The phrase “when can i return to work after clavicle surgery” represents a common inquiry regarding the expected timeframe for resuming employment activities following a surgical intervention to repair a fractured clavicle, commonly known as the collarbone. This encompasses a range of factors that influence recovery, including the nature of the fracture, the type of surgical procedure performed, individual healing rates, and the physical demands of the patient’s occupation. For example, an individual with a desk job may return to work sooner than someone whose job involves heavy lifting.
Understanding the return-to-work timeline is crucial for several reasons. It allows patients to plan for potential income loss and arrange for necessary support during recovery. Employers also benefit from this information, enabling them to anticipate staffing needs and facilitate a smooth return to work. Historically, return-to-work timelines were often based on general estimates, but advancements in surgical techniques and rehabilitation protocols now allow for more personalized and accurate predictions, optimizing patient outcomes and minimizing lost productivity.
The subsequent sections will delve into the specific factors that impact the return-to-work timeframe following clavicle surgery, exploring the influence of fracture type, surgical approach, rehabilitation protocols, and the physical requirements of different occupations. An overview of potential complications and strategies for a safe and successful return to employment will also be provided.
1. Fracture Severity
Fracture severity directly correlates with the return-to-work timeline following clavicle surgery. The complexity and extent of the clavicle fracture significantly impact the required healing period and subsequent rehabilitation, thereby influencing when an individual can safely resume employment activities. A simple, non-displaced fracture may necessitate a shorter recovery compared to a comminuted fracture involving multiple fragments or a significantly displaced fracture requiring extensive surgical reconstruction. The more severe the fracture, the greater the soft tissue damage, including injury to surrounding muscles, ligaments, and nerves. This increased damage prolongs the inflammatory phase, delays bone healing, and necessitates a more comprehensive rehabilitation program.
Consider two contrasting scenarios: an individual sustains a hairline fracture of the mid-clavicle with minimal displacement. Surgical intervention may not be required, and immobilization with a sling may suffice, allowing for a relatively early return to light duties, potentially within a few weeks, depending on pain levels and functional capacity. Conversely, an individual experiencing a high-energy trauma resulting in a severely displaced and comminuted clavicle fracture necessitating open reduction and internal fixation with plates and screws faces a substantially longer recovery. The surgery itself is more extensive, and the bone healing process is inherently prolonged. Furthermore, the associated soft tissue injury requires more intensive physical therapy to restore range of motion, strength, and proprioception. In this instance, a return to unrestricted work, especially jobs involving heavy lifting or overhead activity, may take several months.
In summary, the severity of the clavicle fracture is a critical determinant of the return-to-work timeline after surgical intervention. Accurately assessing the fracture type, degree of displacement, and associated soft tissue injury is paramount for establishing realistic expectations and developing an appropriate rehabilitation plan. While individual healing rates vary, a more severe fracture predictably necessitates a longer recovery and rehabilitation period, directly influencing the timing of a safe and successful return to employment.
2. Surgical Procedure
The specific surgical procedure employed to address a clavicle fracture is a primary determinant of the subsequent return-to-work timeline. The invasiveness and complexity of the surgical approach directly impact the extent of tissue disruption, postoperative pain, and the duration of required rehabilitation, thereby influencing the period before safe return to employment. For instance, a minimally invasive procedure such as percutaneous fixation may result in a quicker return compared to open reduction and internal fixation (ORIF). ORIF, involving a larger incision and greater soft tissue dissection for fracture reduction and plate/screw placement, inevitably necessitates a longer recovery. The degree of bone stability achieved during the surgical procedure also plays a crucial role. A stable fixation allows for earlier mobilization and a more aggressive rehabilitation program, potentially accelerating the return to work.
Consider the practical implications: an individual with a displaced midshaft clavicle fracture undergoes ORIF. The procedure requires careful anatomical reduction of the fracture fragments and secure fixation with a plate and screws. Postoperatively, the patient experiences pain and swelling, requiring analgesic medication. Physical therapy focuses on regaining range of motion and strength. Initially, lifting restrictions are strictly enforced to protect the surgical site and promote bone healing. It may take several weeks before the individual can perform light duties and several months before resuming activities requiring heavy lifting or repetitive overhead motions. Conversely, if the same fracture were amenable to a less invasive technique, the postoperative discomfort may be less, and the rehabilitation period shorter, allowing for an earlier return to work, possibly within weeks for less physically demanding jobs.
In conclusion, the surgical procedure is a critical factor impacting the return-to-work timeline after clavicle fracture repair. The degree of invasiveness, stability of fixation, and postoperative rehabilitation requirements all influence the timeframe for a safe and successful return to employment. A thorough understanding of the surgical approach and its implications for recovery is essential for both patients and employers to manage expectations and facilitate a smooth transition back to work. Ultimately, close collaboration between the surgeon, physical therapist, and patient is vital to optimizing the recovery process and achieving a timely return to pre-injury activity levels.
3. Healing Progress
Healing progress serves as a cornerstone in determining the appropriate return-to-work timeline following clavicle surgery. It embodies the physiological process of bone union and soft tissue repair, directly impacting functional capacity and readiness for employment-related activities. The rate and quality of healing significantly influence the permissible load-bearing capabilities and the range of motion, both essential for many occupations. Adequate bone consolidation, evidenced through radiographic imaging and clinical examination, is a prerequisite before gradually increasing physical demands. Furthermore, the resolution of soft tissue inflammation, pain reduction, and restoration of muscular strength and endurance are equally crucial components of healing progress that dictate the feasibility of returning to work. Any setbacks in healing, such as delayed union or non-union, invariably extend the recovery period and postpone the return-to-work date. Conversely, accelerated or uncomplicated healing may allow for a more expedited return, provided that objective functional assessments confirm the patient’s ability to meet the physical requirements of the job.
Consider a patient whose radiographic imaging at six weeks post-surgery demonstrates inadequate callus formation, indicating delayed union. In this scenario, a return to work involving heavy lifting or repetitive arm movements would be contraindicated due to the elevated risk of fracture displacement or implant failure. The focus would shift towards optimizing factors that promote bone healing, potentially including nutritional supplementation or bone stimulation therapies. Conversely, a patient exhibiting robust callus formation and demonstrating pain-free shoulder movement with good muscular strength may be cleared to return to light duties, even before the typically expected timeframe. The healing trajectory is not uniform, and its objective assessment guides individualized return-to-work recommendations. This emphasizes the importance of regular follow-up appointments and comprehensive evaluations to monitor healing progress.
In summary, healing progress is a dynamic and indispensable component of the return-to-work equation after clavicle surgery. Its objective monitoring, coupled with functional assessments, allows for individualized recommendations that prioritize patient safety and optimize the likelihood of a successful return to employment. Challenges in healing, such as delayed union or persistent pain, necessitate a modified approach, potentially involving extended rehabilitation or further medical intervention. The broader theme underscores the need for a patient-centered approach, where return-to-work decisions are grounded in objective evidence of healing progress and functional capacity, rather than arbitrary timelines.
4. Pain Management
Effective pain management is inextricably linked to the return-to-work timeline following clavicle surgery. Pain serves as a crucial indicator of underlying healing and functional capacity, influencing an individual’s ability to perform job-related tasks. Uncontrolled or poorly managed pain can impede rehabilitation progress, limit range of motion, and hinder the restoration of strength, ultimately delaying the return to work. Conversely, successful pain control facilitates active participation in physical therapy, promotes functional recovery, and enables a more timely and comfortable return to employment.
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Influence on Rehabilitation Adherence
Pain significantly affects an individual’s willingness and ability to adhere to the prescribed rehabilitation program. High pain levels can discourage patients from performing necessary exercises, leading to muscle atrophy, joint stiffness, and impaired function. Reduced participation in rehabilitation directly translates to a slower recovery and a prolonged absence from work. Proper pain management strategies, including pharmacological interventions, physical modalities, and psychological support, are crucial for optimizing rehabilitation adherence and expediting the return-to-work process. For example, a patient experiencing debilitating pain may be unable to complete strengthening exercises, hindering the restoration of shoulder function required for their occupation.
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Impact on Functional Capacity
Pain directly impacts functional capacity, defined as the ability to perform specific physical tasks and activities. Even if bone healing is progressing as expected, persistent pain can limit an individual’s capacity to lift, reach, push, or pull, rendering them unable to perform essential job functions. Accurate assessment of pain levels during functional activities is vital in determining readiness for work. Objective measures of functional capacity, such as lifting capacity tests or range of motion assessments, provide valuable information about the individual’s ability to meet the physical demands of their occupation. Uncontrolled pain, despite adequate bone healing, necessitates further pain management interventions before a safe return to work can be considered.
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Relationship to Psychological Well-being
Chronic pain following clavicle surgery can significantly impact psychological well-being, leading to anxiety, depression, and sleep disturbances. These psychological factors can further exacerbate pain perception and hinder functional recovery. Addressing psychological well-being is an integral component of comprehensive pain management. Cognitive-behavioral therapy, mindfulness techniques, and other psychological interventions can help individuals cope with pain, improve mood, and enhance their ability to participate in rehabilitation. Ignoring the psychological aspects of pain can prolong the recovery process and delay the return to work. A patient experiencing significant anxiety about reinjury may be reluctant to engage in necessary exercises, even with adequate pain control from medication.
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Medication Management and Side Effects
Pharmacological pain management often involves the use of opioid analgesics, nonsteroidal anti-inflammatory drugs (NSAIDs), or other medications. While these medications can effectively reduce pain, they also carry potential side effects that can impact the return-to-work timeline. Opioids can cause drowsiness, impaired cognition, and constipation, potentially affecting an individual’s ability to perform certain job functions safely. NSAIDs can increase the risk of gastrointestinal bleeding or cardiovascular events. Careful medication management, including consideration of potential side effects and interactions, is essential for optimizing pain control while minimizing risks. The goal is to achieve effective pain relief without compromising an individual’s alertness, cognitive function, or overall health, thereby facilitating a more timely and safe return to work.
In summary, pain management plays a pivotal role in determining the return-to-work timeframe after clavicle surgery. The ability to effectively control pain not only improves comfort and facilitates rehabilitation adherence but also directly impacts functional capacity and psychological well-being. A comprehensive approach to pain management, incorporating pharmacological interventions, physical modalities, psychological support, and careful monitoring of medication side effects, is crucial for optimizing recovery and enabling a safe and timely return to employment.
5. Occupation Demands
Occupation demands exert a significant influence on the return-to-work timeline following clavicle surgery. The physical requirements of an individual’s job directly impact the healing process and the necessary rehabilitation protocols, consequently determining when a safe and sustainable return to employment can be achieved. Jobs requiring heavy lifting, repetitive overhead motions, or prolonged periods of arm elevation necessitate a longer recovery period compared to sedentary occupations involving minimal physical exertion. For instance, a construction worker whose role involves carrying heavy materials and operating power tools will require significantly more time to regain strength and range of motion than an office worker whose primary tasks involve computer use and light paperwork. Failure to adequately consider occupation demands can lead to premature return to work, increasing the risk of re-injury, chronic pain, and prolonged disability. The specific tasks and essential functions of the job must be carefully analyzed to determine the appropriate rehabilitation targets and ensure that the individual can safely perform their duties without compromising their health or well-being.
Real-life examples illustrate this connection. Consider a surgeon who relies on precise arm movements and sustained upper limb endurance during lengthy operations. Following clavicle surgery, this individual requires not only bone healing but also the restoration of fine motor skills, proprioception, and the ability to maintain arm elevation for extended periods. Their rehabilitation program must be tailored to address these specific demands, potentially involving simulated surgical scenarios and specialized exercises to regain the necessary dexterity and stamina. Conversely, a telemarketer whose job primarily involves phone conversations and typing may return to work sooner, with modifications to workstation ergonomics and limited physical demands. Understanding the practical significance of occupation demands allows for the development of targeted rehabilitation plans that address the unique physical challenges of each job, maximizing the likelihood of a successful return to work. This involves open communication between the patient, surgeon, physical therapist, and employer to identify essential job functions and establish realistic expectations for recovery.
In summary, occupation demands are a critical factor in determining the return-to-work timeframe following clavicle surgery. A thorough assessment of the physical requirements of the job is essential for tailoring rehabilitation protocols, establishing realistic expectations, and minimizing the risk of re-injury. By carefully considering the specific demands of each occupation, healthcare professionals can develop individualized return-to-work plans that prioritize patient safety and optimize functional recovery. However, challenges may arise when job descriptions are vague or when employers are unwilling to accommodate temporary work modifications. Overcoming these challenges requires effective communication, collaboration, and a commitment to supporting the individual’s return to work in a safe and sustainable manner, ultimately linking successful surgical outcomes with functional reintegration into the workplace.
6. Rehabilitation Adherence
Rehabilitation adherence represents a pivotal determinant in the return-to-work timeline following clavicle surgery. The degree to which an individual diligently follows the prescribed rehabilitation program directly impacts the rate and completeness of functional recovery, thus influencing the timeframe for safe and sustainable resumption of employment duties.
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Impact on Range of Motion Recovery
Consistent adherence to prescribed exercises targeting range of motion is crucial for preventing joint stiffness and restoring full shoulder mobility. Non-adherence can lead to persistent limitations in movement, hindering the ability to perform tasks requiring reaching, lifting, or overhead activity. For example, a construction worker who fails to diligently perform prescribed stretching exercises may experience persistent shoulder stiffness, preventing them from safely lifting materials or operating machinery, thereby delaying their return to work. The inverse is also true: a dedicated adherence regimen promotes earlier and more complete recovery of joint mobility.
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Influence on Strength Restoration
Rehabilitation programs typically incorporate strengthening exercises to rebuild muscle mass and improve upper extremity strength. Regular and progressive resistance training is essential for regaining the strength required to perform physically demanding job functions. Poor adherence to strengthening exercises can result in persistent muscle weakness, limiting the ability to lift, carry, or manipulate objects, which can be crucial for many occupations. A delivery driver, for instance, who neglects their strengthening exercises may be unable to safely lift packages, prolonging their absence from work. Conversely, consistent adherence allows for a more robust restoration of strength and endurance.
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Role in Pain Management
Rehabilitation exercises can play a significant role in pain management following clavicle surgery. Controlled movements and progressive loading can help reduce pain sensitivity, improve circulation, and promote tissue healing. Conversely, failure to adhere to prescribed exercises may lead to increased pain, muscle spasms, and reduced functional tolerance. For example, an office worker who avoids prescribed postural exercises may experience increased neck and shoulder pain, hindering their ability to comfortably perform computer-based tasks and extending their time away from work. Dedicated rehabilitation offers pain relief and improved functional capacity.
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Contribution to Proprioception and Coordination
Rehabilitation exercises often include activities designed to improve proprioception (body awareness) and coordination, essential for performing complex movements and preventing re-injury. Non-adherence to these exercises can result in impaired coordination and an increased risk of falls or other injuries, particularly in occupations requiring fine motor skills or balance. For example, a surgeon who neglects proprioceptive exercises may experience reduced dexterity, affecting their ability to perform delicate surgical procedures. Diligent rehabilitation helps restore the neural pathways that govern motor control.
These interconnected facets emphasize that rehabilitation adherence is not merely a passive activity but an active and essential component of the recovery process following clavicle surgery. The degree to which an individual embraces and consistently executes the prescribed rehabilitation program directly determines the speed and extent of functional recovery, influencing the return-to-work timeline and ensuring a safe and sustainable resumption of employment duties. A failure to prioritize and adhere to the rehabilitation plan can significantly delay the return to work, potentially leading to long-term functional limitations.
7. Potential Complications
Potential complications following clavicle surgery constitute a significant factor influencing the return-to-work timeline. The emergence of adverse events can substantially delay recovery, necessitate additional medical intervention, and prolong the period before an individual can safely resume employment activities. Recognizing and addressing potential complications is crucial for optimizing patient outcomes and minimizing disruption to work schedules.
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Infection
Postoperative infection, whether superficial or deep, can significantly impede healing and necessitate antibiotic therapy, wound care, or even additional surgical procedures. Infection management requires time, potentially delaying rehabilitation and functional recovery. For example, a surgical site infection requiring intravenous antibiotics and debridement would invariably postpone the return to work compared to an uncomplicated recovery. Infection control measures and prompt treatment are essential to minimize the impact on the return-to-work timeline.
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Nonunion or Delayed Union
Failure of the fractured clavicle to heal properly, resulting in either nonunion (complete failure of bone union) or delayed union (significantly slow healing), necessitates prolonged immobilization, activity restrictions, and potentially further surgical intervention. These complications extend the recovery period and postpone the return to work. A nonunion, requiring bone grafting and revision fixation, would substantially lengthen the absence from employment compared to a fracture healing as expected. Regular radiographic monitoring and adherence to weight-bearing restrictions are vital.
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Hardware Failure
The implanted hardware (plates, screws, or pins) used to stabilize the clavicle fracture can sometimes fail, leading to loss of fixation, fracture displacement, and pain. Hardware failure often requires revision surgery to replace or reinforce the fixation, thereby delaying the return to work. For instance, a plate fracture caused by premature return to heavy lifting would necessitate further surgery and rehabilitation, significantly extending the recovery period. Avoiding excessive stress on the surgical site is crucial to prevent hardware failure.
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Nerve or Vascular Injury
Although uncommon, nerve or vascular injury can occur during clavicle surgery, resulting in sensory deficits, motor weakness, or circulatory problems. These injuries require specialized medical management and rehabilitation, potentially delaying the return to work. A brachial plexus injury resulting in persistent arm weakness would significantly impact the ability to perform many jobs, necessitating extensive rehabilitation and potential work modifications. Meticulous surgical technique and careful postoperative monitoring are essential to minimize the risk of nerve or vascular injury.
These potential complications, individually or in combination, directly affect the return-to-work timeline after clavicle surgery. The emergence of any adverse event necessitates prompt medical attention, potentially requiring additional treatments, rehabilitation, and prolonged activity restrictions. While not all complications are preventable, a thorough understanding of potential risks, meticulous surgical technique, and diligent postoperative care are essential for minimizing their occurrence and mitigating their impact on the recovery process and subsequent return to employment.
Frequently Asked Questions
This section addresses common inquiries regarding the expected timeframe for resuming employment activities following clavicle surgery. The information provided is intended for general knowledge and does not substitute professional medical advice. Individual recovery timelines may vary.
Question 1: What is the general timeframe for returning to work after clavicle surgery?
The timeframe for returning to work following clavicle surgery varies significantly, depending on the nature of the fracture, the type of surgical procedure performed, individual healing rates, and the physical demands of the occupation. A return to light duties may be possible within a few weeks for sedentary jobs, while physically demanding occupations may require several months of recovery and rehabilitation.
Question 2: How does the type of clavicle fracture influence the return-to-work timeline?
The severity of the clavicle fracture is a critical factor. Simple, non-displaced fractures typically require a shorter recovery period compared to comminuted or significantly displaced fractures necessitating more extensive surgical intervention. The degree of soft tissue damage accompanying the fracture also impacts the recovery timeline.
Question 3: Does the surgical procedure affect the return-to-work timeframe?
The surgical approach employed directly influences the recovery period. Minimally invasive procedures generally allow for a quicker return to work compared to open reduction and internal fixation (ORIF), which involves a larger incision and greater soft tissue disruption. The stability of the fixation achieved during surgery is also a determining factor.
Question 4: What role does rehabilitation play in the return-to-work process?
Rehabilitation is essential for restoring range of motion, strength, and function following clavicle surgery. Adherence to the prescribed rehabilitation program significantly impacts the speed and completeness of recovery. Individuals who diligently follow their rehabilitation plan typically experience a more timely and successful return to work.
Question 5: What are some potential complications that could delay the return to work?
Potential complications such as infection, nonunion or delayed union, hardware failure, and nerve or vascular injury can significantly delay the return-to-work timeline. The emergence of any adverse event necessitates prompt medical attention and may require additional treatments, prolonging the recovery period.
Question 6: How do the physical demands of the occupation influence the return-to-work timeline?
The physical requirements of the job are a crucial consideration. Occupations involving heavy lifting, repetitive overhead motions, or prolonged periods of arm elevation necessitate a longer recovery period compared to sedentary occupations with minimal physical exertion. The specific tasks and essential functions of the job must be carefully analyzed.
In summary, the return to work following clavicle surgery is a multifaceted process influenced by various factors. A collaborative approach involving the surgeon, physical therapist, and patient is crucial for optimizing recovery and facilitating a safe and sustainable return to employment.
The following section outlines strategies for ensuring a safe and successful return to employment following clavicle surgery.
Strategies for a Safe Return to Work After Clavicle Surgery
The following tips provide guidance for individuals and employers to facilitate a safe and successful return to employment following clavicle surgery. Adhering to these recommendations minimizes the risk of re-injury and optimizes long-term functional outcomes.
Tip 1: Prioritize Complete Healing: Ensure adequate bone healing before resuming strenuous activities. Radiographic evidence of bone consolidation should be confirmed by the surgeon prior to increasing physical demands. Premature return to work can compromise healing and lead to complications.
Tip 2: Gradual Increase in Activity: Implement a progressive return-to-work plan, gradually increasing the intensity and duration of work-related tasks. Avoid sudden increases in workload or heavy lifting. A phased approach allows the body to adapt to increasing demands and reduces the risk of re-injury.
Tip 3: Emphasize Ergonomics: Optimize the work environment to minimize strain on the shoulder. Adjust workstation height, keyboard position, and chair support to promote proper posture and reduce repetitive movements. Implement ergonomic assessments to identify and address potential risk factors.
Tip 4: Communicate with Healthcare Providers and Employers: Maintain open communication with the surgeon, physical therapist, and employer regarding progress and any limitations. Share functional capabilities and restrictions to ensure appropriate work assignments and accommodations. Transparency is essential for a safe and successful return.
Tip 5: Adhere to Rehabilitation Program: Consistently perform prescribed rehabilitation exercises to maintain range of motion, strength, and proprioception. Neglecting rehabilitation can lead to persistent pain, stiffness, and weakness, hindering the ability to perform job-related tasks safely and effectively.
Tip 6: Manage Pain Effectively: Utilize appropriate pain management strategies to control discomfort and facilitate participation in work activities. Consult with the surgeon or pain management specialist regarding medication management and alternative pain relief techniques.
Tip 7: Address Psychological Factors: Acknowledge and address any psychological factors, such as anxiety or fear of re-injury, that may hinder the return-to-work process. Consider psychological counseling or support groups to build confidence and promote positive coping mechanisms.
Tip 8: Employer Accommodation: The employer should provide reasonable accommodations to facilitate the employee’s return to work. This may include modified duties, temporary work restrictions, or ergonomic adjustments. Collaboration between the employer and employee is essential for a successful reintegration into the workplace.
By adhering to these strategies, individuals and employers can optimize the return-to-work process following clavicle surgery, minimizing the risk of complications and promoting long-term functional outcomes. Implementing a collaborative and proactive approach ensures a safe and sustainable resumption of employment activities.
The concluding section summarizes the key takeaways from this article and provides final considerations for individuals navigating the return to work following clavicle surgery.
Conclusion
The determination of “when can i return to work after clavicle surgery” is a multifaceted assessment reliant on the convergence of various factors. Fracture severity, surgical intervention, individual healing progress, occupational demands, rehabilitation adherence, and the potential for complications all contribute to the recovery timeline. A singular, universally applicable answer is not possible; instead, a personalized approach involving careful evaluation and continuous monitoring is paramount.
The journey back to employment necessitates a commitment to diligent rehabilitation, open communication between patient, surgeon, and employer, and a proactive approach to managing potential setbacks. Successful navigation of this process hinges on prioritizing complete healing, adapting work environments, and addressing psychological well-being. Continued research and advancements in surgical techniques and rehabilitation protocols hold promise for refining return-to-work timelines and optimizing patient outcomes, ensuring a smoother transition back to the workforce.
