Thanks to everybody who is concerned about Karen's injury.
She was at the orthopedist all morning. They see that there were a couple of small fractures, that accompanied the dislocation.
She is to keep it as immobile as possible for 2 weeks, but the doctor felt that she should be OK to go biking in Spain in October, as currently planned.
This morning, I set up dictation software ('Dragon NaturallySpeaking' - anyone have any experience with this?) on her work computer - she'll try it out and see if that helps.