Clavicle Fracture ORIF

Mammoth Orthopedic Institute / Sierra Park PT · Dr. Timothy Crall MD (US Ski Team Physician); Bartlett White PA-C

Weight-Bearing

Sling at all times or per MD; no AROM/lifting/pushing/pulling x 6 wks

Key Restrictions

No AROM x 6 wks; no ER >40 deg or excessive extension x 6 wks; no supporting body weight; X-ray evidence of healing required for all phase progressions; no overhead lifting until 4-6 months; PROM FF ≤90 + ER ≤30 Phase I

Timeline & Phases

4 phases: Phase I (wks 1-3, PROM FF 90 + ER 30; scapular clocks; pendulums; incision mob), Phase II (wks 3-6, AAROM FF 90 + ER 40; pulleys; grade I-II mobs; pool at wk 3), Phase III (wks 6-12, full PROM/AAROM/AROM; submaximal RTC isometrics wk 6; isotonic RTC wk 8; grade III-IV mobs), Phase IV (wk 12+, no overhead until 4-6 months)

Notes

US Ski Team physician; X-ray progression criterion; PT starts wk 1; pool at wk 3; return to work/sport: bilateral AROM + strength 4+/5

Surgeon / Author

Dr. Timothy Crall MD (US Ski Team Physician); Bartlett White PA-C