Our expert says:
from what you tell me it sounds as if the collar bone is starting to heal. If it progresses to ful healing or "union" it often happens that it heals with an overlap or "bayonet apposition" as it is referred to. If the resultant shortening is more than 15 mm it may lead to significant shortening and dysfunction in some cases, not all. This "malunion" is common after clavicle fractures.
our reccommended management of these fractures is that all the aspects be discussed with the patient in the acute phase. Most patients do well withe conservative management but depending on the wishes of the patient operative reduction and fixation in the acute phase is certainly an option.
Once solid bony healing has occurred it is not advisable to re-break it to reduce the fracture, and one will probably then have to live with it. you may want to have new X-rays taken and have them assessed to evaluate how far bony union has progressed
Dr Joe de Beer
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