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Distal Clavicle Resection Rehab Protocol
Keys to a Successful Outcome
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For the first week, avoid any excessive range of motions and wear the brace as needed for comfort.
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Avoid heavy lifting for at least 8 weeks post-op.
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Progressively increase range of motion and weight-bearing activities under the guidance of a physical therapist.
Phase | Brace | ROM | WB | Exercises |
|---|---|---|---|---|
Weeks 0-4 | Weeks 0-2: Wear for comfort; discontinue sling use at 2 weeks | PROM>AAROM>AROM; Goals:FF 140°,ER 40°,IR behind back; NO ER/IR @ 90° Abd* | PWB | Codman's, pulleys, cane; Elbow, wrist, hand ROM; Grip strengthening; No resistive ex |
Weeks 4-8 | None | Increase FF, ER, IR, to full motion as tolerated; Goals: FF 160°, ER 60°, IR behind back and at 90° Abd* | PWB | Begin light isometrics w/ arm at the side for RTC and deltoid; advance to Therabands as tolerated; Passive stretching at end ROM |
Weeks 8-12 | None | Progress to full AROM | PWB >> WBAT | Isometrics>Therabands>Weights; begin eccentrically resisted motions, closed chain ex and plyos; 8-12 reps/2-3 sets for RTC, deltoids, scap stabilizers |
*With gentle posterior capsular stretching
**With gentle posterior capsular stretching