Clavicle Fracture Rehabilitation Program

PHASE I: 1-3 WEEKS POST-OP

Range Of Motion

  • Restore PROM (as tolerated)
  • No AROM against gravity yet

Sling

  • Immobilized in sling at all times, may be removed for exercises and showering. Wear sling at night.

Therapeutic Exercise

  • Codman’s Pendulums
  • Scapular sets, shoulder shrugs, retraction/protraction
  • Towel slides
  • ER with broom handle
  • Supine Active Assisted flexion
  • Elbow, wrist, hand ROM
  • Ball squeezes

PHASE II: 3-6 WEEKS POST-OP

Range Of Motion

  • Progress PROM
  • Pool Therapy if available for AAROM (pool is the assistance)
  • Begin AROM against gravity
  • Goal to avoid post-operative stiffness

Sling

  • Transition away from sling between Week 3-4

Therapeutic Exercise

  • Continue Phase I ROM exercises
  • Supine AAROM
  • Pulley exercises
  • Light scapular strengthening (retraction/protraction) , shoulder shrugs, scapular setting
  • Gentle joint mobilization and soft tissue mobilization

PHASE III: 6-12 WEEKS POST-OP

Range Of Motion

  • Progress to full AROM and PROM without discomfort

Sling

  • None

Therapeutic Exercise

  • Stretching, mobs, ROM exercises
  • Begin Rotator Cuff theraband strengthening exercises
  • Begin strengthening for lats, biceps/triceps, pecs, rhomboids, deltoids
  • Progress supine to seated to standing AAROM
  • Progress pool based AAROM if available
  • Progress to full AROM against gravity

PHASE IV: 3-4 MONTHS POST-OP

Range Of Motion

  • Full ROM without discomfort

Sling

  • None

Therapeutic Exercise

  • Progress with strengthening exercises
  • Begin to add sport and job specific activities

PHASE V: 4-6 MONTHS POST-OP

Range Of Motion

  • Full ROM without discomfort

Sling

  • None

Therapeutic Exercise

If cleared by Dr. Roth, may now be able to return to:

  • Weight Training
  • Skiing
  • Golf
  • Basketball
  • Manual Labor

PHASE VI: 6+ MONTHS POST-OP

Range Of Motion

  • Full ROM without discomfort

Sling

  • None

Therapeutic Exercise

If cleared by Dr. Roth, may now be able to return to:

  • Throwing Sports
  • Tennis
  • Volleyball

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