Brachial plexus injury about 1% of brachial plexus injuries occur following a. This means that the bone remains correctly aligned. Incidence in males is usually highest in second and third decade which decreases thereafter as per. Clavicle fracture surgery rehabilitation dr greggory. Immediately postoperatively, exercises must be modified so as not to place unnecessary stress on the clavicle.
Sports medicine, shoulder surgery and cartilage restoration ucla department of orthopaedic surgery david geffen school of medicine at ucla. You will be told when to start these exercises and which ones will work best for you. A clavicle fracture is also known as a broken collarbone. What exercises can i do after a broken clavicle bone. This bone joins the breast bone to the shoulder joint. Clavicle fracture page \ mergeformat 4 clavicle fracture page \ mergeformat 1 place label here name of patient. Here are some examples of exercises for you to try. Do not lift your arm at the shoulder using your muscles. Surgery consists of repositioning the fracture fragments and holding them in place with plates, screws, wires, sutures, or pins. Do not elevate surgi c a l a rm a bove 90 degree s i n any pla ne for the fi rst 4 we e ks post op. The clavicle, proximal humerus and the scapula together form the shoulder joint.
Clavicle fracture rehabilitation protocols with downloadable pdf. Shoulder fracture aurora clavicle fracture treatment denver. Exercises stage 1 exercises continued 34 times a day page 4 finger flexion and extension your child should open and close the hand of their injured arm as shown 10 times. It is important to exercise your hand and elbow from day 1 also. Describe both the sternoclavicular and acromioclavicular joints. Chest stretch lying down lie on your back with your elbows bent. Broken collarbone or clavicle fracturecausessymptoms. Your clavicle is one of two long thin bones at the top of.
Handouts can be printed and used as they areor they can be easily customized with a practice logo. A series of printable pdf handouts addressing some of the most common musculoskeletal conditions and treatments in plain, straightforward language. Clavicle fractures in children younger than 8 years old may heal in four or five weeks, and clavicle fractures in adolescents may take six to eight weeks. Jun 19, 2019 however, when the bone starts to heal, you will be able to do gentle, progressive clavicle exercises for the arm and shoulder to improve range and strength. Exercises there are several exercises in the literature that exhibit high to very high activity from the rotator cuff, deltoids and scapular muscles prone horizontal abduction at 100 degrees abduction with er, flexion and abduction with er, full can and empty can, d1 and d2 diagonal pattern flexion and extension. The clavicle collarbone is a bone connecting your sternum. If this causes discomfort, sway your 2 elbow flexionextension 3 shoulder blade squeezes draw your shoulder remove your sling. Gripping exercises, wrist curls and elbow flexion and extension can help reduce swelling that occurs in the forearm, wrist, hand and fingers, from wearing a sling. The common symptoms following this type of fracture include. These exercises are designed to guide you through the next few months with some simple exercises to gradually increase your movement, decrease your pain and steadily improve your function. At first you will keep the sling on for immobilization. Lie on your back or stand with your arm at your side and. Clavicle fractureshaft the childrens hospital at montefiore. After a few days, they should hold a soft ballball of socks and squeeze it as hard as possible without pain.
Treatment consists of drainage of the hemothorax and conservative treatment or operative. You should avoid heavy lifting for the full 6 weeks. Broken collarbone rehab protocol do not elevate surgical arm above 90 degrees in any plane for the first 4 weeks postop. Because of the need for your comfort and the protection of the repaired clavicle fracture, a. A fractured clavicle, or fractured collarbone, is a common sports injury that generally occurs from an impact to the shoulder of a fall on an outstretched arm. Weeks 04 the patient is instructed in active and prom exercises to the shoulder. You can begin rehabilitation exercises after your broken collarbone has healed and after youve seen your doctor.
Clavicle f ractu re s ta bi li za ti o n p ost ope r ati ve re habi l i tati on general consideration s. The figureofeight clavicle strap is continued at all times. Anatomy the collarbone clavicle is located between the ribcage sternum and the shoulder blade scapula, and it connects the arm to the body. Rehabilitation and interventions for clavicular fractures. Elbow and forearm exercises, ball squeeze exercise. Exercises stage 1 exercises 34 times a day page 3 exercises continued on following page wrist flexion and extension move your wrist up and down. Increase movement as shown in the stage 2 exercises. Clavicle fracture rehabilitation protocol range of motion immobilizer exercises phase i 06 weeks 04 weeks. For the first 6 weeks keep your arm in the sling 24 hours a day. 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. The clavicle also forms the bony connection between the upper limb and the thorax.
This rehabilitation protocol has been developed for the patient following an open reduction and internal fixation of a clavicle fracture. Patient history the patient is a 38yearold male who sustained a fracture of the clavicle 18 months previous. Bending over to perform pendulum exercises is recommended 3 to 5 times daily. Clavicle fracture broken collarbone a broken collarbone is also. Know the causes, types of fracture, symptoms, treatment, exercises for broken collarbone or clavicle fracture. Speak with your physical therapist or physician prior to initiating an exercise program after a clavicle fracture. Clavicle f ractu re s ta bi li za ti o n p ost ope r ati ve. Rehabilitation protocol nonoperative clavicle fracture. Severityofclaviclefracturescanvaryandaffecttimetohealingandstabilityoftherepair. Describe the normal motions of both the sternoclavicular, acromioclavicular, and scapulothoracic joints. Clavicle fractures are very common injuries in adults 25% and children 1015% and represent the 4466% of all shoulder fractures. Jan 25, 2019 rehabilitation and interventions for clavicular fractures. Forearm rotations rest the elbow of your injured arm by your side.
Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm. Postoperative rehabilitation following orif clavicle fracture a broken collarbone is also known as a clavicle fracture. The coracoclavicular ligament is a vertical stabilizing structure for the acromioclavicular joint and plays an integral part in clavicle fracture classification. Sean griffin weeks full time in sling avoid ir behind the back, lifting more than 12 lbs, and horizontal adduction. Before leaving the hospital, your doctor will have you start to come out of the sling to begin codman exercises see next page. The clavicle is important because it stabilizes the shoulder joint and the upper extremity.
Clavicle fracture rehabilitation protocol dr justin griffin virginia. Postoperative rehabilitation following orif clavicle fracture. Overhead reach is helping to lift your stiff arm up as high as it will go. Your arms should be out to your sides, and your arms and elbows should be resting on the. The exercises we suggest that the following exercises are held for 5 seconds and repeated 10 times each. The common symptoms following this type of fracture. This type of fracture is fairly commonaccounting for about 5 percent of all adult fractures.
Use your sling all of the time for the first two weeks. For all the exercises stand upright, holding a stick in both hands. Clavicle fractures vary in their severity, and the time it takes to heal can vary widely based on factors such as comminution of the fracture the number of pieces it was in, soft tissue damage, and overall health of the patient. Aug 12, 2019 most clavicle fractures are treated without surgery, but more complex fractures may require surgery. However, fractures in adults or teenagers who have stopped growing take 10 to 12 weeks to heal and may take longer. Clavicle fracture open reduction internal fixation. Shoulder flexion stretch your arms over your head, keeping your elbows straight. It articulates with the acromion process of the scapula laterally, at the. Midshaft clavicle fracture this is a break to the middle of your collar bone. Children under eleven years with undisplaced clavicle bone fractures do not require followup with a doctor or xray. The most common place for an adult to break this bone is in the shaft, or middle third, of the bone. The clavicle collarbone is a bone connecting your sternum breast bone to your scapula shoulder blade, it is one of. Because of the need for your comfort and the protection of the repaired clavicle fracture, a sling is usually necessary for 4 to 6 weeks, unless otherwise instructed by your surgeon.
Discuss the muscles attached to the scapula and clavicle and their function. Now that you are using your sling less, it is very. Clavicle fracture broken collarbone a broken collarbone is also known as a clavicle fracture. Physical therapy prescription clavicle fracture orif. Download the pdf version for images to help with the exercises. The patient presented with severe prominence of the right shoulder. It has been reported that fractures of the clavicle account for approximately 2. A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. Victoria bc v8z 0b9 tel 250 940 4444 fax 250 385 9600 page 1 april 2015 v1s. Clavicle fractures this leaflet intends to educate you on the immediate management of your clavicle collarbone fracture. Exercises to regain shoulder motion and strength lost as a result of injury, surgery, and lack of arm use while healing are necessary before returning to sports.
This is a common injury in children and normally takes between six to twelve weeks to heal and is usually painful for four to six weeks. Immobilized at all times day and night off for hygiene and gentle exercise only 04 weeks. Postural education restrictions exercise progression. Clavicle f ractu re s ta bi li za ti o n p ost ope r ati. Protect clavicle injury to 2 weeks sling at all times no lifting with injured arm motion.
Famous physical therapists bob schrupp and brad heineck present. If it is comfortable to do so, you may progress to the stage 3 exercises below. Hand, wrist and elbow exercises are only needed while you are wearing a sling. Slowly rotate your palm up and down until you feel a mild to moderate stretch. The exercises may be suggested for a condition or for rehabilitation. The clavicle or collarbone is often broken or fractured following direct trauma to the front of shoulder joint. Elbow and wrist rom exercises, but no resisted exercises. Your child has sustained a fracture to their clavicle collar bone. It also contains exercises to prevent stiffening of your shoulder and elbow. Ten of each exercise should be done three to five times each day.
Helping your clavicle to recover after a fracture oxford university. Clavicle fracture an overview sciencedirect topics. While standing near a wall as shown, slowly walk your fingers up the wall until you feel a gentle stretch. Maintain elbow and wrist rom, prevent shoulder stiffness, control pain and swelling. This leaflet gives you the advice and exercises to help your clavicle collar bone to recover after your fracture. You can stop these once they become easy and you have full movement. Clavicle fractures account for 5% to 15% of childhood fractures, and are the most common type of fracture in children. Traditionally, the management of clavicle fractures has been through conservative management with sling immobilization and subsequent rehabilitation. Clavicle fracture open reduction internal fixation brian bjerke, md postoperative protocol phase i maximum protection prom week 0 to 4 goals. Move on to stage 2 exercises to improve your movement. Exercises to regain shoulder motion and strength lost as a result of injury, surgery, and lack of arm use while healing are. Clavicle fracture broken collarbone orthoinfo aaos. In office treatment of common pediatric shoulder injuries. At its distal end, the clavicle forms a joint with the.
Physiotherapy department helping your clavicle to recover. Immediate pendulum rom exercises, no overhead motion. Most clavicle fractures will heal completely by four months in an adult. Now that you are using your sling less, it is very important that you use your shoulder as normally as possible.
Once your bone begins to heal, the pain will decrease and your doctor may start gentle shoulder and elbow exercises. Mathes the collarbone or clavicle is a bone that connects the shoulder blade to the chest bone. A fall onto the lateral shoulder most frequently causes a clavicle fracture. Shoulder fractures nonoperative clavicle fracture phase i. Clavicle collar bone fracture undisplaced shoulder 4. Protect clavicle injury to 2 weeks sling at all times. This is a very common fracture that occurs in people of all ages. Clavicle collar bone fracture undisplaced east sussex. Printable orthopaedic patient education orthoinfo aaos. At first your shoulder will feel stiff and painful but it is important that you continue to move it as this will aid your. No shoulder rom elbow and forearm exercises, ball squeeze exercise strengthening. Both exercises should be done with the nonoperative arm used as the therapist arm while the operative arm remains relaxed. Shoulder abduction keeping your elbows as straight as possible.
Apr 18, 2017 initial exercises following a clavicle fracture focus on strength and range of motion movements for your fingers, wrist and elbow. In either case, a physical therapist can help promote healing and a safe return to normal activity by providing pain management, guided exercise, and functional training. This leaflet gives you the advice and exercises to help your clavicle. A patients guide to adult clavicle fractures adult clavicle fractures anatomy the clavicle, commonly called the collarbone, forms a strut that connects the rib cage to the scapula shoulder blade. Adult clavicle fractures advanced physical therapy. Midshaft clavicle fracture virtual fracture clinic. It can happen when a person falls on an outstretched hand or onto a shoulder, or in. Updated march 2020 remember to use your sling for the first 3 weeks.
Only remove the sling 4 or 5 times a day to do elbow and wrist rom exercises. Ice and modalities to reduce pain and inflammation. Pain should serve as the guide for the rom obtained. Clavicle collar bone fracture your clavicle is one of two long thin bones at the top of your chest. These fractures may be partial or complete and often require surgical repair or immobilization while they heal. Radiographs confirm the diagnosis and aid in further evaluation and treatment.
Rehabilitation protocol adopted from the massachusetts. We recommend removing the sling to do these exercises and repeat them little and often throughout the day. Shoulder exercise program home exercise program physical therapy program antiinflammatory medication nsaids cortisone injection. Acute shoulder injuries in adults american family physician. Keywords clavicle fracture midshaft plating introduction clavicle fracture is one of the most common injuries around the shoulder girdle 1. Hamilton, md a broken collarbone is also known as a clavicle fracture. Afterward, you will likely wear a sling to support your arm while your collar bone heals. Radiographs confirm the diagnosis and aid in further evaluation and. Keeping your arm at your side, bend and straighten the elbow, flex the wrist, hand and fingers.
253 1011 429 1344 130 976 865 1464 1277 1611 100 1358 411 1531 537 466 380 1019 517 114 1472 553 460 107 1384 1108 8 1733