Broken Collar Bone Reduction Protocol

Prior to Clavicle Reduction surgery for Broken Collar bone, you are advised to visit your physiotherapist to make sure you are ready for your post-op rehab.

Pre-Surgery Preparation

Prior to clavicle reduction surgery for broken collar bone, you are advised to visit your physiotherapist to make sure you are ready for your post-op rehab.

Dr Gupta recommends;

  • Game Ready ice and compression therapy fitting and instructions explained
  • Your Post Op Rehab Protocol explained

Post Operative Rehab

You will achieve the best surgical outcome if you follow up surgery with a matching course of rehabilitation. The below outlines recommendations of your rehab over the first 3 months following your procedure;

Self Guided Activities 

Whilst Dr Gupta, your GP and your physio will help guide and motive you through your recovery, the more you can help on your own, the better the result for all. A checklist below will help remind you what to do along the way;

  • Keep your wound dry
  • Wear a sling day and night for 2 days and day only for 6 weeks 
  • Confirm your 2 week post op appointment with Dr Gupta
  • Use your pain medication as prescribed by your GP doctor
  • Use your rented Game Ready ice treatment as recommended from 0-4 weeks
  • Visit your physiotherapist 4-5 times a week and repeat your physio session by yourself daily from 0-4 weeks
  • Decrease your physiotherapy visits to 2-3 times a week and repeat exercises daily from 4-8 weeks
  • Decrease your physiotherapy visits to 1-2 times per week and repeat exercises daily from 8-12 weeks
  • Decrease your physiotherapy visits to 1 time per fortnight and repeat exercises daily from 12 weeks until full recovery
  • Confirm your 3 month post op follow up appointment with Dr Gupta

Physiotherapy 

1-6 Weeks

Priority no.1 is to protect the area of surgical repair to allow for healing. Minimise active movement, maintain passive movement, maintain contra lateral strength and strength of muscles close to condtion.

  • Remove sling for exercises
  • Above shoulder exercises contra indicated (not allowed)

Stretching/Passive Movement Exercises

  • Pendular shoulder movements 1-2 minutes each way as tolerated
  • Broom handle internal/ external rotation 3x15 reps as tolerated
  • Broom handle flexion to 90 degrees 3x15 reps as tolerated
  • Broom handle extension behind back 3x15 reps as tolerated

Strength Exercises

  • Wrist curl 3x15 reps using theraband resistance as tolerated
  • Elbow Flexion/ Extension 3x15 reps using theraband resistance as tolerated
  • Shoulder blade retraction exercises completing 3x10 reps of 5 second holds
  • Non-affected shoulder exercises as per above

Recovery and pain

  • Scar and swelling massage
  • Ice and compression therapy like Game Ready
  • Interferrential if preferred

6-12 Weeks

Priority no.1 is to improve active and passive movement of the shoulder up to shoulder height in this phase.

  • Sling no longer required
  • Above shoulder exercises not allowed at home, but to be commenced at the physio

Stretching Exercises (commencing active ROM movements)

  • Shoulder flexion stretches as tolerated in standing against wall 3x10 reps of 5 second holds building to full flexion
  • Supine broom handle internal/ external rotation stretching 3x10 to each side
  • Standing arm behind back assisted raise with a broom handle, 3x10 lifts
  • Sitting internal and external rotation broom handle stretches at a table, 3x10 to each side

Shoulder strength Exercises

  • Shoulder blade retraction exercises, 3x10 reps of 5 second holds
  • Lower traps exercises using contract and hold efforts, 3x10 reps of 5 second holds
  • Isometric external rotation, 3x10reps of 5 second holds
  • Isometric internal rotation, 3x10reps of 5 second holds
  • Isometric flexion, 3x10reps of 5 second holds
  • Isometric extension, 3x10reps of 5 second holds
  • Isometric adduction, 3x10 reps of 5 second holds
  • Non-affected shoulder exercises as per above

Recovery and pain

  • Scar and swelling massage
  • Ice and compression therapy like Game Ready
  • Interferrential if preferred

12 Weeks to Full Recovery

Priority no.1 is completing max shoulder ROM and improving strength during this phase.

  • Above shoulder exercises are now allowed at home

Stretching Exercises

  • Shoulder flexion as tolerated in standing against wall 3x10reps of 5 second holds building to full flexion
  • Supine broom handle internal/ external rotation stretching
  • Supine broom handle flexion to 90 degrees
  • Standing arm behind back assisted raise with a broom handle

Shoulder Strength Exercises using appropriate theraband as tolerated

  • Internal/ external rotation with the shoulder by side, 3x10 reps
  • Seated row, 3x10 reps
  • Shoulder adduction, 3x10 reps
  • Shoulder flexion/ extension using a pulley or similar 3x10 of each

Recovery and pain

  • Scar and swelling massage
  • Ice and compression therapy like Game Ready
  • Interferrential if preferred

If you've got a shoulder condition and don't know what to do, contact Dr Gupta on 02 9687 8344 or make an online booking to see him.