Due 2 accident,I'dbroken middle & outer 1/3rd clavicle & scapula on the left shoulder-Do I need surgry ?


Question:
The accident occured on 4 oct 2006(today is 5 nov).My haemoglobin:17.5g/dl.TLC:10700. normocytic normochromic.aec:376.IgE test:127IU/ml.Earlier my surgen's openion was like,being a critical(scapula)case surgry is must.Now he differs & says "b'coz of timeperiod & healing factor it is critical to go for the surgry.He says if I still feel pain after a months time he can opperate on my clavicle (but not on scapula!).Any orthopeadic surgon-pls help & advice.If req. more detail, pls mail at sanjiv_ind3@yahoo.com.I'm a male of 33yrs old.

Answers:
By this time, after about a month, your clavicle should be OK even if it has not healed fully. You should even be able to move your arm by now. The clavicle is the one of the least operated on bones in your body unless complicated with nerve or blood vessel injury. Most patients regain use of the involved upper extremity in 6-8 wks. Don't know the extent of damage in your scapula but being surrounded by your shoulder and back muscles, there is little need for any surgery on it. It responds well to conservative treatment. Just be patient with your physiotherapy.
I would get several opinions from doctors if I was in your shoes.
After this length of time i reckon that surgery will not be needed. If you have a good range of movement in your shoulder joint then i'd do nothing. Physiotherapy is wot you need. Hope all goes well
I would seek out the opinion of another surgeon. Depends how bad the fracture is. A break there doesn't necessarily require surgery. But will take time to heal. My son broke his collarbone and they did do surgery.
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