Description of Diagnosis
Clavicle fractures typically result from a direct blow to the shoulder, occurring most frequently to the middle third of the clavicle.
The majority of clavicle fractures are treated conservatively.
Conservative Management – Therapy
Following a clavicle fracture, a figure-of-eight clavicle strap, along with a sling, is fitted to the patient. The clavicle strap is worn at all times.
The patient is instructed in active and PROM exercises to the shoulder. Pain should serve as the guide for the ROM obtained.
The figure-of-eight clavicle strap is continued at all times.
4 – 6 Weeks
As the physician indicates the fracture is healed, the AROM exercises should be emphasized if any limitation is noted. Active-assistive ROM exercises may be initiated for the shoulder as necessary.
Gentle progressive strengthening may be initiated by 6 weeks. To begin with isometric exercises or resistance in a limited, pain-free arc of motion is recommended.
The patient wears the sling with a figure-of-eight clavicle strap until the pain subsides. Typically, the clavicle strap is discontinued within 6-8 weeks following injury.