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  • This thread has got very busy. Good luck to all.

    The UK can be overly-conservative at times with management but many people, particularly those who are sedentary or not too fussed about full end range high-level function of the shoulder-girdle are happy to wait-and-see.

    Metalwork provides immediate stability and a 'mesh' for bone growth. It doesn't mean that you're shoulder will be perfect afterwards. Most long-term issues will come from disruption of the acromio-clavicular joint surfaces with associated pain and crepitus with over head or twisting activity. Manual therapy can be useful for addressing these factors but cosmetic appearance is another matter with the typical 'step-deformity' a common issue.

    Long-term, having metalwork in situ isn't ideal either. The collar-bone is designed to break on impact to protect other structures, bit like a car bonnet crumple zone, and if you were to have a future crash with metalwork in place the outcome could be more complicated.

    Again, good luck to those operated and non-operated.

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