Most clavicle fractures occur when a fall onto an outstretched arm puts enough pressure on the bone that it snaps or breaks. Clavicle fractures account for 2% to 5% of fractures in adults and 10% to 15% of fractures in children. Patients underwent orif for midshaft clavicle fracture with precontoured clavicle plate using the direct superior approach to clavicle, followed by 4 weeks of sling with gentle range of motion exercises. Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm. Clavicle fracture broken collarbone a broken collarbone is also known as a clavicle fracture. Despite the name, the collarbone isnt really in your neck. Donegan orif clavicle fracture discharge instructions. Removal of sling at home in 3 weeks and begin range of motion exercises. Patient history the patient is a 38yearold male who sustained a fracture of the clavicle 18 months previous. You will be told when to start these exercises and which ones will work best for you. Trauma is the most common cause of a clavicle fracture.
The patient presented with severe prominence of the right shoulder. Pain should serve as the guide for the rom obtained. Work with your doctor and physical therapist to design a custom rehab program that is appropriate for your condition. Do not lift any objects over 5 pounds with the surgical arm for the first 6 weeks. 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. Now that you are using your sling less, it is very important that you use your shoulder as normally as possible. A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. Clavicle fracture with follow up at 6 weeks this information will guide you through the next 6 weeks of your rehabilitation. Jan 18, 2012 complications of clavicle fracture include radiographic and symptomatic malunion and shoulder deformity, nonunion and infections. Provide sickkids parent information sheet clavicle fracture. Clavicle fractures are most common in children and young adults, typically occurring in per sons younger than 25 years. At first your shoulder will feel stiff and painful but it is important that you continue to move it as this will aid your.
Physiotherapy department helping your clavicle to recover. Ice and modalities to reduce pain and inflammation. 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. Closedloop double endobutton technique for repair of. The majority of clavicle fractures can heal without surgery.
Clavicle fractures also called simply broken collarbones are a familiar woe to many athletes. Clavicle fracture with follow up at 6 weeks virtual. Speak to your gp or pharmacist if you require further advice about pain relief. Initial exercises following a clavicle fracture focus on strength and range of motion movements for your fingers, wrist and elbow. 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. At 4 weeks, the sling was discontinued and active movement of the shoulder was encouraged. Clavicle fracture broken collarbone a broken collarbone is also. 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. Sean griffin weeks full time in sling avoid ir behind the back, lifting more than 12 lbs, and horizontal adduction. You should not drive, operate heavy machinery or participate in activities that require concentration while taking narcotic pain medications. Exercises you may perform the following exercises 1015 reps each, 23 times daily out of the sling. 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 clavicle, also referred to as the collarbone, is a long bone located at the top of the chest. This is due to the trauma from the fracture and from the surgery.
This is a very common fracture that occurs in people of all ages. This leaflet gives you the advice and exercises to help your clavicle collar bone to recover after your fracture. Clavicle f ractu re s ta bi li za ti o n p ost ope r ati. Rehabilitation protocol adopted from the massachusetts. Now that you are using your sling less, it is very. Immobilized at all times day and night off for hygiene and gentle exercise only 04 weeks.
What exercises can i do after a broken clavicle bone. Victoria bc v8z 0b9 tel 250 940 4444 fax 250 385 9600 page 5 april 2015 v1s. A broken clavicle bone can leave you unable to use your arm while your injury heals. Denards rehabilitation protocols open shoulder surgery. 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. Victoria bc v8z 0b9 tel 250 940 4444 fax 250 385 9600 page 3 april 2015 v1s. Mathes physiotherapy exercises for shoulder surgery patients you may begin these exercises. The figureofeight clavicle strap is continued at all times. This should be filled and ready for use when you return home from surgery. Its superficial location, its thin midshaft, and the forces trans. Postural education restrictionsexercise progression. Broken collarbone or clavicle fracturecausessymptoms. With your arm bent at the elbow and against your body as if it were still in the sling, bend and straighten your elbow as if you were brushing something off of the front of your pants.
The outer third of the collarbone is near the tip of the shoulder. It will help you to take your pain medication 20 to 30 minutes prior to the exercises. Full return to activity andor sports was allowed at 4 to 6 months depending on progress. Exercises to regain shoulder motion and strength lost as a result of injury, surgery, and lack of arm use while healing are. The clavicle is the only bone scaffold connecting the upper limb and trunk. Comparative analysis of the authors 2020 locking plates. This is the most common location of clavicle fracture. Clavicle fracture open reduction internal fixation brian bjerke, md postoperative protocol phase i maximum protection prom week 0 to 4 goals. Clavicle fracture fixation orif precautions sling for 24 weeks as tolerated during 1st six weeks no active forward flexionabduction beyond 120 degrees no cross body adduction no liftingpushingpulling 5 lbs phase 1 arm in sling at all times except exercises and bathing weeks 1 and 2 pendulum exercises elbowwristhand rom.
Postural education restrictions exercise progression. Surgical treatment in displaced fractures of the clavicle in our study produces satisfactory results. A shaft clavicular fracture is a complete or incomplete break fracture in the middle third of the collarbone clavicle in the shaft. The exercises may be suggested for a condition or for rehabilitation. Factors that may increase a risk for a clavicle fracture include the newborn being large in size, the newborns shoulder getting stuck during delivery, a narrow birth canal, or the use of tools to assist with the delivery. Newborn clavicle fractures nationwide childrens hospital. Clavicle fracture standard rehab exercise program this program is designed to improve the functional mobility of your shoulder and arm. A clavicle fracture is a break in the collarbone, one of the bones in the shoulder. No repeated heavy resisted exercises or lifting until 3 months. Patients with compound fractures of clavicle and polytrauma patients with other fractures of the same upper limb were excluded.
Clavicle fractureshaft childrens hospital at montefiore. Fractures here usually are caused by an accidental fall or some other type of direct impact football tackle, hockey check, car collision. Dr adam seidl offers treatment for shoulder fractures and clavicle fracture in denver and aurora. Immediately postoperatively, exercises must be modified so as not to place unnecessary stress on the clavicle. Physical therapy prescription clavicle fracture orif. This leaflet gives you the advice and exercises to help your clavicle. Surgery consists of repositioning the fracture fragments and holding them in place with plates, screws, wires, sutures, or pins.
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. When a bone breaks or cracks, the injury is called a fracture. Use the video or information below to gain a better understanding of your injury and what can be done to maximise your recovery. Displaced and nonoperative treated clavicle fractures all heal with some degree of malunion secondary to angulation and shortening 2. Helping your clavicle to recover after a fracture pdf, 43kb. In the collarbone clavicle, fractures can happen in three separate areas. Exercises to regain shoulder motion and strength lost as a result of injury, surgery.
It can happen when a person falls on an outstretched hand or onto a shoulder, or in. The clavicle see diagram is a long, thin bone located in the upper, front chest. Give parent fracture of the clavicle collarbone fact sheet. Clavicle fracture rehabilitation protocol range of motion immobilizer exercises phase i 06 weeks 04 weeks.
Weeks 04 the patient is instructed in active and prom exercises to the shoulder. Fractured clavicle the student health provider has diagnosed a fracture break of your clavicle collarbone. Shoulder stiffness exercises after clavicle fracture. A clavicle fracture is typically associated with extreme pain, and arm movement is difficult. Anatomy the collarbone clavicle is located between the ribcage sternum and the shoulder blade scapula, and it connects the arm to the body. The clavicle or collarbone is often broken or fractured following direct trauma to the front of shoulder joint. Ice shoulder 35 times 15 minutes each time per day to control swelling and inflammation. You will be given a prescription for pain medication for after surgery. Rehabilitation protocol adopted from the massachusetts general hospital sports physical therapy program and the american academy of orthopedic surgeons. Clavicle fracture open reduction internal fixation.
Activities that may result in reinjuring the clavicle should be avoided for approximately 12 weeks from the date of injury. Develop progressions of exercises for return of upper extremity functional independence. Clavicle fracture introduction clavicle fractures are a common orthopedic injury, particularly among infants and young children. Pdf fractures of the clavicle are a common injury and most often occur in younger individuals. 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.
Abigail hamilton, md a broken collarbone is also known as a clavicle fracture. The inner end of the clavicle joins the sternum breastbone. These fractures may be partial or complete and often require surgical repair and immobilization while they heal. Clavicle fracture rehabilitation protocol dr justin griffin virginia. Clavicle fracture broken collarbone orthoinfo aaos. Know the causes, types of fracture, symptoms, treatment, exercises for broken collarbone or clavicle fracture. The most common place for an adult to break this bone is in the shaft, or middle third, of the bone. Once your bone begins to heal, the pain will decrease and your doctor may start gentle shoulder and elbow exercises. Three times per day patients do the following exercises during this period.
Shoulder fracture aurora clavicle fracture treatment denver. Displaced, clavicle fracture, mid shaft and plating introduction clavicle fractures account for 2. Fractures are prone to occur when this bone is subjected to external forces. Identify evidencebased exercise programs for patients with humerus or clavicular fractures to increase adl independence. Pain and swelling can be eased by applying ice for approx 10 minutes 34 times a day. Identify benefits of evidence based exercise to improve funcitonal outcomes following upper extremity fracture. Clavicle collar bone fracture your clavicle is one of two long thin bones at the top of your chest. You will also work on very gentle range of motion exercises rom that you will continue when you go home. Immediately post operatively, exercises must be modified so as not to place unnecessary stress on. 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. Exercise after a clavicle fracture includes shoulder range of motion.
Jul 26, 2018 famous physical therapists bob schrupp and brad heineck present. Immediate pendulum rom exercises, no overhead motion strengthening. Immediate pendulum rom exercises, begin gentle prom above. Here are some examples of exercises for you to try. Speak with your physical therapist or physician prior to initiating an exercise program after a clavicle fracture. Clavicle fracture physical therapy exercises verywell health. If clavicle fracture fixation orif precautions sling for 24 weeks as tolerated during 1st six weeks no active forward flexionabduction beyond 120 degrees no cross body adduction no liftingpushingpulling 5 lbs phase 1 arm in sling at all times except exercises and bathing weeks 1 and 2 pendulum exercises elbowwristhand rom. Musculoskeletal system, volume 6, part i upper limb, 2nd edition he upper limb, part 1 of the netter collection of medical illustrations.
Because you tend to keep the arm immobile following a clavicle fracture, the muscles and tendons can become stiff from disuse, resulting in pain after the clavicle has healed. Mathes expect swelling and bruising for a few weeks following the surgery. Your clavicle and shoulder may still be swollen and bruised. The clavicle bone lies just beneath the skin, so a fracture usually causes an obvious protrusion or bump at the fracture site, along with swelling. Mathes physiotherapy exercises for shoulder surgery patients you may begin these exercises immediately after surgery unless. Move on to stage 2 exercises to improve your movement. Navigate to learn more about shoulder fracture protocol. Musculoskeletal system, 2nd edition, provides a highly visual guide to the upper extremity, from basic science and. A fall onto the lateral shoulder most frequently causes a clavicle fracture. A clavicle break typically occurs when there is trauma to the shoulder, such as during a car accident or on the playing field if a person falls on your outstretched arm. A clavicle fracture is also known as a broken collarbone.
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