Distal Clavicle Resection Rehab Protocol

Keys to a Successful Outcome

  • For the first week, avoid any excessive range of motions and wear the brace as needed for comfort.

  • Avoid heavy lifting for at least 8 weeks post-op.

  • 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