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  • Clavicle Fracture Fixation Protocol

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    This document outlines a rehabilitation protocol for patients who have undergone surgery to fix a fractured clavicle. The protocol is divided into acute (0-2 weeks), intermediate (2-6 weeks), and late (>6 weeks) phases. In the acute phase, goals are to reduce pain and initiate passive shoulder movements while maintaining elbow and wrist mobility. The intermediate phase focuses on weaning from a sling and restoring shoulder range of motion. The late phase aims to achieve full shoulder function through strengthening exercises. The protocol provides guidelines for returning to activities like driving, lifting, swimming, and golf.

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    fracture clavicula

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    frakrure clavicula

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    This document outlines a rehabilitation protocol for patients who have undergone surgery to fix a fractured clavicle. The protocol is divided into acute (0-2 weeks), intermediate (2-6 weeks), and late (>6 weeks) phases. In the acute phase, goals are to reduce pain and initiate passive shoulder movements while maintaining elbow and wrist mobility. The intermediate phase focuses on weaning from a sling and restoring shoulder range of motion. The late phase aims to achieve full shoulder function through strengthening exercises. The protocol provides guidelines for returning to activities like driving, lifting, swimming, and golf.

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    10 просмотров3 страницы

    Clavicle Fracture Fixation Protocol

    Загружено:

    virginia
    This document outlines a rehabilitation protocol for patients who have undergone surgery to fix a fractured clavicle. The protocol is divided into acute (0-2 weeks), intermediate (2-6 weeks), and late (>6 weeks) phases. In the acute phase, goals are to reduce pain and initiate passive shoulder movements while maintaining elbow and wrist mobility. The intermediate phase focuses on weaning from a sling and restoring shoulder range of motion. The late phase aims to achieve full shoulder function through strengthening exercises. The protocol provides guidelines for returning to activities like driving, lifting, swimming, and golf.

    Авторское право:

    © All Rights Reserved
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    Clavicle Fracture Fixation Protocol

    Warringal Medical Centre | Suite 7, 214 Burgundy St, Heidelberg, Victoria 3084
    1300 ARMCLINIC | 1300 276 254 ! (03) 9459 0861 admin@melbournearmclinic.com melbournearmclinic.com
    Clavicle Fracture Fixation
    Mr. Devinder Garewal
    MBBS, BMedSci, FRACS (Orth), FAOrthA
    Orthopaedic Shoulder Surgeon


    Sling When will I go home? What can I do? What can’t I do?
    4 weeks You will be discharged Passive shoulder No forced range of
    on the same day as the movement, movement or stretch.
    operation elbow/wrist No lifting
    mobilisation

    Acute phase (0-2 weeks)


    Goals
    o Reduce pain
    o Initiate passive shoulder range of movement
    o Maintain elbow/wrist range of movement
    Rehabilitation
    o Shoulder passive range of movement exercises within pain/stretch limits
    o Elbow/wrist range of movement exercises
    o Scapular setting exercises
    Criteria for progression
    o Reduction and control of pain

    Intermediate phase (2-6 weeks)


    Goals
    o Reduce pain
    o Wean sling by 6 weeks
    o Restore shoulder range of movement
    o Scapular control through range
    Rehabilitation
    o Start to wean sling at 4 weeks post op
    o Gentle isometric exercises in neutral as pain allows
    o Scapular control exercises
    o Begin active assisted exercises & progress to active exercises when sling
    weaned
    o Hydrotherapy permitted
    Criteria for progression
    o Pain controlled
    o Adequate shoulder range to start rotator cuff strengthening


    Warringal Medical Centre | Suite 7, 214 Burgundy St, Heidelberg, Victoria 3084
    1300 ARMCLINIC | 1300 276 254 ! (03) 9459 0861 admin@melbournearmclinic.com melbournearmclinic.com
    Clavicle Fracture Fixation
    Mr. Devinder Garewal
    MBBS, BMedSci, FRACS (Orth), FAOrthA
    Orthopaedic Shoulder Surgeon


    Late phase (>6 weeks)
    Goals
    o Functional shoulder range
    o Strengthen cuff
    o Scapular control
    Rehabilitation
    o Progress to full active exercises in all ranges
    o Rotator cuff strengthening
    o Progress cuff and scapula recruitment and control through range
    o Closed chain exercises
    o Capsular stretching
    o Proprioceptive training

    Guidelines for return to functional activities


    Driving Lifting Swimming Golf
    6 weeks Light lifting at 6 weeks. Avoid 6-8 weeks 3-6 months
    heavy lifting until fracture
    healed.


    Warringal Medical Centre | Suite 7, 214 Burgundy St, Heidelberg, Victoria 3084
    1300 ARMCLINIC | 1300 276 254 ! (03) 9459 0861 admin@melbournearmclinic.com melbournearmclinic.com

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