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Old 05-27-13, 10:03 AM   #1
hueyhoolihan
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fall down, go boom. hurt clavicle...

hit a pot hole, flew over bars on Sunday and think i dislocated my left clavicle at the sternum (aka anterior, meaning it protrudes outward rather than inward, sternoclavicular dislocation) they come in three flavors according to Wiki. 1, 2, 3, depending on the severity of the ligament damage.

anybody have a similar experience with this injury and/or any recommendations as regards positive experiences with bone doctors/sports doctors in the Walnut Creek area?

i liked my clavicles as they were and don't want to ignore this if there is something i can do to prevent any disfiguration. it hurts like hell though.

i've got the rash on my BACK!, a handlebar gouge on the INSIDE of my left thigh just below the groin (whew!), a bump on the head, and rotor cuff is now a semi-rotating cuff .

it was about eight hours before i could manage to get my jersey off over my head.
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Old 05-27-13, 10:10 AM   #2
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You really ought to get to the doc today. ER if needed. With that much pain, it's possible that your clavicle is fractured.
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Old 05-27-13, 10:34 AM   #3
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Fracture or dislocation, it needs to be fixed. The sooner the better, you don't want to damage local tissues or ligaments. A fractured bone could cut an artery, a dislocated bone rubs against tissues, nerves and ligaments. Waiting can only make it worst, it won't repair by itself.
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Old 05-27-13, 10:54 AM   #4
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i will be going to my GP tomorrow and i hope i can get an x-ray that will make a positive diagnosis as regards fracture or dislocation/sprain. from what i can tell, and hoping it to be, is a dislocation/sprain of undetermined severity. but an x-ray showing whether or not a fracture is involved will be welcome. one of the undamaged right side would be nice too, so as to make a comparison. the problem is definitely near the sternum though.
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Old 05-27-13, 03:14 PM   #5
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You really ought to get to the doc today. ER if needed. With that much pain, it's possible that your clavicle is fractured.
Agree with Joel here, although no idea whether you've broken anything, differential diagnosis via the internet ain't a good plan.

To your question - I had a good experience with Muir Ortho in the Shadelands park when I fractured my clavicle last year - I had surgery there for an intramedullar rod that I kept for 3-4months. I'll be happy to PM you details if you want, it helped that John Muir are "in network" for my health insurance so it wasn't too $$ (but still not exactly free).
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Old 05-27-13, 03:38 PM   #6
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-i'll find out tomorrow... could drive my stick shift truck today, but not well. maybe i'll mention Muir Otho to my GP and see what she says. i'll definitely be seeking at least an x-ray.

my entire left pec is black and blue. really did a number of some blood vessels in there, i guess.

thanks for the info guys.
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Old 05-27-13, 04:52 PM   #7
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There are two types of cyclists in this world, those who have and those who will. I hope this passes quickly for you and you are OK.
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Old 05-27-13, 07:38 PM   #8
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I separated my right shoulder when I struck a deer going a bit over 30 mph last
August. I had ER x-ray it the night it happened to make sure nothing was broken and they told me I had sprained it.
But what really happened it that the three ligaments that connect the scapula to the collarbone were basically severed (and the knobby part of my shoulder is now permanently raised up). I consulted with the ortho doctor at PAMF and he said it was a grade three separation (the same level as Alex Smith suffered several years ago) and his advice given that I didn't throw a ball for a living and was 54 years old was to live with it.

He explained that there really wasn't any special urgency for having surgery done right away if I did chose to go that route (such surgery involves attaching ligaments taken from cadavers). The disadvantage of surgery would be that my arm would be immobilized for up to two months and then there would be rehab and no real guarantees about how well it would all work.

There is an ascetic consideration I suppose, I did spent a fair amount of time hanging out at beaches and pools when I was a young man--but those days are long, long past and now I really don't care much about the slight deformity.

As far as function goes after 10 months, what I notice is that pulling motions seem unaffected--something that is a great relief to me as I enjoy spending a fair amount of time in the climbing gym, but pushing or striking actions are more difficult (such as push-ups or trying to play handball). Overall the whole shoulder girdle seems less stable and a bit creaky at time, but it's really not that big of an issue for the most part.
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Old 05-27-13, 09:25 PM   #9
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good to hear you are living well, even with the injury. as i mentioned, i'm pretty sure my issue is at the other end of the clavicle. there is still a lump right at the sternum. once the pain subsides i suspect that i will have full motion of my shoulder and arm though. tomorrow i'll try hard to get to my GP or any ortho practitioner willing to see me. still hoping for diagnosis of severe sprain or simple fracture. my whole upper left quadrant was torqued pretty good , i high-sided and landed inverted, so i wouldn't be surprised if a little healing will be in order before i can get anything definitive. i'm just guessing though.

thanks for your input. first hand experiences are always of interest.
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Old 05-27-13, 09:44 PM   #10
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I did something similar a month ago, only it was a speed bump in a parking lot, not a pothole. Broke my elbow, plus the elbow gouged my ribs pretty good. The ribs actually hurt more now. The doc says no riding for two more weeks, and I'm trying to be good, but my bikes are so lonely......


Your injury sounds more painful; I hope it works out okay for you. I bet you'll be off the bike for 6-8 weeks.
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Old 05-28-13, 10:03 AM   #11
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made appointment for 3:30 at Muir Ortho (thanks Beaker). will be wanting determination of whether it's a sprain, dislocation (anterior or posterior) or fracture. and prognosis. i expect to be getting at least an x-ray or two and and maybe an MRI.

still hurts like a MOFO.

i'm showing no luv for my bikes at the moment...
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Old 05-28-13, 01:15 PM   #12
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Hold up, you forgot to answer the most important question: how is the bike?
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Old 05-28-13, 02:24 PM   #13
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Hold up, you forgot to answer the most important question: how is the bike?
well... after i determined that i was ambulatory, i straightened out the handlebars. THEN the shock set in and i had to lie down for a moment. when i got up, i walked the last two miles home. As far as i know, the bike is okay, except for a scratched carbon fiber saddle. and i think the left handlebar grip was displaced about 1/8 inch at the small cost of a moderate hematoma on the inside of my left thigh.

i think the ablative action of my shoulder and arm prevented any serious damage to my budget Performance Bikes Ascent aluminum (89.99 delivered) frame.
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Old 05-28-13, 06:19 PM   #14
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update:

got back from Muir Ortho Clinic a little while ago. doc said x-rays showed possible fracture close to the medial end (the sternum end) of the clavicle. said, in general, little needs to be done. just let it heal. an MRI could provide a more positive yeah or nay on a fracture, but in either case, little needs to be done.

no sling, no brace, no sedatives or pain killers, tylenol excepted.

doc said there would probably be a permanent bump (there goes my perfect 10!). oh well...

thanks for the info everybody. see ya out on the roads, and be on the lookout for potholes hiding in the shadows of small trees and traffic signs.
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Old 05-28-13, 07:14 PM   #15
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Originally Posted by hueyhoolihan View Post
hit a pot hole, flew over bars on Sunday and think i dislocated my left clavicle at the sternum (aka anterior, meaning it protrudes outward rather than inward, sternoclavicular dislocation) they come in three flavors according to Wiki. 1, 2, 3, depending on the severity of the ligament damage.

anybody have a similar experience with this injury and/or any recommendations as regards positive experiences with bone doctors/sports doctors in the Walnut Creek area?

i liked my clavicles as they were and don't want to ignore this if there is something i can do to prevent any disfiguration. it hurts like hell though.

i've got the rash on my BACK!,
a handlebar gouge on the INSIDE of my left thigh just below the groin (whew!), a bump on the head, and rotor cuff is now a semi-rotating cuff .

it was about eight hours before i could manage to get my jersey off over my head.
Quote:
Originally Posted by hueyhoolihan View Post
well... after i determined that i was ambulatory, i straightened out the handlebars. THEN the shock set in and i had to lie down for a moment. when i got up, i walked the last two miles home. As far as i know, the bike is okay, except for a scratched carbon fiber saddle. and i think the left handlebar grip was displaced about 1/8 inch at the small cost of a moderate hematoma on the inside of my left thigh.
This is why one wants bar plugs. Without them that "handlebar gouge" and "hematoma" would have been a nasty puncture wound. Of course, you would have a nice core sample of you rleg in the handlebar, and you could have counted the rings to determine how old you are.

Seriously, glad it wasn't worse. I am always nervous around sun-shade borders for exactly this reason, as all manner of otherwise perfectly visible stuff becomes perectly invisible when it is just inside a shady patch.

i did something similar to your injury in a crash, the result of hitting a big chunk of wood just inside a shady patch on a sunny day, only at the other end of the clavicle. I have a bump on my shoulder just where the round part stops and the more-or-less horizontal part starts. The orthopod said mine was a common football lineman injury, and there was no real need for surgery other than cosmetic. Since I am not exactly copsmeticall perfect to begin with, I made sure that it would not increase my chaces of developing arthritis in the shoulder joint. Upon being assured that such was not the case, I quickly decided to forego the surgery as I've had enough surgery that the novelty has long since worn off. It sound like you are in more or less the same boat.

Let it heal, and here's hoping you are back on the road soon.
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Old 05-28-13, 07:37 PM   #16
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Glad it's minor! Now you can rest up and then get back out when healed enough.
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Old 05-28-13, 09:36 PM   #17
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So glad it is best case for your injury. Heal fast, give it time. Doe that make sense? Yes. One is a hope, the other advice.
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Old 05-29-13, 09:51 AM   #18
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Glad it turned out to be relatively minor. Heal fast!
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Old 06-13-13, 07:47 PM   #19
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i'm back on the road! sorry i missed the carqunez ride. big ugly bone sticking out of my throat for eternity, so no more modeling tiffany necklaces for big bucks, but otherwise okay. i guess there are 10 muscles holding the bone in place so who needs all those ligaments? right?

i think the 13 days off did me some good anyway.

final tally, 500 dollars and three doctors. last doctor, Dr. Workman surgeon, walnut creek orthopedics and sports medicine (was surgeon at stage seven of TDC on mt diablo this year) and x oakland A's pitcher i guess, said it was a dislocation of the sternoclavicular joint, with partial destruction of the sternoclaviclur ligaments and the costoclavicular ligaments. nothing to do but let it heal as is or endure, both physically and financially, a multi hundred thousand dollar Tommy Johnish type of ligament restructuring. not really much a decision to make...

had a good ride today and am contemplating using clear glasses rather than the shades, i think they may have contributed to my inability to see the ramp-pothole that did me in. see ya on the road!

Last edited by hueyhoolihan; 06-13-13 at 07:53 PM.
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