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. Radio- graphic 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