Clavicle Fracture ORIF

Gundersen Health System (GLSM) · Gundersen Lutheran Sports Medicine

Weight-Bearing

Sling x 4 wks; discontinue sling as instructed in Phase II (wks 4-6)

Key Restrictions

Sling x 4 wks; no shoulder ROM x 4 wks (active hand and wrist ROM and cervical ROM allowed); passive biceps x 6 wks; no running until 6 wks; scapular strengthening kept under 90 deg in Phase II; strengthening at or above 90 deg only in Phase IV as scapular control and ROM permit; follow-up with physician at 3-4 months for release to full activity

Timeline & Phases

4 phases: Phase I Maximum Protection (wks 0-4, sling, no ROM, chin tucks, hand/wrist AROM, walking and low-intensity cardio), Phase II Progressive Stretching and Active Motion (wks 4-6, discontinue sling, full AROM all planes with wand/pulleys/wall walks, submaximal rotator cuff isometrics, prone scapular series, elliptical), Phase III Strengthening (wks 6-12, full AROM, RC isotonics at 0 and 90 deg, rows and lat pulls, CKC progression, gym program with chest fly and pressing at 8-10 wks), Phase IV Advanced Strengthening and Plyometrics (wks 12-16, overhead and push-up progression, plyometric and rebounder drills, RTS testing with dynamometry, physician release at 3-4 months)

Notes

Gundersen Lutheran Sports Medicine; 2022 (per upload date); detailed manual therapy guidance per phase (STM, scar mobilization, graded GH mobs, CR/RS); RTS testing for interval programs with handheld dynamometer

Surgeon / Author

Gundersen Lutheran Sports Medicine

Published

2022