear this...post a pic when u can to see how the shoulder looks after some time of PT..of course it will take some time but at least the clavicle is ok! It's nice to see you being so positive about it even though it's let's say a small setback....i was really affraid of surgery and the complications it may come with so....at least there are some healthy thinking people out there like u who aren't affraid of any little complication! Keep it up!
 
I think it seriously just depends on the injury. Adult bones are completely different than children's and ORIF surgery is way more common and helpful in many cases.

I got the surgery, but I had also broken my clavicle in a few places, with several scattered comminuted (shattered) fractures throughout. I was a mess. Only needed the plate and 6 screws, but had to get a couple of bone grafts as well, surgery ended up taking almost twice as long as I was told it would take (and I got a little sick from the anesthesia as a result), but overall the healing has been pretty good and I'm thankful I didn't tear anything in my shoulder in the process (due to a repaired SLAP lesion 2 years ago). No complications to speak of in the last 4 months post op and I'm swimming, biking and running already... but I am having a bit of soreness around the plate now (recently), and there's still not a full union of my bone under it. bleh.

If you need it, you need it, but I will say, if you get hardware installed, it usually has to eventually come out again which requires another open surgery, another 6-8 weeks in a sling, etc. Leaving it in long term puts you at risk for osteoporosis of the bone under the plate since the plate is what will be bearing weight from daily activities. Pain in the @ss? totally. but sometimes it's just necessary.

I've met a few cyclists who regret not having the surgery after a non or mal union...
 
Originally Posted by NoodleArms .

I think it seriously just depends on the injury. Adult bones are completely different than children's and ORIF surgery is way more common and helpful in many cases.

I got the surgery, but I had also broken my clavicle in a few places, with several scattered comminuted (shattered) fractures throughout. I was a mess. Only needed the plate and 6 screws, but had to get a couple of bone grafts as well, surgery ended up taking almost twice as long as I was told it would take (and I got a little sick from the anesthesia as a result), but overall the healing has been pretty good and I'm thankful I didn't tear anything in my shoulder in the process (due to a repaired SLAP lesion 2 years ago). No complications to speak of in the last 4 months post op and I'm swimming, biking and running already... but I am having a bit of soreness around the plate now (recently), and there's still not a full union of my bone under it. bleh.

If you need it, you need it, but I will say, if you get hardware installed, it usually has to eventually come out again which requires another open surgery, another 6-8 weeks in a sling, etc. Leaving it in long term puts you at risk for osteoporosis of the bone under the plate since the plate is what will be bearing weight from daily activities. Pain in the @ss? totally. but sometimes it's just necessary.

I've met a few cyclists who regret not having the surgery after a non or mal union...
The controversy behind hardware removal is pretty high these days. I know people who have had plates in their body for going on 20 years with no complaints. Some doctors truly believe that it does not cause any problems while others think it should come out at some point. I guess a big factor is which bone the plate is installed on.

My doctor seems to change his mind with me. He first said I would probably want it out, then right after surgery said it might not have to, and now last time I saw him he seems to think it will have to come out again! As I've stated before, I'm just going to let time do the talking. I am only at 1 month post op (1 week since incision cleaning which was a second op for unfortunate me).

Your last statement is a good one. I see many more complaints and regrets from those who did not get surgery. Look at me, I got unlucky and needed 2 operations due to infection and I am still happy with this decision! I was just so uncomfortable with the crooked bone and am happy to have it straight again regardless of this complication.
 
Originally Posted by Clara M .


Hi brad, i am sorry to hear this...post a pic when u can to see how the shoulder looks after some time of PT..of course it will take some time but at least the clavicle is ok! It's nice to see you being so positive about it even though it's let's say a small setback....i was really affraid of surgery and the complications it may come with so....at least there are some healthy thinking people out there like u who aren't affraid of any little complication! Keep it up!
Hi Clara,

Thanks for the kind words as always. I hope everything is well on your end. You know what they say, crying doesn't fix anything. I am actually feeling really good the past few days and I changed my bandage the other day - the incision looks good. When life throws these curve balls at you, you just gotta slug away. Taking 4 antibiotic pills a day is no fun but you gotta do what you gotta do. On the plus side it's keeping me away from the beer so when all is said and done this is quite a nice cleansing for me too! Two birds, one stone ;)

B
 
Quick question for you all, how many days did you have your stitches in for? My doctor is letting mine stay in for nearly 17 days and I feel that this is too long personally.
 
Originally Posted by willy81 .


tell us about your situation now!
I'm doing pretty good, moving like nothing happened. I can't even feel the titanium plate anymore, it like be came part of me now. haha

I'm lifting and playing sports again but with lots of caution not to over do it. I'm doing pushups, pullups and dips with no problem at all.

I broke my collarbone last year of june 22nd and didn't get the surgery on August 5, it's now March 12.

I'm not planning on getting the plate remove, and my only concern is will it bother me as I get older.
 
Steve Whykes said:
I must awesome thread and glad so many people are sharing their experiences. I to suffered a broken collarbone  just on 2 years ago after being hit on by a car on my road bike riding home from work, both of us traveling at 30km at point of impact. My break was full separation see picture attached. All the surgeons I went to se stated to let it heal naturally so I did and now it has joined with an overlap and about an inch shorter. I have lost range of motion and still cannot lift heavy items without pain, and upto recently would get pins and needles and loss of feeling in my ring finger and pinkie. This has now become permanent in the last 4 days after going for a big ride. So I guess nerve damage can occur after even without surgery, has anyone else suffered this side effect permanently?
I am really very sorry for your situation and I believe you must find a good surgeon and goo ahead with the operation. It is unbelieveable how some doctors recommend to let it heal naturally, if you go back to them and tell them: "OK I let it heal naturally but it did not heal at all and now I have bigger problems", what they will say? will they accept their mistake? Steve, I am telling you again, don't waste your time, find a good surgeon and go for the surgery asap.
 
bsbs1876 said:
Quick question for you all, how many days did you have your stitches in for? My doctor is letting mine stay in for nearly 17 days and I feel that this is too long personally.
I had internal stitches like the ones plastic/cosmetic surgeon do, so no need to remove later, and the scar is also like the ones done in cosmetic surgery so no much visible but 17 days is normal to remove them, i know from other little injuries I had.
 
ezcompany said:
willy81 said:
tell us about your situation now!
I'm doing pretty good, moving like nothing happened. I can't even feel the titanium plate anymore, it like be came part of me now. haha  I'm lifting and playing sports again but with lots of caution not to over do it. I'm doing pushups, pullups and dips with no problem at all.  I broke my collarbone last year of june 22nd and didn't get the surgery on August 5, it's now March 12.  I'm not planning on getting the plate remove, and my only concern is will it bother me as I get older. 
good, I plan to have the plate removed and this is I believe is the right way to go, the plate as a metal does not let the surrounding muscles bond fully with the surface of the bone and this is something I can feel and that's the reason I want it out when the time comes,
 
Originally Posted by willy81 .


I had internal stitches like the ones plastic/cosmetic surgeon do, so no need to remove later, and the scar is also like the ones done in cosmetic surgery so no much visible
but 17 days is normal to remove them, i know from other little injuries I had.
Thanks for the response. I had the internal sutures done the first time around but since I had a second operation to clean my wound the surgeon decided to use regular stitches this time around. It actually feels way better than the internal ones did. I can see that it is pulled in tighter and the scar should just be a thin line that follows the clavicle which I am cool with. As I've stated before, a scar is the least of my worries. Pain heals, chicks dig scars, glory lasts forever!
 
Originally Posted by willy81 .


I am really very sorry for your situation and I believe you must find a good surgeon and goo ahead with the operation.

It is unbelieveable how some doctors recommend to let it heal naturally,
if you go back to them and tell them: "OK I let it heal naturally but it did not heal at all and now I have bigger problems", what they will say?
will they accept their mistake?

Steve, I am telling you again, don't waste your time, find a good surgeon and go for the surgery asap.
Thanks Will, I have just seen my surgeon again today and he is surprised that I still have pain around the break 2 years on. He has ordered an MRI to check for damaged not detected earlier and then we will discuss the surgery option again. Which has stated would be a bone graft from my hip and plate. Here is a pic of the last xray showing the join. Next appointment is 4 weeks.
 
Originally Posted by bsbs1876 .

Quick question for you all, how many days did you have your stitches in for? My doctor is letting mine stay in for nearly 17 days and I feel that this is too long personally.
2 weeks for me - it was this one long stitch that covered the ~4" incision... I took a video of the Physician's Assistant just pulling it out like a little thread. I had internal stitches too, though, and the majority of the external stuff was held together with about 12 steri-strips.
 
Originally Posted by bsbs1876 .


Thanks for the response. I had the internal sutures done the first time around but since I had a second operation to clean my wound the surgeon decided to use regular stitches this time around. It actually feels way better than the internal ones did. I can see that it is pulled in tighter and the scar should just be a thin line that follows the clavicle which I am cool with. As I've stated before, a scar is the least of my worries. Pain heals, chicks dig scars, glory lasts forever!
bahaha! "chicks dig scars"

I actually LOVE my scar - it's so hardcore... surgeon gave me a "necklace" incision underneath the collarbone and even though it's still puffy and red now (4 months post op), it should heal fully to just a faint line. Same surgeon also did two shoulder surgeries for me - one in 2005 which required open and arthroscopic incisions, and one in 2010 which was just arthroscopic (I'm a mess - very active with crazy ligamentous laxity) and they scars are barely noticeable at all.

question - what's everyone's experience with the numbness around the incision... mine is still pretty numb, and has barely gotten any better since the surgery. I was told it could take up to a full year post op to gain feeling 100% - the way they go in, they have to sort of "stretch" a bundle of nerves out of the way.
 
Originally Posted by bsbs1876 .


The controversy behind hardware removal is pretty high these days. I know people who have had plates in their body for going on 20 years with no complaints. Some doctors truly believe that it does not cause any problems while others think it should come out at some point. I guess a big factor is which bone the plate is installed on.

My doctor seems to change his mind with me. He first said I would probably want it out, then right after surgery said it might not have to, and now last time I saw him he seems to think it will have to come out again! As I've stated before, I'm just going to let time do the talking. I am only at 1 month post op (1 week since incision cleaning which was a second op for unfortunate me).

Your last statement is a good one. I see many more complaints and regrets from those who did not get surgery. Look at me, I got unlucky and needed 2 operations due to infection and I am still happy with this decision! I was just so uncomfortable with the crooked bone and am happy to have it straight again regardless of this complication.
that's interesting... my surgeon basically said that some people can tolerate the hardware longterm, but it depends on the person. I've got a small frame, and have been told it's not a matter of IF I'll eventually get osteoporosis, but WHEN... the way my surgeon described it is in smaller framed people, the plate tends to get more painful over time. she said that in others, it could just be an annoyance for people like fire fighters who have to carry heavy backpacks. I know that personally, I've had to ditch my backpack and actually feel a lot of pain when I wear "X-back" sports bras and swim suits because the strap sits RIGHT on top of the distal end of the plate. also, she did say that as the patient ages, they see a lot of osteoporosis of the bone under the plate because osteoblastic and osteoclastic activity slows down when there's no weight bearing on the bone... makes sense to me, but that sounds like a long term complication and obviously wouldn't include everyone. as someone with a history of stress fractures, however, it worries me a bit.
 
So this is how my comminuted fracture looks like after 5 months. No surgery, ROM is not as before that's obvious but I am working on that.
400
 
Clara, that doesn't look bad at all! You can barely notice. You saw mine, the thing was poking right up outta me! I would focus your attention purely on the function of your shoulder because you look fine aesthetically.
 
NoodleArms said:
question - what's everyone's experience with the numbness around the incision... mine is still pretty numb, and has barely gotten any better since the surgery.  I was told it could take up to a full year post op to gain feeling 100% - the way they go in, they have to sort of "stretch" a bundle of nerves out of the way.
could you remind us when did you have your Collar bone broken and when did you have the surgery? In the first weeks after my surgery the incision was felt puffy but this feeling went away with time, now 8-9 months post op it does not feel puffy at all. I still have a numb feeling at the impact point and along the cb which, the second, might be because the plate does not let the surrounding muscles bond fully with the collar bone and as I have said this is my No.1 reason I want the plate out when my surgeon gives the green light. You look quite accident prone. Well, I can't complain myself, I had an arthroscopic surgery for a full scale rotator cuff repair some years ago.
 
Clara, I struggle to see which side was broken! I've attached a pic of me 3 weeks after my break. My range of motion seems quite good already but I'm trying not to move too much even tho I feel I want to. Steve, I feel my break is similar to your initial X-ray. Interesting to here your still struggling. I have an appointment in a week where I am going to put forward my concerns at letting this completely heal naturally.
400
 
Originally Posted by willy81 .


could you remind us when did you have your Collar bone broken and when did you have the surgery?

In the first weeks after my surgery the incision was felt puffy but this feeling went away with time, now 8-9 months post op it does not feel puffy at all.
I still have a numb feeling at the impact point and along the cb which, the second, might be because the plate does not let the surrounding muscles bond fully with the collar bone and as I have said this is my No.1 reason I want the plate out when my surgeon gives the green light.

You look quite accident prone.
Well, I can't complain myself, I had an arthroscopic surgery for a full scale rotator cuff repair some years ago.
sure - I broke mine on November 2, 2012 and got the surgery on November 13, 2012, so it's been 4 months now post op. still a non-union under the plate, still a little painful and almost completely numb along the entire incision and about an inch surrounding it, if that makes sense? interesting about the muscles in that area - hadn't thought of that before. my surgeon says it's because there's a bundle of subclavian nerves they have to sort of "stretch" out of the way to gain access to that area, but the muscle thing makes a lot of sense too.

I'm completely accident prone, you're right. I've torn both shoulder AND hip labrums requiring arthro surgery to repair over the last 8 years. My friends call me "Calamity Jane" - my surgeon says I have ligamentous laxity and an "overgrowth" of cartilage in my joints... but really, I'm just accident prone.
 
Originally Posted by sinkthiscity .

Clara, I struggle to see which side was broken! I've attached a pic of me 3 weeks after my break. My range of motion seems quite good already but I'm trying not to move too much even tho I feel I want to.

Steve, I feel my break is similar to your initial X-ray. Interesting to here your still struggling. I have an appointment in a week where I am going to put forward my concerns at letting this completely heal naturally.
My advice to you is to take the surgery if it is an option for you. Especially if you are right handed. That's pretty much what I looked like for 3 years and it was no fun. The shoulder just never felt good being that much shorter. You lose so much strength and coordination when it is pushed in closer to your torso like that. I wish you the best of luck.