r/Orthopedics

[31M] Distal clavicle fracture / high-grade AC joint separation. MMA fighter wondering about surgery vs. natural healing.
▲ 2 r/Orthopedics+1 crossposts

[31M] Distal clavicle fracture / high-grade AC joint separation. MMA fighter wondering about surgery vs. natural healing.

About me:
31,Male ,193cm, 88kg, injury time 4 days ago. Left shoulder / collarbone United Kingdom.
No prior injuries in shoulder. No Smoking/Drugs OR Alcohol.

I recently sustained a shoulder injury. I have already been to the clinic and had X-rays taken (attached). It appears to be a displaced distal clavicle fracture with a visible step-off / potential high-grade AC joint separation. I am a highly active, competitive MMA fighter, meaning my shoulders are subjected to heavy impact, extreme grappling stress, and require full mechanical power for striking

1.Given my high-demand sport, is surgical intervention (plating, pinning, or ligament repair) the standard recommendation here to restore optimal biomechanical strength and function?

2.What are the realistic risks of nonunion, malunion, or permanent weakness in a contact sport if I try to let this heal conservatively in a sling?

I'm asking for a second opinion here and i'm scheduled with a orthopedist already!
Thanks reddit!

u/palmcalmtree — 9 days ago
▲ 2 r/Orthopedics+1 crossposts

5th metatarsal fracture

hi! i slipped and broke my 5th metatarsal 10 days ago. urgent care told me not to put any weight on it for 6-8 weeks so i was surprised when i saw ortho and he told me i can start putting weight on it once i can tolerate it pain wise. he said walking boot for 4 weeks then brace in shoe for 4 weeks. i understand that it is a very common break but he seemed sure it will heal quick and i’ll be good as new in 2 months, and ready to ski when the season starts in 3ish months.

i feel like that is extremely optimistic?? i am a sahm to a 4 year old and an 8 month old so i really need to heal as quickly as i can, not to mention want to ski in three months. so the idea of putting and weight on it any time soon just seems like a bad idea? i want to be able to trust what he said but i am also miserable and dont want to risk recovery taking any longer than it needs to

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u/tinyjen — 9 days ago

Hey 25M here broken wrist (read body text)

I broke my wrist rollerskating in July. I had surgery on August 10 my last orthopedic visit. I exclaimed that I felt it was misaligned and the surgeon reassured me that I was gonna go back to normal, but I don’t feel like this bump on my wrist is going down. I feel like the bone is slightly contoured.

I’m 7-8 weeks post surgery and I’m just wondering is my wrist healing crooked

u/Logical_Security7619 — 9 days ago
▲ 2 r/Orthopedics+2 crossposts

Index and thumb pain and I'm worried I can't be a dentist anymore 24m

Hello, I am 24 m and have been concerned with my fingers for the past 3 months the pain in my thumb IP joint and ​my index finger pip joint the pip feels more like a burning sensation and that one worries me less. However, my thumb IP joints clicks if frequently? And for lack of better word feels off putting and kind of wrong. I've measured pinch strength between thumb and index and it measures 15. There's a snapping sound at my IP joint in ​ when I extend it close to the max of its range. If I use a putty for a little while, I'm going through some thumb and finger exercises, the thumb pain goes away and however it will come back within 40 minutes of me stopping. For years I have been able to pop my thumb IP joint by extending it all the way back (I have hitchhiker's thumb )​ And quickly moving it forward and often doing it when I would make finger guns to sell the effect corny but I like it. It just randomly developed into a very odd feeling there and I can't really describe it. The refractory for the pop is somewhere within 5-6 minutes I've had x-rays. They say no osteoarthritis makes sense. No tenderness where the A1 pulley be generally. No tenderness anywhere. The pain can honestly be ignored and worked through. I just don't like that idea. I've been on physical therapy for a month and a half. No real change. Been dogmatic in it using a topical anti-inflammatory on said knuckles and bracing them at nights and use a full amount of Athletics tape or a plastic ring I believe that is called a oval 8 ring. I do a fair amount of work thought the weak Fixing Small electronics for work

I am hopefully about to start my dentistry journey and I've had a lot of interviews but I am stressed the point of breaking down. ​the thing I've been working the past 6 years to do might end before it even starts.

If if you could help it would be really nice. I'm at my wit's end. Nothing seems to work in the long-term I'm about ready to break down

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u/Aggravating_Policy15 — 9 days ago
▲ 3 r/Orthopedics+1 crossposts

on my 14th one today

(m22) i have had 14 dislocations since june of ‘23. most have been anterior, but there’s a good chance some of them have been posterior with 1 i believe inferior.
i have only gotten 1 mri after my 4th one. it came back with the results of

  1. Poorly delineated anterior inferior labrum with fluid signal in the posterior labrum likely representing near circumferential labral tear.
  2. Subacute Hill-Sachs fracture.
  3. Possible biceps tendinosis.

since the 4th once and the mri, i’ve reduced my shoulder by myself all 10 times it’s happened after. they have ranged from falling while skiing, loosing balance while on ice, and even lifting 100lbs overhead ( i know bad idea… work)

i did do physical therapy for about 4 months to no avail really.
i’m terrified to get the surgery done for a few reasons.

  1. the insurance i have only covers me at a hospital network that’s 2 hours away. no out of network coverage.
  2. that’s a very long recovery… i’m broke just like everyone else and can’t afford to take work off for that long
  3. will greatly affect my day to day life with major inconvenience.
  4. gas costs alone to get to appointments would be large.

my shoulder comes out on on average every 102 days with the shortest gap being 0 days and the longest being 260.

what do you think my options are? lots of thinking on my mind and i’ve been pretty much spiraling. i’ve had very minimal appointments about this subject, especially after the MRI. i guess i got scared.

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u/tahoeskierman — 9 days ago