Post Operative Clavicle Open Reduction Internal Fixation Rehab Protocols
Download Clavicle Open Reduction Internal Fixation Rehab Protocol
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
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
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.
Benedict Nwachukwu, MD, MBA is an orthopedic shoulder, knee and hip specialist at Hospital for Special Surgery (HSS), nationally ranked as the best in orthopedics for 10 years by U.S. News & World Report. His academic credentials include undergrad at Columbia University, Harvard Medical School, Harvard Business School, residency at HSS, and sports medicine fellowship training at world-renowned Rush University. Dr. Nwachukwu is a member of the HSS Hip Preservation Service team that brings together the expertise and experience of some of the best hip surgeons in New York City, NY and the USA. He is a professional sports Team Physician for New York Red Bulls and NBA Player’s Association; previously serving the Chicago Bulls and Chicago White Sox.