"Case report: Integrating aerobic activity in post-surgical management of plurifragmentary distal clavicle fractures - A holistic approach to pain modulation and recovery".

INTRODUCTION

Clavicle fractures, particularly at the distal end, are common orthopedic injuries. While surgical interventions are often prioritized, the role of aerobic activity in post-operative pain modulation remains underexplored.

CASE PRESENTATION

A 34-year-old male presented with a plurifragmentary distal clavicle fracture following a direct trauma during a soccer match. Initial pain was severe (NPRS 6/7), with restricted shoulder mobility. Radiographic examinations confirmed the fracture. Following orthopedic consultation, the patient underwent surgical fixation using plate and screws. Post-operatively, pain management was uniquely addressed using low-impact aerobic activities, progressing from walking to running. At the 7-year follow-up, the patient reported optimal functional outcomes with a Disabilities of the Arm, Shoulder, and Hand (DASH) score of 0, highlighting the success of the combined approach.

CLINICAL DISCUSSION

The surgical intervention ensured anatomical alignment and stability, crucial for the healing of plurifragmentary fractures. The innovative approach of using aerobic activity for pain modulation post-surgery showcased significant pain reduction without consistent reliance on medications.

CONCLUSIONS

This case emphasizes the potential benefits of a comprehensive approach to clavicle fracture management. By integrating surgical intervention with aerobic activity for pain modulation, patients can achieve optimal long-term recovery and improved quality of life.