Fractured Clavicle Fixation

Fractured clavicle fixation surgery is carried out to realign and stabilise a broken collarbone when conservative treatment is not sufficient. The clavicle, commonly known as the collarbone, runs from the base of the neck to the tip of the shoulder, forming the only bony connection between the shoulder and the chest while protecting vital blood vessels and nerves beneath it. It connects to the sternum at the sternoclavicular joint on one end and to the acromion at the acromioclavicular (AC) joint on the other. A clavicle fracture usually occurs due to a fall or direct impact, often presenting with a visible step deformity. These fractures are categorised into three main grades: middle third (shaft), lateral third (acromial end), and medial third (sternal end), with further classification based on displacement and ligament involvement. While many fractures can be treated with a sling, clavicle strap, and physiotherapy, surgery becomes necessary when the fracture is severely displaced, fails to heal properly (non-union), or heals in poor alignment (mal-union).

The most common surgical approach is Open Reduction and Internal Fixation (ORIF). In this procedure, performed under general anaesthesia, the fracture is exposed, realigned, and secured with a metal plate and screws. This ensures stability, promotes proper healing, and restores shoulder function. Once the fixation is complete, the surgical wound is closed with stitches.

Symptoms Following Clavicle Fixation

After clavicle fixation surgery, patients may experience a range of post-operative symptoms. These are a normal part of the healing process and vary depending on the type of fracture, surgical method used, and individual recovery rate. Common symptoms include:

  • Pain and tenderness around the surgical site, particularly in the first few days after surgery.
  • Swelling and bruising in the shoulder and chest area.
  • Reduced shoulder movement due to stiffness or discomfort.
  • Scar sensitivity where the incision was made.
  • Weakness in surrounding muscles because of immobilisation during recovery.
  • Numbness or tingling around the incision, sometimes extending down the arm, caused by irritation of superficial nerves.
  • Fatigue or heaviness in the shoulder when attempting to lift or move the arm.

These symptoms usually improve gradually with appropriate rehabilitation. Physiotherapy plays a key role in restoring mobility, improving strength, and preventing long-term complications such as stiffness or muscle imbalance.

Clavicle Fixation and Physiotherapy Rehabilitation

Following clavicle fixation surgery, you will be placed in a protective sling to support healing and minimise movements that could disrupt recovery. In the initial days after surgery, you may experience symptoms such as pain, swelling, and occasional numbness around the incision site. These are normal post-operative effects and are closely monitored during your rehabilitation.

Physiotherapy Following Clavicle Fixation

At Acephysiosports.com a detailed assessment will be carried out to identify your specific needs, set personal goals, and design a progressive rehabilitation plan. The programme focuses on reducing pain, restoring mobility, strengthening surrounding muscles, and ensuring a safe return to daily activities and sports.

Weeks 1–3: Early Recovery Phase

The first three weeks are dedicated to pain relief, swelling management, and gentle mobilisation. The aim is to prevent stiffness and secondary complications while beginning controlled movement. Treatment may include:

  • Pendular shoulder exercises
  • Scapular stability work
  • Taping for muscle re-education
  • Passive and assisted movements (below shoulder height)
  • Pain management and cryotherapy
  • Soft tissue release techniques
  • Mobility and strengthening of elbow, wrist, and hand
  • Sling education and gradual weaning
  • Advice and home management strategies

Weeks 4–6: Mobilisation and Early Strengthening

After three weeks, sling use is reduced to encourage greater mobility. Physiotherapy focuses on improving functional range and beginning light strengthening. Treatment may include:

  • Passive and assisted movements above shoulder height
  • Active movements below shoulder height
  • Scapular stability through controlled ranges
  • Isometric strengthening (rotator cuff, biceps, deltoid)
  • Proprioceptive (balance and control) training
  • Gentle stretching and soft tissue massage

Weeks 7–12: Functional Rehabilitation

By this stage, most patients achieve significant improvement in strength and mobility. The programme intensifies to restore full function and support a return to work, sports, or recreational activities. Treatment may include:

  • Full range of motion exercises
  • Rotator cuff strengthening (below and above shoulder height)
  • Advanced scapular stability training
  • Progressive resistance exercises for shoulder musculature
  • Task- or sport-specific training
  • Endurance and conditioning work
  • Encouragement of independent functional activities

Weeks 12+: Advanced Rehabilitation and Return to Activity

After 12 weeks, the focus shifts to full functional restoration. Physiotherapy ensures long-term shoulder health, strength, and stability with advanced programmes tailored to your lifestyle. Treatment may include:

  • Achievement of full shoulder mobility
  • Advanced strengthening throughout range
  • Complex stability and proprioceptive training
  • Functional and occupational retraining
  • Comprehensive home exercise programme
  • Ongoing advice and long-term management strategies

Summary

Clavicle fixation is a surgical procedure used to stabilise severe collarbone fractures, especially in cases of non-union or mal-union. By securing the bone with a plate and screws, proper alignment and healing are ensured. Physiotherapy is a vital part of recovery, helping patients reduce pain, regain strength, restore movement, and return to full function. At Acephysiosports.com, rehabilitation is goal-oriented, comprehensive, and personalised to support your successful recovery.

To arrange an assessment with AcephysioSports.com, please contact us or call +65 8153 5374. Alternatively, you can book an appointment online today!

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