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Rehabilitation Protocol for Clavicle ORIF. This protocol is intended to guide clinicians through the post-operative course for clavicle ORIF. This protocol is time based (dependent on tissue healing) as well as criterion based.
Physical Therapy. While you are wearing the sling, you will likely lose muscle strength in your shoulder. Once your bone begins to heal, the pain will decrease and your doctor may start gentle shoulder and elbow exercises. These exercises will help prevent stiffness and weakness.
Clavicle Fracture Non-Operative Rehabilitation Protocol . PHASE 1: WEEK 0-4 (EARLY FRACTURE HEALING) • Maintain sling use (except for TID elbow wrist finger ROM, hygiene) o Elbow should be supported • Rhomboid and periscapular isometrics, posture exercises • No lifting > weight of coffee cup • No active shoulder ROM
2 Δεκ 2022 · Surgeons may use manufacturer-contoured anatomic clavicle plates for treatment of midshaft clavicle fractures in adults as they have lower rates of implant removal or deformation compared to other plates.
0-4 weeks: Immobilized at all times day and night Off for hygiene and gentle exercise only. 0-4 weeks: elbow/wrist ROM, grip strengthening at home only. 4-6 weeks: begin PROM activities – Codman’s, posterior capsule mobilizations; avoid stretch of anterior capsule and extension; closed chain scapula. PHASE II.
Clavicle fracture is managed either surgically or conservatively based upon various factors including the location (mid-shaft, distal, proximal), nature (displaced, undisplaced, comminuted) of the fracture, open VS closed injury, age, and neurovascular compromises.
Phase I: Protect clavicle (Injury to 2 weeks) Sling at all times. No lifting with injured arm. Motion: No shoulder ROM. Elbow and forearm exercises, ball squeeze exercise. Strengthening: No resistive exercises/activities.
