Clavicle fracture rehabilitation protocol range of motion immobilizer exercises phase i 06 weeks 04 weeks. Removal of sling at home in 3 weeks and begin range of motion exercises. Trauma is the most common cause of a clavicle fracture. Kreher, md, boston university, boston, massachusetts c lavicle fractures constitute 5 patient information.
Shoulder fracture aurora clavicle fracture treatment denver. Physiotherapy department helping your clavicle to recover. Clavicle f ractu re s ta bi li za ti o n p ost ope r ati ve re habi l i tat i on general consideration s. At first your shoulder will feel stiff and painful but it is important that you continue to move it as this will aid your. Sean griffin weeks full time in sling avoid ir behind the back, lifting more than 12 lbs, and horizontal adduction. Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm puts enough pressure on the bone that it snaps or breaks.
Clavicle f ractu re s ta bi li za ti o n p ost ope r ati. Victoria bc v8z 0b9 tel 250 940 4444 fax 250 385 9600 page 3 april 2015 v1s. This normally takes between six to twelve weeks to heal. Physical therapy prescription clavicle fracture orif. A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. Protection phase weeks 06 goals protect the surgical reconstruction. A multicentre randomized controlled trial of nonoperative versus operative treatment of displaced clavicle shaft fractures. The aim of this observational study was to describe the epidemiology, classification and treatment of clavicle fractures in the the swedish fracture register sfr that collects national prospective data from large fracture populations.
Fractures of the clavicle are common injuries that occur across all age groups but are most frequently seen in the young, active patient population. Cole, md, mba range of motion immobilizer exercises phase i 06 weeks. Displaced and nonoperative treated clavicle fractures all heal with some degree of malunion secondary to angulation and shortening 2. Complications of clavicle fracture include radiographic and symptomatic malunion and shoulder deformity, nonunion and infections. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. Type ii distal clavicle fractures, which involve displacement, are associated with the. Historically, only unstable distal clavicle fractures were treated operatively. Frequency of inoffice visits 1 to 2 visits over first six weeks to monitor patient compliance and understanding shoulder range of motion. What exercises can i do after a broken clavicle bone. This leaflet gives you the advice and exercises to help your clavicle collar bone to recover after your fracture. The exercises may be suggested for a condition or for rehabilitation. However, recent wellconducted studies demonstrate that plate fixation of displaced midshaft clavicle fractures may result in improved functional outcome and a lower rate of malunion and nonunion, compared.
In babies, these fractures can occur during the passage through the birth canal. Here are some examples of exercises for you to try. Orif proximal humerus fracture outpatient physiotherapy phase 1. Rehabilitation and recovery after clavicle fracture surgery. Famous physical therapists bob schrupp and brad heineck present. Provide sickkids parent information sheet clavicle fracture.
Clavicle fracture broken collarbone a broken collarbone is also known as a clavicle fracture. The goal of clavicle fracture treatment is to achieve bony union while minimizing dysfunction, morbidity, and cosmetic deformity. Symptoms clavicle fractures can be very painful and may make it hard to move your arm. Data were retrieved from the sfr on all clavicle fractures sustained by patients. Clavicle fracture introduction clavicle fractures are a common orthopedic injury, particularly among infants and young children. During this period, it is important that you follow the rehabilitation plan on the following page. Conservative or nonsurgical treatment is the norm for middlethird clavicle fractures, and is recommended for not displaced fractures given the generally low incidence of nonunion after conservative treatment of these fractures with rates ranging from 0. She received her bs degree in kinesiologyexercise science from uwmadison in 2008. Clavicle fractures matthew pecci, md, and jeffrey b. Immobilized at all times day and night off for hygiene and gentle exercise only 04 weeks. A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. Its important to work closely with your physician and physical therapist to design a clavicle fracture rehabilitation program that is specific to your injury, fitness level, and lifestyle.
Among the different types of clavicle fractures, those occurring in the middle third of the clavicular shaft are the most common. Postoperative rehabilitation protocol clavicle fracture fixation orif precautions sling for 24 weeks as tolerated during 1st six weeks no active forward flexionabduction beyond 120 degrees no cross body adduction no liftingpushingpulling 5 lbs phase 1 arm in sling at all times except exercises and bathing. You have sustained a fracture to your clavicle collar bone. Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm puts enough pressure on. This is a very common fracture that occurs in people of all ages. This is largely because of reported nonunion rates of less than 1% and separate reports by neer40 and. This is the most common location of clavicle fracture. Anatomy the collarbone clavicle is located between the ribcage sternum and the shoulder blade scapula, and it connects the arm to the body.
Passive stretching exercises during the rehabilitation phase are continued till there is full range of motion of the shoulder. A sling is worn for 2 to 3 weeks after surgery for comfort and to help. Physical therapy prescription clavicle fracture orif patient name. The majority of clavicle fractures can heal without surgery. Clavicle fracture broken collarbone orthoinfo aaos. In general, all rehab exercise programs are designed to help an athlete regain full range of motion and then full strength to allow a return to sports safely and quickly. Now that you are using your sling less, it is very important that you use your shoulder as normally as possible. Exercises after a broken clavicle bone include shoulder range of motion and gentle strengthening. Sagging shoulder down and forward inability to lift the arm because of pain. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Conservative treatment of fractures of the clavicle. The clavicle, also referred to as the collarbone, is a long bone located at the top of the chest. Each phase is adaptable based on the individual and special circumstances.
A clavicle fracture is typically associated with extreme pain, and arm movement is difficult. Mckee md and the canadian orthopaedic trauma society. If you continue browsing the site, you agree to the use of cookies on this website. Click here to print pdf copy of clavicle fracture rehab surgery to repair fractured clavicle phase i. Top shoulder surgeons give treatment opinions from clinical diagnosis to rehabilitation. The rehabilitation phase takes about six months to complete. Postsurgical orif clavicle fracture or nonunion rehabilitation protocol phase 1. Rehabilitation protocol adopted from the massachusetts general hospital sports physical therapy program and the american academy of orthopedic surgeons for. Dr adam seidl offers treatment for shoulder fractures and clavicle fracture in denver and aurora. Rehabilitation protocol adopted from the massachusetts general hospital sports physical therapy program and the american academy of orthopedic surgeons for nonsurgical rehabilitation of clavicle fractures 7,15. The clavicle bone lies just beneath the skin, so a fracture usually causes an obvious protrusion or bump at the fracture site, along with swelling. When examining a patient with an acute clavicle fracture i typically look for the usual deformity of. Speak with your physical therapist or physician prior to initiating an exercise program after a clavicle fracture.
This is due to the trauma from the fracture and from the surgery. Management of midshaft clavicle fractures in adults. Fractures joint replacement sports medicine clavicle fracture orif protocol dr. The emphasis of this article is on the management of these injuries. Causes, types, symptoms, diagnosis, treatment, exercises. You will be told when to start these exercises and which ones will work best for you. Large multicentre studies of clavicle fractures have so far been missing. Abigail hamilton, md a broken collarbone is also known as a clavicle fracture.
A shaft clavicular fracture is a complete or incomplete break fracture in the middle third of the collarbone clavicle in the shaft. Rehabilitation protocol adopted from the massachusetts. Activities that may result in reinjuring the clavicle should be avoided for approximately 12 weeks from the date of injury. Surgery for a clavicle fracture broken collarbone is typically done on an outpatient basis, so patients will go home the same day as surgery and will need to arrange for someone to take them home. Following your rehabilitation plan will help to prevent further injury and help to. However, radiographic nonunion after distal clavicle fracture has been reported in 10% to 44% of patients. Mathes expect swelling and bruising for a few weeks following the surgery. We examined 71 patients 51 males and 20 females, mean age 38. Navigate to learn more about shoulder fracture protocol. In the treatment of clavicle fractures, the choice of procedure depends on the possibility of restoring the anatomical functional integrity of the shoulder.
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