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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.
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.
PHASE II: Advance ROM (2-6 weeks) Sling: for comfort. Motion: Begin gentle PROM exercises followed by AAROM and AROM in all planes to pain tolerance. Strengthening: Begin gentle Theraband resistive exercises at 4 weeks.
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 · Operative treatment of displaced midshaft clavicle fractures in adult patients is associated with higher union rates and better early patient - reported outcomes than non-operative treatment.
• Understand the deforming forces affecting clavicle fractures • Discuss factors affecting the decision to treat fractures operatively vs non-operatively • Evaluate different operative techniques available
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.
