Clavicle Fracture ORIF — Clavicle Open Reduction Internal Fixation (ORIF)

UW Health Sports Medicine · UW Health Sports Rehabilitation; UW Health Sports Medicine physician group

Weight-Bearing

N/A (shoulder/clavicle surgery — no WB through surgical arm)

Key Restrictions

Sling while sleeping 4 weeks; continuous sling weeks 0-2; no WB through surgical arm; no resisted IR or extension; cross body adduction restricted until 6 weeks; 5 lb lifting restriction until 12 weeks; Phase I ROM limits by week (90°/120° FF, 20°/30° ER)

Timeline & Phases

Phase I (0-4 wks): sling, strict ROM limits by week, no cross body adduction; Phase II (4-10 wks): gradual ROM to near full, gentle isometrics; Phase III (10-16 wks): full ROM by 12 wks, progressive strengthening, 80% strength; Phase IV (14-16+ wks): overhead strengthening, throwing program, RTS (<10% deficit UW UE progressive testing)

Notes

Covers midshaft, distal, and proximal clavicle ORIF. ROM restrictions specified week-by-week in Phase I. Neurocognitive strategies (dual task, visual scanning, cognitive challenges) recommended in Phase IV. RTS: <10% side-to-side deficit on UW Upper Extremity progressive testing. Copyright 2024.

Surgeon / Author

UW Health Sports Rehabilitation; UW Health Sports Medicine physician group

Published

2024