Comment by jamiedumont
4 days ago
I shattered my collarbone - and I do mean shattered, ~8 pieces - in a mountain bike crash September 2023. I went over the bars after the back wheel of my hardtail caught a berm. Landed on my head and shoulder and compressed it laterally inwards by about 2 inches.
Even with this mess, it was hotly debated for around two weeks whether I needed surgery. A good chunk of my collarbone was trying to push through my skin and the other half was fusing to my scapular and was starting to compromise nerve function. Even then, because the non-surgical route is now considered the standard, I was meeting resistance to have an ORIF. It seems that the about turn from surgical intervention has been so strong that getting ANY surgical intervention is a battle.
I eventually came across a surgeon who took one look at me (never mind the imaging) and scheduled me for surgery. ~18 months later I’m now on a waiting list to have the plate removed, and strangely have gone off cycling… Surfing has happily taken its place.
Also shattered mine mtn biking (2022), and the surgeon scheduled surgery as soon as he saw the x-ray. I broke it twice as a teenager, and went through the sling route for both of those.
The craziest part about the plate is how quickly the pain from instability was relieved. I could finally sleep and honestly could've used my arm at ~80% days after surgery. I still have the plate which causes some discomfort, but I likely won’t worry about it.
In light of the article, I wonder if the plate encouraged/allowed me to use my arm in ways I wasn’t aware of. Funnily enough, it’s almost the definition of a crutch but one that allows me to use my arm more than if I was just hugging my body in an attempt to avoid that sharp pain.
Never lost my fear of the mtb, just focus on the uphill and cross country more.
Do yourself a favor and don't wait too long to get rid of the plate: when you crash on that shoulder again, the collar bone won't be able to do it's job of being the predetermined breaking point that saves the shoulder ligaments from ripping. And the AC ligament, unlike bone, will never recover. Not even with the surgery that you'll then likely need to at least restore the other shoulder ligaments. Fractured collar bone is a feature, not a bug.
Yeah, I failed to get my plate removal appointment in time, then I got a plate replacement appointment on the fast track and the next removal appointment then happened to be almost the same day as the one originally scheduled (the plates for separated shoulder stay in much shorter, and they better should, because they aren't painless at all)
Good point, thanks. Will look into it.
Shattered mine mountain biking as well (6 pieces). Ortho took one look at it and scheduled surgery for the next day. It wasn't a 'standard' break since it included my AC joint and coracoclavicular ligaments which needed a special type of plate. Ultimately it took 2 surgeries (ORIF, then plate removal). Total recovery was 9 months. My arm/shoulder is as strong as it was before, and it looks anatomically correct.
My shoulder immediately felt "better" after ORIF. I would suggest it if it's way out of whack... mine was drooping probably 2". I can't imagine how much it would suck if the bones healed that way.
Mine felt immediately worse after the ORIF. After two weeks getting comfortable in their new positions, all the ligaments really resented getting wrenched back into place.
Good illustration was that my run of the mill, 45 minute surgery ended up taking 4.5 hours.
It’s good to hear that everything felt good after your plate was removed. At 18 months post-surgery, I’m in a really good place where I can do most anything I want. Only occasionally experience discomfort if my son headbutts the plate or a backpack strap rubs on it. I was in two minds about having it removed as it would be a step backwards to post-surgical, but the likelihood of me doing something stupid again in the future means it’s worth it. Rather have the fuse that a clavicle is rather than fracture my sternum!
I should restate - mine definitely did not feel better post-surgery, the ORIF pain was worse than the break, but it felt good to have my bones secure with my shoulder in its anatomically correct place, and not have any more crepitus.
My plate was extremely uncomfortable, it was a "hook plate" which held my collar bone to my scapula. I couldn't raise my arm above shoulder height with it installed, it had to be removed after 6mo.
Plate removal was a bit tougher than anticipated (short term). I read accounts of it being a 'relief' but I was in quite bit of pain.
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Almost everyone I know that mountain bikes, had broken their collarbone.
Multiple folks in my family have broken their collarbone (myself included). None that ride mountain bikes 2-3 times a week have broken it biking.
(More anecdata to persuade you to buy a bike. Great fun.)
I plan to purchase one in the spring. This thread is giving me second thoughts lmao.
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I also broke mine in a crash, had surgery, but have not bothered to get the plate removed and it's fine?
The only time I really notice it is if someone pushes on it or if I'm doing front squats with a bar.
Get it removed: the next hit will be much worse than a broken collar bone if the bone can't do its job of giving in before less restorable parts of the shoulder give in.
Interesting. I shattered mine similarly while snowboarding, but back in maybe 2018. There was definitely no debate on the matter, surgery via ORIF was the recommended option. Then again, my doc was a sports medicine surgeon so perhaps that played into it. Either way, I was never too light with it and it healed very quickly. I was back at 100% about 2 months later.
Functional outcomes seem similar, trough we have a increased rate of malunion, delayed or non-union with nonoperative treatment. We usually indicate surgery if it's an active patient.
Welcome to the waves! Best sport in the world, especially if you can avoid the crowds.
Thanks! I've always been a surfer, but split my time with other activities. Post-accident everyone thinks I'm scared of getting back on the bike — maybe a bit? — but genuinely my first thought post-crash was how long I'd be out of the water. It was a clarification of what I truly enjoyed, and an excuse to double down on being in the water.
I'm now doing anything and everything to get in the sea and improve my surfing. Lengths at the pool for strength and endurance, free diving (and spearfishing) to reduce the anxiety of those big hold-downs. It's been liberating choosing just one sport to be good at.