Clavicle Fracture ORIF

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

Weight-Bearing

Sling for 6 wks for comfort at all times unless MD specifies otherwise; NWB through operative arm x 6 wks

Key Restrictions

NWB x 6 wks; no lifting >1-2 lbs x 6 wks; Phase I PROM table slides flexion to 90 deg only (PROM flexion/ABD progress slowly toward full, IR/ER in neutral without restriction); Phase II AAROM/AROM below 90 deg pain-free, isometrics in neutral, no strengthening above chest level; avoid heavy lifting overhead and away from body x 12 wks; return to sport 12+ wks

Timeline & Phases

3 phases: Phase I (1-3 wks, PT begins 3-5 days post-op 1-2x/wk, pendulums, scapular retraction, PROM table slides to 90 deg, stationary bike; progress at pain-free PROM to 90 deg), Phase II (3-6 wks, AAROM/AROM below 90 deg, isometrics in neutral, light-resistance ER/IR in neutral, scapular strengthening, walking; progress at >75% ROM), Phase III (6-12 wks, full ROM, overhead strengthening light to moderate, ER/IR at 90/90, proprioception, biking 6-8 wks, swimming 8-10 wks, plyometrics and sport-specific training 10-12 wks; return to sport 3-6 months)

Notes

US Ski Team physician; PT starts 3-5 days post-op; written by Julie Perumal, PT, DPT (4/13/18), approved by Dr. Timothy Crall (4/30/18); return to sport 3-6 months

Surgeon / Author

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

Published

April 2018