Clavicle Fracture Fixation

Sling When will I go home? What can I do? What can’t I do?
4 weeks You will be discharged on the same day as the operation Passive shoulder movement, elbow/wrist mobilisation No forced range of movement or stretch. No lifting

Acute phase (0-2 weeks)

Goals

  • Reduce pain
  • Initiate passive shoulder range of movement
  • Maintain elbow/wrist range of movement

Rehabilitation

  • Shoulder passive range of movement exercises within pain/stretch limits
  • Elbow/wrist range of movement exercises
  • Scapular setting exercises
  • Criteria for progression
  • Reduction and control of pain

Intermediate phase (2-6 weeks)

Goals

  • Reduce pain
  • Wean sling by 6 weeks
  • Restore shoulder range of movement
  • Scapular control through range

Rehabilitation

  • Start to wean sling at 4 weeks post op
  • Gentle isometric exercises in neutral as pain allows
  • Scapular control exercises
  • Begin active assisted exercises & progress to active exercises when sling weaned
  • Hydrotherapy permitted

Criteria for progression

  • Pain controlled
  • Adequate shoulder range to start rotator cuff strengthening

Late phase (>6 weeks)

Goals

  • Functional shoulder range
  • Strengthen cuff
  • Scapular control

Rehabilitation

  • Progress to full active exercises in all ranges
  • Rotator cuff strengthening
  • Progress cuff and scapula recruitment and control through range
  • Closed chain exercises
  • Capsular stretching
  • Proprioceptive training

Guidelines for return to functional activities

Driving Lifting Swimming Golf
6 weeks Light lifting at 6 weeks. Avoid heavy lifting until fracture healed. 6-8 weeks 3-6 months

Download Information Sheet (PDF)

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