2 weeks later at the follow up appt, I stressed I did not think it was healing properly, as my skin started to form a blister from the pressure underneath. Luckily, the doctor on duty referred my x-rays to an orthopaedic surgeon for review this time, and after review, I was immediately booked in for surgery (3 days later .... to let skin heal)
What was anticipated to be a "routine repair", turned out to be a fairly elaborate surgery. The distal end was in several fragments and a LOT of screws were required to put things back together. The bones had a lot of tissue build up around them that had to be cleaned up, or off, before the plate could be applied (since 18 days had passed between injury and surgery date).
I am now stuck in an arm sling for another 5 weeks (7 total) as the surgeon indicated that its imperative to immobilize the arm as there is nothing of substance holding my collar bone together until the bone starts to heal (as its in pieces). The plate and screws are doing all the work.
I have never seen so many screws on x-rays for this type of repair. Is this normal considering the distal end was in pieces? Perhaps "rebar reenforcement"?
Would appreciate any input Dr. Mark could provide on the x-rays, recovery plan below, etc.??
Its feeling much better now after 16 days, but I still have a long road ahead of me. Doctor is recommending 6 weeks in a sling with minimal movement and no lifting. Physio to start around week 7 and very light lifting. He stated that this was a VERY challenging repair and that its a "one shot deal" ... If I mess it up, then I'm in big trouble. Going to take 6-8 months off the moto (yes this decision is killing me), hit physiotherapy and the gym to strengthen up over the winter. Rather than risk it, I want it to be 100% good to go again.
Will continue with follow up x-rays along the way and can post if they would provide any value?
FWIW ... I urge anybody who is considering buying a neck brace to do your homework !! For off road riding (where crashes are not likely coming off triple jumps), my suggestion is to try on every model and choose the one that is least likely to concentrate energy directly to the clavicle area in the event of a crash. Read "real time" testimonials from actual riders. There's TONS of info out there, as to why each braces design is different, so research before buying. I will be buying a new brace (different brand) for next year. That's all I am going to say on that one
Initial x-ray after crash
X-ray of Repair plate and ton of screws (10 days after surgery)
Edited by supervokes, 05 August 2012 - 10:45 PM.