I was wondering why Romo was having another CT scan. It is evidently to check the collar bone's ability to accept a plate repair to try to avoid another fracture. Romo has actually suffered not only 2 left clavicular fractures this past season, but also 3rd in 2010 (he also suffered one as a teen on his right side). When it was reported that his 1st 2015 fracture was multiple pieces (comminuted), I was very surprised that a nonsurgical approach was taken. Even though it is on his nonthrowing side, QBs commonly are taken to ground on both their right and their left shoulders.......and throwing with your right arm still creates motion and stress to the left clavicle.
There is an October 2010 study published in
The American Journal of Sports Medicine that showed a comparison of surgical fixation vs. nonsurgical treatment of these fractures. The reviewed all of the midshaft clavicle fractures suffered in the NFL over a five-year period. Of the 19 fractures suffered, 6 were nondisplaced. These fractures were treated without surgery and healed in just over seven weeks. The other 13 were displaced at least 100%. 6 of these 13 were fixed with surgery, either with a plate and screws or a pin down the center of the bone.
All of the ones fixed surgically healed at an average of 8.8 weeks. Of the 7 displaced fractures treated without surgery, 3 of the 7 healed without a problem at approximately 13 weeks after the injury, but 4 of the 7 refractured it within the first year of the injury.
The tendency now for NFL players is to secure clavicle fractures surgically. No doubt this will more reliably repair the fractures. The main down side of placing a plate is the long term potential of the bone fracturing where the plate ends (either side) since the natural flexibility of the bone is removed............... and rather than stresses being distributed evenly throughout the length of the clavicle, all movement stresses are thus concentrated at the point where the plate borders end.........potentially leading to the same type of fracture that occurred when Gronk suffered a fracture of his plated arm right where his plate ended.
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