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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.
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)
Objectives. Understand the deforming forces affecting clavicle fractures. Discuss factors affecting the decision to treat fractures operatively vs non-operatively. Evaluate different operative techniques available. Epidemiology. 2.6% of all fractures. Higher energy. MVC. Collision sports. Football. Hockey. Cycling. Demographic skews younger.
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.
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. 6-12 weeks.
Clavicle fractures are one of the most common fractures encountered in orthopedic practice. Previous epidemiologic studies suggest that clav-icle fractures represent up to 5% of all adult fractures and up to 44% of all shoulder girdle fractures [2–4].
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.
