Download Clavicle ORIF Rehab Protocol

Clavicle ORIF Protocol

Phase 1 (0-6 Weeks)

0-2 Weeks Post Op

  • Sling for first six weeks
  • Modalities as needed
  • Elbow/wrist ROM and strengthening
  • Passive range of motion at the shoulder as tolerated

2-6 Weeks Post Op

  • Continue with sling until six weeks
  • Continue passive ROM progression
  • Posterior capsule mobilizations; avoid stretch of anterior, capsule and extension; closed chain scapula exercises

 Phase 2 (6-12 Weeks)

6 Weeks Post Op

  • Continue as above
  • Begin active/active assistive ROM, PROM to tolerance
  • Begin active assisted exercises, deltoid/rotator cuff isometrics at 8 weeks
  • Begin resistive exercises for scapular stabilizers, biceps, triceps and rotator cuff

Phase 3 (12-16 Weeks)

 12 Weeks Post Op

 Continue to increase strengthening as tolerated

  • Begin muscle endurance activities (upper body ergometer)
  • Aggressive scapular stabilization and eccentric strengthening
  • Begin plyometric and throwing/racquet program, continue with endurance activities

Phase 4 (4-5 Months) 

  • Maintain full and pain free ROM
  • Progress Phase 3 activities, return to full activity as tolerated
  • Return to sport/activity when cleared by physician