Download Clavicle Open Reduction Internal Fixation Rehab Protocol

Weeks 1-4:

  • PROM (Passive Range of Motion) -to- AAROM (Active Assist Range of Motion) as tolerated, except the following:
    • No active IR/ extension for 4 weeks.
  • PROM in biceps flexion for first 4 weeks
  • ROM goals: Week 1: 120º FF/20º ER at side; ABD max 75º without rotation
  • ROM goals: Week 2: 140º FF/40º ER at side; ABD max 75º without rotation
  • No resisted internal rotation/backward extension until 8-10 weeks post-op
  • Grip strengthening OK
  • Sling for 4 weeks

Weeks 6-12:

  • Begin AAROM -to- AROM for internal rotation and backwards extension as tolerated, if not already begun.
  • Goals: Increase ROM as tolerated with gentle passive stretching at end ranges
  • Begin light resisted ER/FF/ABD: isometrics and bands, concentric motions
  • No resisted internal rotation/backwards extension until 8-10 weeks post-op

Months 3-6:

  • Begin resisted IR/BE (isometrics/bands): isometrics — light bands — weights
  • Advance strengthening as tolerated; 10 reps/1 set per exercise for rotator cuff, deltoid, and scapular stabilizers.
  • Increase ROM to full with passive stretching at end ranges
  • Begin eccentric motions, plyometrics, and closed chain exercises at 10-12 weeks.

Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Nwachukwu supersede the instructions below and should be followed.