I was car-doored and ended up on the road on my right shoulder. I didn’t break my collar bone but ended up tearing the ligaments at the back of the shoulder and now have a grade 3 separation of the collarbone at the AC joint, basically I have a free floating collarbone. I’m interested in hearing Dominics thoughts on the treatment of this type of injury. I havent come across many of them among fellow cyclists..

Outch. Getting car-doored is one of my worst nightmares. It can’t be anything but messy

Outch. Getting car-doored is one of my worst nightmares. It can’t be anything but messy

I hope times have changed. I shattered my collarbone into 4 pieces many years ago coming off my bike. It was tenting (one bit of bone poking out and the skin stretched over the end like a tent). At the hospital, they just put me in a sling and sent me on my way. A year later I had to have an operation to shave the bone down a bit as it was still uncomfortable to have a seat belt on. Nowdays I have shoulder issues because of the shortened collarbone. I wish they’d explained the options to me at the hospital as I’d probably have taken the surgery.

Dr. Dominic Briscomb,
So you break your clavicle, have surgery heal and get back on the bike. Should you remove the plate? Does having in place increase the risk of severe damage should you have another clavicle endangering accident?

I imagine this is a reasonably common scenario.

Dr. Dominic Briscomb,
So you break your clavicle, have surgery heal and get back on the bike. Should you remove the plate? Does having in place increase the risk of severe damage should you have another clavicle endangering accident?

I imagine this is a reasonably common scenario.

I love the pic of Jono on the wind trainer!

I have been on mine with a broken hand (after being hit by a car while out on the bike) and its surprising how much you rely on hanging on when doing efforts! It would be heaps worse with a collarbone though. Nice set-up!

I’m keen to know a little more about this as well. I had a plate put in 3 months ago and I don’t like the thought of crashing again and having the collarbone explode because it’s full of screws. I read the other day that Thor’s had his removed after his early season crash, so there must be some benefit to removal?

I also have this injury, and have lived with it for over 4 years. Whilst it is awkward, you do retain all strength in the shoulder. The only option that i received from the surgeon for this was, they offer to ‘saw’ off part of the collar bone, then insert two artificial ligaments, that ‘pull the shoulder back into place’ so that it looks normal. Apparently this makes your shoulder look normal, but you can lose a minimum of 15% of strength in your shoulder…. So trade-off is, do you have surgery on your shoulder (And potentially lose strength in it permanently), or leave the shoulder as is and retain full strength in your shoulder but have a weird ‘bung’ looking shoulder. I guess the catch is, if you race as well, what is the point in fixing it, if you might crash again, and do the same damage….

This was the advice received from a surgeon over 4 years ago… so would be interested as well to hear if there are any surgeons reading, that can advise if there have been any advancements with techniques regarding this cycling injury…

Personally I would prefer them to stitch the old ligaments back to the collarbone, but the surgeon i saw advised once they are completely torn, that they are too ‘malliable’ to reattach and will just re-tear……

FYI- I did mine riding home from a bike race up a hill, and I broke my shoulder as you have, and also snapped my ulna in two…. needless to say, not an experience I would advise anyone going through by choice…. I fell off, because my cannondale frame snapped in half, down near the back of the frame. (Chainstays i think)

Left Clavicle 8 years ago – no displacement, Right Clavicle two years ago and displaced and now I have a lump. JUst really a member of the club now….The second one was on Tawonga Gap and I must say that they hurt for a while…..am just starting to get some pain in the back of my right shoulder now….I used a sling on the windtrainer when I did the second one, just to take the weight of my arm and to make me resist trying to move my arm in any way and that seemed to work, I had two broken ribs as well, but I was lucky they were also not displaced and I had minimal pain from them…..Love the pics and your little bicycle soldiers!

Perfect timing, if there is such a thing.

Getting car doored isn’t always bad CT, I did once as a courier and laughed (later relatively unhurt, just a flesh wound) as the door went into my armpit and I swung around in an arc as the bike rolled on up William Stree for about 50m.

I’d reckon there’s a lot of tips out there for recovery off the bike (ie. posture at work) as well for this injury?

My other tip – Don’t go Googling Jono’s other crash photo’s, especially just before lunch.

i’ve seen a couple of crack’n'fails cracked in that exact spot (next to the BB on the chain stays) Ouch!

“If you think you might have broken your clavicle, go to hospital. That’s where medical experts tend to hang out.”

Glad to see the good Dr has a sense of humour. That’s a great line right there. Good advice aswell.

Well you have done it now SuperSam we will all be out there googling his accidents at lunch time now

A few years ago, I had a guy get agro at me and swipe me with his van. He knocked me off (no broken collarbone). He then went up the road, did a U-Turn and came back for seconds. The second time he ran over my bike, crushing it. I just got up in time to avoid being crushed myself. He then got out the van and started yelling abuse and wanting a fight when I informed him that I was local Copper!! He didn’t believe me at first until I told him that I fined him about 3 weeks prior for using his mobile phone while driving the same van. I recalled myself to duty, informed him he was under arrest, got him to take me, my mangled bike and himself in his van to the Police Station. He was charged for property damage, aggravated assault and various traffic offences. Gold!!
So I might not be a real cyclist yet but I reckon with that story I must be pretty close.
I have had a few falls but never broken the collarbone but I was always told to ‘relax’ as much as possible when you do fall and try not to jut your arms/hands out to break the fall.

Well done. I just hope you and your buddies were “real coppers” once you got him to the station and took to him with the ole sledgehammer and phone book trick.

Pinarello413, that is awesome, ballsy and awesome, a good article on a good site with a great recollection of your event. Magic, that has made my day (pardon the pun Callaghan)!

I broke my right clavicle crashing the Mountain Bike three years ago. Back then the surgeon didn’t recommend surgery, So now I have a lump. Last year I crashed out of a race and landed on the same shoulder ( also smashing the Helmet ) there was the same amount of pain and I thought I had broken the bone again, but to my surprise X-rays at the Hospital didn’t show a break. I’ve been wondering whether the fact the bone healed on its own without surgery, is somehow stronger, or was I just lucky the way I fell ( I was on the drops ).

These days sledgehammers are used to break into houses and phonebooks are used to find the lawyers phone number. Hey got the result and got my bike replaced and he lost his licence for a while.

Generally they leave the plate in if it is not bothering the patient. Sometimes it starts to aggravate the rotator cuff – (it tends not to from cycling alone) – then you can ask them to remove it. You just have to keep in mind that can involve cost and another chance of infection.

Can it be damaged worse if you fall again – Yes, it tends to break where the metal stops. But each fall is individual
Dominic

There is no great solution to AC separations. Simply put, there is not really enough bone around there to anchor a screw into, and there is quite a lot of movement at that joint (pulling the screws out). This combination means there is no great surgical solution. I know of one high profile Aussie Pro who has one, and he is waiting for the end of his career to do anything about it. He has been racing and winning with his AC jnt separation. So it doesn’t slow him down !

Dominic

And people say there are no Coppers around when you need one. I guess you don’t have that problem. Just goes to show that you should try and be nice to people as you just don’t know when being nasty will bite you in the ass ( and you will get your just desserts). KARMA!

OK Jono, if you really want to impress me I want to see you do rollers like that

BTW, I think Wade may have found a little entertainment with the figures, I am sure we will be seeing more, love ‘em!

JJ
I had a grade 3 separation of the AC joint in my right shoulder after crashing my mountain bike at easter 2009. I was advised not to have surgery and that it would mend okay as long as I didn’t mind a lump on top of my shoulder. Unfortunately for me it did not heal and started clunking and grinding and so I had a reconstruction of the joint .2 operations later and a lot of physio my shoulder is fine.
If I had my time again I would go the surgery option straight away as then at least you only have to go through 1 lot of rehab and physio.
It has taken almost a year from the time of the first operation for my shoulder to be pretty close to 100 %. Everybody is unique as is their injury. Get the best advise from the best people you can and make your own decision. I just wanted to share my experience.

Given the current emphasis in the Pro ranks (and to a lesser extent, us mere mortals) on reducing excess body fat, which effectively means little to no muscle mass on the upper body, is the prevalance of collarbone injuries on the rise in the modern era compared to, say, when someone like Don Allan was racing and being hard was a way of life, not merely a catchphrase [ sorry Jens ;) ] which necessitated a different overall physique. Do track sprinters suffer the same rate of collarbone injuries?

Jono, you looked like the Terminator:

http://www.fyxomatosis.com/index.php?option=com_content&view=article&id=261:jono-lovelock-crash&catid=1:latest-news&Itemid=50

Didn’t work too well for me, though. Did my collarbone playing rugby. The break was near the shoulder, so both docs I saw thought it was dislocation. The first said he’d usually X-ray first, but then wrapped my arm in a towel & tried to ‘pop it back in.’ (That basically meant waving the arm around, including lifting the elbow above shoulder height.)

‘It doesn’t seem to be going back in. Does that hurt?’

!!

Dominic,
While we’re on the topic of shoulder type injuries…..I have experienced 2 complete shoulder dislocations. After both injuries I spent about 4 hours on a trolley in hospital and having x-rays prior to having the shoulder put back in. I have a long standing dispute with my wife about the pain of such an injury in comparison to the pain experienced by women during child birth – I reckon the pain experienced when your arm is completely ripped from it’s socket is pretty much as bad as it gets and of course she says it’s not as bad as the pain of child birth. Given my wife is a female and also a physician I have not had any luck winning the argument. I’m sure with your experience treating such injuries you are well placed to back me up on this one….please :D

I still have the plate in my collarbone. My surgeons advice was exactly what Dom has already said. When I stacked in China with the plate in I hit the same shoulder pretty hard but it came out of it OK, I definitely hit it a lot lot harder than when I broke the bone, just a better angle this time I guess.

Having the plate in there is only irritating when carrying a bag on your shoulders that’s a little heavy, other than that it feels fine (for me..)

Sweet. Mel Gibson could play you (Lethal Weapon style) in his next movie.

RE- Post surgery infection, Doc Garnham said one condition of me getting back and training was that I must “Beg, Borrow or Steal a great effin’ big Fan, like they have in gyms or spin classes” to keep the sweating down.

Gotta love “….. Given my wife is a female….” GOLD!!!!

Can’t beleive how timely this is! I’m booked in to have my plate out next week.

Dominic, quick question – I had surgery on mine in July and still have reduced sensation in my arm. When I get my plate out, how much will that increase the risk of further reduced sensation?

It’s really hard to get a decent answer out of the ortho’s at the Alfred because they’ve got about a gazillion patients to see.

I really want to get it out for the reasons you mentioned and that I really don’t like being able to feel it – it’s a hook plate with 4 screws.

for me the broken collarbone didn’t hurt all that much, the broken ribs, fingers and wrist were more painful. and the concussion made the first couple of weeks a little hazy. Hit and runs suck, 3 suck more.

JC are you still concussed? You must be mental arguing with your wife about the pain of her childbirth relative to your injury. I still have a mark on my finger from where my wedding ring ground through the skin and halfway through the bone as my wife squeezed my hand during childbirth. Picture me smiling, saying “no, it doesn’t hurt..honest”.

Newbie mistake mate. Ranks alongside giving an honest answer to “how many sxual partners have you had?” and “does my bum look big in this?”. Second newbie mistake is expecting another guy to back you up on that argument.

PS. Jono liking your post doesn’t count JC, he’s a kid, with a life. He probably thinks a ‘leave pass’ is something handed out at the door of a nightclub..

Touche

Dominic,
Can it be that the collarbone’s not healed up properly but there’s no pain? Broke it in a pile up about 4 months ago, no displacement but it just didn’t heal up much. Now I can just about do everything from push ups to chin ups and the like but there’s no pain, but I think I can physically shake one bone end left and right and it feels like it’s moving. So I have no idea what’s what. Any help?

You know I’m just joshin mate. I’d be crying for my Mummy if I was kept waiting 4 hours on a trolley waiting for my shoulder to be popped back in.

Same with Jono, I was in awe of him years ago when I kept seeing his name on Cycle 2 Max smashing the hills around Melbourne. To see him bounce back from some serious crashes with his humour and great blogs, he’d better not think I’m taking the pss.

i use a big effin fan on my indoor trainer at all times, broken bones or not. Available from industrial supply shops like total tools.
i never can understand that we will spend $500-$600 on a trainer but won’t spend the extra $150 on a fan.

i use a big effin fan on my indoor trainer at all times, broken bones or not. Available from industrial supply shops like total tools.
i never can understand that we will spend $500-$600 on a trainer but won’t spend the extra $150 on a fan.

Shattered the left clavicle four months ago as result of being clipped by a car. Basically the pain disappeared as soon as I had surgery but the ribs took about 6 weeks before they were pain free. On the trainer at week two using a bench to rest the arm was great rehab. Back out riding at 3 months. The first ride give lots of room as the arm will be unsteady so stay away from any big groups for a week or two until the fine motor skills are back. Best advise I can give is get into physio post op week 1 or 2 and start rehab to prevent frozen shoulder.

Correct me if I am wrong (I probably am…) isn’t this the same trip where Jono had food poisoning before the race actually started?
Not a good omen, that…
Rule 1, don’t race in China

Correct me if I am wrong (I probably am…) isn’t this the same trip where Jono had food poisoning before the race actually started?
Not a good omen, that…
Rule 1, don’t race in China

Luke –
I would want to know where you have reduced sensation in your arm and if it is progressing.
One scenario could be that when you broke it, the broken bits of bone interfered with your nerves. They may have pinned it to prevent further damage. Another scenario is that the nerve could be a bit tethered to scar tissue. Another one is that the surgeons nicked it when they were bolting it together.

I would assume that the there is a minimal risk of it being further reduced by removing it.

As an osteo, I am going to consider the other ways you can change your sensation in your arm ; you broke your collarbone, but you also would have bumped other parts of your body – neck, shoulder, elbow – and the reduced sensation may be coming from there -

Jono –
One of my patients mentioned how little force it takes to break your collarbone if you get it at the right angle – I have forgotten now, but it was surprisingly little. Andrew Garnham mentioned to me that, in fact they seem to be designed to break there, to prevent other more serious injuries elsewhere in the shoulder complex.

aaahh ok.

Maybe another good reason not to leave a plate in if it prevents breakage where a collarbone would normally break and means you get worse damage elsewhere?

Still, not jumping into another surgery theatre just yet!

Busted my right one some years ago going OTB on the mountain bike – certainly heard the distinctive snap as I hit the deck. It sheared on a 45 degree angle if you looked at it from top down and was close enough together than no plate was required. Still took over six months before resting on that elbow didnt generate discomfort.

The main thing is the ongoing pain from moving/knocking due to the inability to imobilise it. Makes for three weeks of pretty crap sleep as I recall. Past the panedine forte!

I agree with Superman Sam. Don’t argue with the Missus about such things. Childbirth is way worse. Thats all there is to it.

There is really nothing to do except get it X rayed again. That will give you a definitive answer about the clavicle. Its cheap too.

With the plate that they put in me I was told it was designed to be left in as the bone will fuse with the plate.

I do have one suggestion for everyone who goes to hospital with a broken collar bone, don’t trust the doctor if they tell you it does not need to be plated.

I got taken out one morning (Friday 13th of May 2009) by Skippy. The doc at Canberra Hospital told me that it was only a minor displacement and that they were moving away from surgery unless it’s really serious. It was three weeks before I could get to the Fracture Clinic and the first thing that the Orthopaedic resident said when he saw the original x-rays was ‘F#$k that should have been plated’. Turns out the original Doc did not look at the x-rays right. To add to this the Orthopaedic guys reckon any break should be plated and don’t understand what the Emergency Doc was going on about. Lucky me was in for sugary the next day and got a plate and 6 screws; asked for carbon fibre but they could only offer me titanium.

Karma is a vengful elephant

Nope, the crash was in Hainan late last year, the ‘other’ race was at Qinghai lake this year. Definitelydo race in China, it’s fun, a lot of fun!

Gotta love cycle2max!

[...] This post was mentioned on Twitter by sonofabike, CyclingAusCommunity. CyclingAusCommunity said: "Some say that you’re not a real cyclist until you’ve broken your collarbone. If that’s true, I’m not overly keen… http://fb.me/zaEqLi8K [...]

I have done a Rotater cuff tear, a Grade 3 AC separation, then 2 years later a dislocation resulting in frozen shoulder, which I got treated for – all on the right shoulder in ice hockey. The left shoulder has never been injured !! Now all’s well apart from the bump and some weakness. Has never affected my riding though.

I have done a Rotater cuff tear, a Grade 3 AC separation, then 2 years later a dislocation resulting in frozen shoulder, which I got treated for – all on the right shoulder in ice hockey. The left shoulder has never been injured !! Now all’s well apart from the bump and some weakness. Has never affected my riding though.

That’s interesting, is it from a lack of muscle strength/mass or bone density?
They are thin, can the diets be affecting the bone density?
Other sports people hit the ground from greater heights (AFL, Motocross), at greater speeds (Moto-GP, SBK) and with brutal impact (Rugbies, NFL) yet seem to suffer less of this injury.
Sure, there are broken collar bones in the Moto-GP paddock, but usually from 100kph+ and a 30m ‘throw’…..not from 4 foot high and obviously much lower speeds??? Even sillier, those guys are screwed together and racing motorbikes in two weeks – how does that happen??
Could it be cyclists don’t know how to crash? The numbers amongst professionals seem disproportionate.

Steve Hawkins at opsmc is a great physio to see when it comes to AC joints. He will give you great advice on surgery vs. no surgery. I’ve had a grade 3 & grade 1 on the same side and have 100% movement. Richard J. Dallalana was my surgeon and did a great job. Good luck

Hi all,

I am currently 3 weeks post-surgery – broke my left clavicle laterally (on the outside) which is apparently an unusual spot, plus a dirty big fracture at the top of the left humerus. Thank you lady in the white Corolla!! :(

I have 9 screws & a plate in the shoulder, and 2 big screws in the upper arm. The surgeon (Dr Des Soares in Brisbane – highly recommended, btw) has said the plate will come out roughly 3 months post-surgery. At 37yo, this is my first ever bone breakage, and it hurts like a b!tch!!

A couple of things:
1. Emergency doc looked at x-rays, and said “It’ll probably heal up on its own. Orthapaedic surgeon (Dr Soares) took one look and said “Definite surgery – no way its healing without it.” So would suggest to all you get specialist advice from an orthapaedic specialist ASAP if in ANY doubt. Don’t blame the ED doc – you have to expect a specialist to have greater knowledge of specifics…..
2. If anyone has ANY tips on how to sleep after surgery, I’ll take them!! 3 weeks later, I am still struggling to get a goodnight sleep. Just can’t find a position that doesn’t hurt… Lack of sleep is now almost a bigger issue than the shoulder!!

Stay safe everyone!!

Thanks for the detailed reply Dominic,

The area with reduced sensation is pretty static, it got heaps better to start with and then has stayed the same size for the last month or so.

I’ll give you a call at the clinic and see if it is worth discussing further!

Hi Abby, the only way I got used to it was lying on my good side… took ages to get used to and was super uncomfortable to start with. You’ll get used to it though.

Must have been an epic crash :(

Trying to sleep was the worst. Found for the first month could only sleep sitting up. Any other position would only result in waking up in agony 2 hours later. After that I found I could lay on the ‘good side’ with a small cushion between the ‘bad’ arm and the chest. Another was a pillow against your chest and the bad arm resting on it while on your side. The first month to 6 weeks was bad for sleep until I discovered those positions but I needed the cushion for some reason.

Dominic,

I broke both hips and left shin when I was hit by a car 3 months ago. Here are my x-rays:
http://picasaweb.google.com/dm.dorofeev/Ouch
I was told by my doctors that it would be okay to leave all those screws and plates (they said they haven’t used plates even, not sure what I’m seeing on x-rays then…) in there forever. I don’t feel it would be a good choice for some reason. But then, I know nothing about broken bones and this is my first experience. Should I listen to them?

At this point I don’t plan to stop riding because of this if that makes any difference.

Thanks in advance, and sorry for any mistakes – English isn’t my native language.

Dominic,

I broke both hips and left shin when I was hit by a car 3 months ago. Here are my x-rays:
http://picasaweb.google.com/dm.dorofeev/Ouch
I was told by my doctors that it would be okay to leave all those screws and plates (they said they haven’t used plates even, not sure what I’m seeing on x-rays then…) in there forever. I don’t feel it would be a good choice for some reason. But then, I know nothing about broken bones and this is my first experience. Should I listen to them?

At this point I don’t plan to stop riding because of this if that makes any difference.

Thanks in advance, and sorry for any mistakes – English isn’t my native language.

i came off my bike on wednesday this week, three days ago; taken to hospital by ambulance, x-rayed

right after the crash i could feel the right clavicle was broken and overlapping, pointy end tenting the skin but the skin wasn’t broken; the intern brought over a young orthopaedic surgeon who said the best treatment was to leave it as it was and that it would eventually fuse, as bone does – this was described to me as “conservative management” and i’ve subsequently learnt that this is the advice given in the vast majority of cases.

i didn’t like the idea of ending up with a knob and a shorter shoulder so i asked for a referral, took myself back to the hotel in a sling (i was in sydney for the week), googled orthopedic sugeons in sydney and got lucky; it seems near impossible to get in to see a surgeon at short notice even with a GP referral – my GP in melbourne was ringing around without luck – and found a dr who could see me at short notice – he said without surgery i would eventually get rotator cuff problems and other complications, not to mention how do i go hiking with a heavy pack on the knob.

so i was operated thursday night and i sit here now back in melbourne feeling fortunate i got it done – its not without its own problems, but healing is quicker and you end up with an aligned bone, no lumps, no shortening.

so many friends and friends of friends have been in touch to say they either wished they had had surgery or were glad they did.

i guess sometimes “conservatve management” is the right answer – but always insist on a second opinion; the emergency ward will see another 100 people tomorrow and they do their best with resources, but they will not operate unless there is a risk of complications – and you will have to live with the result of accepting that decision for the rest of you life.

[...] The Broken Collarbone – A Part Of Cycling [...]

[...] The Broken Collarbone – A Part Of Cycling [...]

I was hit by a car at very low speed and dropped hard on my shoulder, causing dislocation. I have had a free-floating right collarbone for about 8 years now. I went with my surgeon’s advice not to have surgery, despite (now that I think about it) finding him an old-school dismissive-of-the-plebian-patients kind of doctor who seemed totally uninterested in my life and whether this injury might affect my work or recreational activities. …. But! All these years down the track I can say that it doesn’t seem to matter whether it’s free-floating or not. In the first year or two I used a neck cushion of the kind people use in planes to stop myself from rolling onto my right side. Over time this became less of an issue, although I think I will always be more tender when sleeping on this side, and thus angle myself differently.

I see seperated shoulder and child birth and raise you kidney stones!

17″ Med-wide Black English Leather Saddle £0.99…

I found your post a really good read, so have added this trackback!!…

wade 2 days after reading the broken collarbone and mtb articles i decided to test fate and go mtb biking in my off-season. fair to say karma bit me on the arse and my offseason is now longer with re-breaking my collarbone from last year and operation to take old plate and insert a new plate was done yesterday. the sleepless nights begin!!!!

I had a plate and some screws inserted 8 days ago for a broken left clavicle and i found the only way to sleep comfortably is in a lazy boy recliner chair with a pillow behind the lower back and a pillow under the knees. I am sleeping soundly every night. I also found using a neck pillow to stabilize the head from moving around helped initially for the first few days. Lying down is definately not comfortable for long periods as of yet.

Good luck with the recovery.

Couldn’t resist relating how things went pre the present PRO / plate / pins era. During more than 50 years racing my collarbone / clavicula has been broken on 5 occasions.

After the first at age 18, I instinctively learnt to tuck the arms in rather extend them out in front. Consequently the next 4 were broken in compression.

Those days it was a figure eight bandage that kept the shoulders back with a sling to support weight of arm on broken side.

During a 2 month period of riding indoor 6′s in Europe with my mate Perko (Shane’s dad) I had the misfortune to suffer 2 breaks.

Three weeks after the first training was done on snow covered roads in Germany with just the figure eight for support.

The second occured at the Pallazzetto dello Sport di Milano & they certainly put an end to any PRO type return to racing.
I was encased in plaster, along one arm vertically extended to the front, & my body from the waist to the neck.
“Siempre Ciao” the locals put it.
In winter with a waterproof coat cover without any sign of the plaster beneath I was the village idiot strutting around the streets.
Try sleeping on your back with one arm pointing at the ceiling, even encased it was painful to roll with a crash either way.

Another 2 months further on an extended period of physio was required. There’s a short novel in recanting the humerous incidents of that time.

Like Lance my experience of broken collarbones were extremely painful (well at least I have that in common) but worse was the shock which generally necessitated being taken to hospital.

I share concern regarding plates possibly creating a more difficult break.
The collarbone is a “safety” guarding against a broken neck or arm.

[...] Autism Blog – Don’t Take the Risk: Get the Facts on SafeMinds « Left Brain/Right Brain The Broken Collarbone – A Part Of Cycling Everything Sysadmin: LISA papers about robots that correct broken configuration files. What To Do [...]

[...] The Broken Collarbone – A Part Of Cycling [...]

[...] The Broken Collarbone – A Part Of Cycling [...]

[...] The Broken Collarbone – A Part Of Cycling [...]

I broke my collarbone in football and have a metal plate with 8 screws and was wondering if I could play football again and in college. James Wheatley

[...] The Broken Collarbone – A Part Of Cycling For those who are asking, these figurines can be purchased at Northside Wheelers in Prahran) One of the most common injuries for a cyclist is the broken collarbone (or clavicle). I'm very lucky this has never happened to me, but. [...]

I got car-doored six months ago and broke my collarbone and ended up with a concussion (yes, with a helmet…can’t imagine how bad it would have been without one). The break was “borderline” for surgery (overlap 2cm) so I opted to let it heal on its own, not realizing my shoulder would be shorter. Four weeks later the overlap had increased, and my shoulder was pointed forward, so I was sent it for surgery right away. I was in a sling for the first four weeks, and wonder if a figure eight brace might have prevented further overlap. They don’t use these as much nowadays because they are very uncomfortable. I hear some of the newer orthopedic surgeons are opting for surgery moreso now. I don’t regret having it however there are a few things to be aware of prior to making the decision, if you have a choice: First, I learned afterwards that they reattached my deltoid muscle, which I wasn’t aware of, so you might want to ask what exactly they are going to do in the OR if this is a concern to you. Secondly, I’m still in physio five months later, but maybe I would have been doing so anyway (without surgery). My range of motion is still limited. Third, if you care about scars, they are pretty big (4 inches on me and I’m small). I find backpack straps uncomfortable over the plate, but this can be remedied by adding some padding. Also the plate feels “weird” in there, especially when the area is exercised…it’s not painful, but there is definitely a feeling of a foreign object in the body which takes some getting used to. And yes, the risk of a more serious break around the plate is something to consider, especially if you are racing and crashes are inevitable. On the flip side however, you might break it there anyway, without a plate. You can have the plate and screws removed, but that means more surgery (and risk, albeit minor, of infection) and more healing time while the holes where the screws were fill in. So it sounds like I’m not super positive about surgery – but actually I am happy I did it. Just letting people know my experience in order to help them understand some of the possible outcomes, which may or may not be different. As for car doors, I used to ride a meter out from cars, and now I take double that and absolutely no BS from drivers who get cranky about it.

[...] The Broken Collarbone – A Part Of Cycling [...]

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I did the same thing in mtb crash. Its worse that breaking a bone as you can’t repair the ligaments. Looks pretty freaky too as i can push my fingers right under my collarbone at the should blade end.

Sitting here with my arm in a sling, less than 48-hrs post crash. I’m not gonna lie…you just made me throw up in my mouth a little. I made them cut my cycling clothes off…no WAY were they going to move that arm!!!

How longbefore you could ride again? I’m wondering this on day two of my arm in an immobilizer sling.

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hi i play state touch, ive got a broken collarbone (midway) straight break little separation. Whats my chances of playing state touch in 7 weeks what can i do to make sure it heals faster and is strong. Honest opinions please. I’m 16, female’ sasha

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@Sasha/Debbie – I’m not sure what ‘state touch’ is, but I broke mine just shy of eight weeks ago and have already been riding my road bike again for about a week and a half (right at 6 weeks post-fracture).  I’m 42, I would imagine at your age you will heal even more quickly. I strongly recommend starting physical therapy around week 3, if you have the option. It did wonders. Do everything your doctor tells you to and don’t try to get back to normal too quickly or you will screw yourself up for a lot longer than 6 weeks. The bone will likely be healed by the time your game comes around, but the muscles around it will still be plenty sore and may or may not allow you to play. Like I said…physical therapy, if you can get it, will help a ton. Best wishes…I know it stinks, but the first few weeks are the worst and then you start to get better very quickly. I was suprised how fast I healed. Hope this helps.

@Sasha/Debbie – I’m not sure what ‘state touch’ is, but I broke mine just shy of eight weeks ago and have already been riding my road bike again for about a week and a half (right at 6 weeks post-fracture).  I’m 42, I would imagine at your age you will heal even more quickly. I strongly recommend starting physical therapy around week 3, if you have the option. It did wonders. Do everything your doctor tells you to and don’t try to get back to normal too quickly or you will screw yourself up for a lot longer than 6 weeks. The bone will likely be healed by the time your game comes around, but the muscles around it will still be plenty sore and may or may not allow you to play. Like I said…physical therapy, if you can get it, will help a ton. Best wishes…I know it stinks, but the first few weeks are the worst and then you start to get better very quickly. I was suprised how fast I healed. Hope this helps.

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