Shoulder Rehabilitation

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

SHOULDER SPECIALIST

Mr. Devinder Garewal

MBBS, BMedSci, FRACS (Orth), FAOrthA

Mr. Devinder Garewal is an orthopaedic shoulder specialist. Devinder completed his medical qualifications from the University of Melbourne and is a Fellow of the Royal Australasian College of Surgeons and the Australian Orthopaedic Association.

Shoulder Bone Icon

Shoulder Joint

Elbow Icon

Elbow Joint

Wrist Icon

Wrist Joint

Hand Icon

Hand Joints

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