Ten of each exercise should be done three to five times each day. Rehabilitation and interventions for clavicular fractures. Hamilton, md a broken collarbone is also known as a clavicle fracture. A clavicle fracture is also known as a broken collarbone. Clavicle fracture broken collarbone a broken collarbone is also. Afterward, you will likely wear a sling to support your arm while your collar bone heals.
At its distal end, the clavicle forms a joint with the. Sean griffin weeks full time in sling avoid ir behind the back, lifting more than 12 lbs, and horizontal adduction. Ice and modalities to reduce pain and inflammation. 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. Aug 12, 2019 most clavicle fractures are treated without surgery, but more complex fractures may require surgery. Jan 25, 2019 rehabilitation and interventions for clavicular fractures. It can happen when a person falls on an outstretched hand or onto a shoulder, or in. Your child has sustained a fracture to their clavicle collar bone. What exercises can i do after a broken clavicle bone.
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. Because of the need for your comfort and the protection of the repaired clavicle fracture, a. Midshaft clavicle fracture this is a break to the middle of your collar bone. The clavicle is important because it stabilizes the shoulder joint and the upper extremity. Acute shoulder injuries in adults american family physician. Lie on your back or stand with your arm at your side and. 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. It articulates with the acromion process of the scapula laterally, at the. Clavicle fracture surgery rehabilitation dr greggory. 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.
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. 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. This leaflet gives you the advice and exercises to help your clavicle collar bone to recover after your fracture. Incidence in males is usually highest in second and third decade which decreases thereafter as per. Both exercises should be done with the nonoperative arm used as the therapist arm while the operative arm remains relaxed. Exercises to regain shoulder motion and strength lost as a result of injury, surgery, and lack of arm use while healing are. Do not lift your arm at the shoulder using your muscles. Clavicle collar bone fracture undisplaced shoulder 4.
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. Your arms should be out to your sides, and your arms and elbows should be resting on the. For the first 6 weeks keep your arm in the sling 24 hours a day. 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.
Clavicle fractures are very common injuries in adults 25% and children 1015% and represent the 4466% of all shoulder fractures. It is important to exercise your hand and elbow from day 1 also. Mathes the collarbone or clavicle is a bone that connects the shoulder blade to the chest bone. 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. Radiographs confirm the diagnosis and aid in further evaluation and. Children under eleven years with undisplaced clavicle bone fractures do not require followup with a doctor or xray. Surgery consists of repositioning the fracture fragments and holding them in place with plates, screws, wires, sutures, or pins. Severityofclaviclefracturescanvaryandaffecttimetohealingandstabilityoftherepair. Shoulder fractures nonoperative clavicle fracture phase i. These fractures may be partial or complete and often require surgical repair or immobilization while they heal. Forearm rotations rest the elbow of your injured arm by your side. This leaflet gives you the advice and exercises to help your clavicle.
Printable orthopaedic patient education orthoinfo aaos. Physical therapy prescription clavicle fracture orif. Shoulder exercise program home exercise program physical therapy program antiinflammatory medication nsaids cortisone injection. Broken collarbone rehab protocol do not elevate surgical arm above 90 degrees in any plane for the first 4 weeks postop. At first your shoulder will feel stiff and painful but it is important that you continue to move it as this will aid your. The most common place for an adult to break this bone is in the shaft, or middle third, of the bone.
Traditionally, the management of clavicle fractures has been through conservative management with sling immobilization and subsequent rehabilitation. Slowly rotate your palm up and down until you feel a mild to moderate stretch. However, fractures in adults or teenagers who have stopped growing take 10 to 12 weeks to heal and may take longer. Weeks 04 the patient is instructed in active and prom exercises to the shoulder. Move on to stage 2 exercises to improve your movement. We recommend removing the sling to do these exercises and repeat them little and often throughout the day. It has been reported that fractures of the clavicle account for approximately 2. Protect clavicle injury to 2 weeks sling at all times no lifting with injured arm motion. Clavicle fracture broken collarbone orthoinfo aaos.
It also contains exercises to prevent stiffening of your shoulder and elbow. Keeping your arm at your side, bend and straighten the elbow, flex the wrist, hand and fingers. Shoulder flexion stretch your arms over your head, keeping your elbows straight. The common symptoms following this type of fracture. Clavicle fractures this leaflet intends to educate you on the immediate management of your clavicle collarbone fracture. At first you will keep the sling on for immobilization. Now that you are using your sling less, it is very. If it is comfortable to do so, you may progress to the stage 3 exercises below. The clavicle collarbone is a bone connecting your sternum breast bone to your scapula shoulder blade, it is one of. 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. Clavicle fracture broken collarbone a broken collarbone is also known as a clavicle fracture. Most clavicle fractures will heal completely by four months in an adult.
Victoria bc v8z 0b9 tel 250 940 4444 fax 250 385 9600 page 1 april 2015 v1s. Clavicle f ractu re s ta bi li za ti o n p ost ope r ati. Elbow and forearm exercises, ball squeeze exercise. The clavicle collarbone is a bone connecting your sternum. Describe the normal motions of both the sternoclavicular, acromioclavicular, and scapulothoracic joints. The clavicle, proximal humerus and the scapula together form the shoulder joint. Immobilized at all times day and night off for hygiene and gentle exercise only 04 weeks. Immediate pendulum rom exercises, no overhead motion. No shoulder rom elbow and forearm exercises, ball squeeze exercise strengthening. Clavicle fractures account for 5% to 15% of childhood fractures, and are the most common type of fracture in children. 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. 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.
This is a very common fracture that occurs in people of all ages. Keywords clavicle fracture midshaft plating introduction clavicle fracture is one of the most common injuries around the shoulder girdle 1. 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. Anatomy the collarbone clavicle is located between the ribcage sternum and the shoulder blade scapula, and it connects the arm to the body. Clavicle collar bone fracture undisplaced east sussex. Adult clavicle fractures advanced physical therapy. Increase movement as shown in the stage 2 exercises. 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.
The common symptoms following this type of fracture include. Maintain elbow and wrist rom, prevent shoulder stiffness, control pain and swelling. This bone joins the breast bone to the shoulder joint. Chest stretch lying down lie on your back with your elbows bent. The clavicle also forms the bony connection between the upper limb and the thorax. Clavicle fracture rehabilitation protocol range of motion immobilizer exercises phase i 06 weeks 04 weeks. Postoperative rehabilitation following orif clavicle fracture a broken collarbone is also known as a clavicle fracture. Describe both the sternoclavicular and acromioclavicular joints. Updated march 2020 remember to use your sling for the first 3 weeks.
Clavicle fracture an overview sciencedirect topics. American academy of orthopaedic surgeons and american academy of pediatrics 2010. If this causes discomfort, sway your 2 elbow flexionextension 3 shoulder blade squeezes draw your shoulder remove your sling. Brachial plexus injury about 1% of brachial plexus injuries occur following a. A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. Download the pdf version for images to help with the exercises. Patient history the patient is a 38yearold male who sustained a fracture of the clavicle 18 months previous. You can begin rehabilitation exercises after your broken collarbone has healed and after youve seen your doctor. After a few days, they should hold a soft ballball of socks and squeeze it as hard as possible without pain. Postoperative rehabilitation following orif clavicle fracture. The clavicle or collarbone is often broken or fractured following direct trauma to the front of shoulder joint. Use your sling all of the time for the first two weeks.
Know the causes, types of fracture, symptoms, treatment, exercises for broken collarbone or clavicle fracture. Now that you are using your sling less, it is very important that you use your shoulder as normally as possible. You should avoid heavy lifting for the full 6 weeks. Clavicle fracture page \ mergeformat 4 clavicle fracture page \ mergeformat 1 place label here name of patient. Your clavicle is one of two long thin bones at the top of.
For all the exercises stand upright, holding a stick in both hands. Clavicle fracture open reduction internal fixation brian bjerke, md postoperative protocol phase i maximum protection prom week 0 to 4 goals. You will be told when to start these exercises and which ones will work best for you. Sports medicine, shoulder surgery and cartilage restoration ucla department of orthopaedic surgery david geffen school of medicine at ucla. The exercises may be suggested for a condition or for rehabilitation. This type of fracture is fairly commonaccounting for about 5 percent of all adult fractures. Only remove the sling 4 or 5 times a day to do elbow and wrist rom exercises. Shoulder fracture aurora clavicle fracture treatment denver. Rehabilitation protocol nonoperative clavicle fracture. Broken collarbone or clavicle fracturecausessymptoms. Overhead reach is helping to lift your stiff arm up as high as it will go. Clavicle fracture rehabilitation protocol dr justin griffin virginia.
Immediately postoperatively, exercises must be modified so as not to place unnecessary stress on the 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. Shoulder abduction keeping your elbows as straight as possible. Speak with your physical therapist or physician prior to initiating an exercise program after a clavicle fracture. The exercises we suggest that the following exercises are held for 5 seconds and repeated 10 times each. Rehabilitation protocol adopted from the massachusetts. Once your bone begins to heal, the pain will decrease and your doctor may start gentle shoulder and elbow exercises. Apr 18, 2017 initial exercises following a clavicle fracture focus on strength and range of motion movements for your fingers, wrist and elbow. Elbow and wrist rom exercises, but no resisted exercises. Radiographs confirm the diagnosis and aid in further evaluation and treatment.
A series of printable pdf handouts addressing some of the most common musculoskeletal conditions and treatments in plain, straightforward language. Before leaving the hospital, your doctor will have you start to come out of the sling to begin codman exercises see next page. A fall onto the lateral shoulder most frequently causes a clavicle fracture. Clavicle fracture open reduction internal fixation. The figureofeight clavicle strap is continued at all times. This means that the bone remains correctly aligned. Famous physical therapists bob schrupp and brad heineck present. Helping your clavicle to recover after a fracture oxford university. Clavicle f ractu re s ta bi li za ti o n p ost ope r ati ve. In office treatment of common pediatric shoulder injuries. Handouts can be printed and used as they areor they can be easily customized with a practice logo. 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.
Midshaft clavicle fracture virtual fracture clinic. Clavicle collar bone fracture your clavicle is one of two long thin bones at the top of your chest. Discuss the muscles attached to the scapula and clavicle and their function. You can stop these once they become easy and you have full movement. Pain should serve as the guide for the rom obtained. Physiotherapy department helping your clavicle to recover. Hand, wrist and elbow exercises are only needed while you are wearing a sling. Protect clavicle injury to 2 weeks sling at all times. Here are some examples of exercises for you to try. Postural education restrictions exercise progression.
While standing near a wall as shown, slowly walk your fingers up the wall until you feel a gentle stretch. 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. This rehabilitation protocol has been developed for the patient following an open reduction and internal fixation of a clavicle fracture. Clavicle fracture rehabilitation protocols with downloadable pdf.
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