Clavicle Fracture Rehabilitation Protocol
Dr. Justin Griffin ? Phone: 757-490-4802
Fax: 757-275-7934
CLAVICLE FRACTURE REHABILITATION PROTOCOL
PHASE I
0-6 weeks
PHASE II
6-12 weeks
RANGE OF MOTION
0-4 weeks: None
4-6 weeks: begin
PROM
IMMOBILIZER
0-4 weeks:
Immobilized at all
times day and night
Limit flexion to 90¡ã,
external rotation to
45¡ã, extension to 20¡ã
Off for hygiene and
gentle exercise only
Begin active/active
assistive ROM, PROM
to tolerance
None
Goals: Full extension
rotation, 135¡ã flexion,
120¡ã abduction
PHASE III
12-16 weeks
Gradual return to full
AROM
EXERCISES
0-4 weeks: elbow/wrist ROM, grip
strengthening at home only
4-6 weeks: begin PROM activities ¨C
Codman¡¯s, posterior capsule
mobilizations; avoid stretch of anterior
capsule and extension; closed chain
scapula
Continue Phase I work; begin activeassisted exercises, deltoid/rotator cuff
isometrics at 8 weeks
Begin resistive exercises for scapular
stabilizers, biceps, triceps and rotator
cuff*
None
Advance activities in Phase II; emphasize
external rotation and latissimus
eccentrics, glenohumeral stabilization
Begin muscle endurance activities (upper
body ergometer)
Aggressive scapular stabilization and
eccentric strengthening
Begin plyometric and throwing/racquet
program, continue with endurance
activities
Cycling/running okay at 12 weeks or
sooner if given specific clearance
PHASE IV
4-5 months
Full and pain-free
None
Maintain ROM and flexibility
Progress Phase III activities, return to full
activity as tolerated
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