ORIF Clavicle Fracture Rehabilitation Protocol

Weeks 1-2: Rest and Healing

  • Sling for comfort.
  • Motion:
    • Immediate pendulum ROM exercises.
    • Assisted bicep curls.
    • No overhead motion week one.
    • Passive ROM > 90 degrees after week one.
  • Strengthening: No resistance exercises.

Weeks 2-6: Early Motion Phase 

  • Sling for comfort. OK to discontinue completely at end of post-op week four.
  • Motion:
    • Continue pendulum ROM exercises.
    • Begin gentle passive ROM above shoulder level.
    • Begin active-assisted ROM progressing to active ROM in all planes. Limited by pain.
    • Passive ROM > 90 degrees after week one.
  • Strengthening:
    • Begin gentle isometric exercises at four weeks.
    • Begin gentle Theraband resistive exercises at five weeks.

Weeks 6-12: Strengthening Phase 

  • Sling: No sling.
  • Motion:
    • Full motion by 8 weeks.
  • Strengthening:
    • Progress to higher weights.
  • Begin progression to return to sports and full activity starting at 10 weeks.

For a list of exercises, please visit the American Academy of Orthopedic Surgeons (AAOS) website at:
https://orthoinfo.aaos.org/en/recovery/shoulder-surgery-exercise-guide/