Clavicle Fracture Fixation (ORIF) – Elkstone Grove Physiotherapy

Phase	Rehabilitation	Precautions
Day 0	Sling 4–6 weeks; hand/elbow/wrist ROM; gentle pendulums; scar care begins after 48 h.	Sling for 6 weeks (remove only for exercises). No overhead or cross-body motion above shoulder height for 8 weeks.
0–2 weeks	Elbow/wrist mobilisation; gentle shoulder shrug/retractions; active-assisted flexion/abd to ~60°.	No weight through arm; no heavy lifting.
2–4 weeks	Increase assisted flexion/abd (supine table slides); start gentle ER in neutral. Continue scapular exercises.	Maintain sling use except exercises; watch for pin or plate irritation.
4–6 weeks	Wean sling at 4 weeks; progress to full active ROM (flexion, abd to 90°); isometric cuff/deltoid.	Avoid lifting heavier than ~2 kg. Continue no provocative positions.
6–12 weeks	Advance strengthening (cuff, deltoid, scapular stabilisers); introduce cross-body add and behind-back motions after 8 weeks.	Light functional use; avoid heavy load >12 weeks.
12+ weeks	Full return to activities; ensure fracture union. Strength close to normal.

Phase

Rehabilitation

Precautions

Day 0

Sling 4–6 weeks; hand/elbow/wrist ROM; gentle pendulums; scar care begins after 48 h.

Sling for 6 weeks (remove only for exercises). No overhead or cross-body motion above shoulder height for 8 weeks.

0–2 weeks

Elbow/wrist mobilisation; gentle shoulder shrug/retractions; active-assisted flexion/abd to ~60°.

No weight through arm; no heavy lifting.

2–4 weeks

Increase assisted flexion/abd (supine table slides); start gentle ER in neutral. Continue scapular exercises.

Maintain sling use except exercises; watch for pin or plate irritation.

4–6 weeks

Wean sling at 4 weeks; progress to full active ROM (flexion, abd to 90°); isometric cuff/deltoid.

Avoid lifting heavier than ~2 kg. Continue no provocative positions.

6–12 weeks

Advance strengthening (cuff, deltoid, scapular stabilisers); introduce cross-body add and behind-back motions after 8 weeks.

Light functional use; avoid heavy load >12 weeks.

12+ weeks

Full return to activities; ensure fracture union. Strength close to normal.

Testimonials

”Kate has terrific skills and sensitivity – she treats the whole person, not just the symptoms”

Emma

“I have been seeing Kate on and off for several years now. She is incredible, no matter what my ailment and I have had various over the years, she has always managed to reduce my pain and increase my mobility. She is very professional but keeps a great balance of being personal too. I have been to many other physios but I will not see anyone else now.”

Kelly

“I cannot sing enough praises for the treatment I received from Kate. Instead of treating the symptoms, she treated the cause of the problem.”

Tara (a professional triathlete)

“Kate used a technique called visceral release to work on my internal organs, the effect has been amazing. I have had several sessions with Kate and the pain in my hip has almost gone. I can move freely and walk more easily.”

Mary

”FIVE STAR EXPERIENCE. Kate looks at the body as a whole (both physically and emotionally) and is able to identify and treat the root cause of the pain. This type of Physiotherapy is much more logical and effective than traditional Physiotherapy. The best physio I have come across – thank you Kate.”

Stacey

“Kate is a superb therapist and has moved me quickly from despair to recovery.”

Alex