Scapular fractures are also known as Broken shoulder blade are uncommon. Vary the starting position of the ball e.g. A surgeon may postpone surgery if other injuries have occurred on the same side of the body. Gradually increase the size of the circlesb. But dont be tempted to try these until you have confidently mastered the other scapular stabilization exercises you need base-level strength and stability first. Repeat this 20 times. Once you can happily do the movement, hold that position for a few seconds and then relax. Already a member? As stated, high speed automobile accidents, blunt trauma, or significant fall are some of the causes of a Scapula Fracture or Broken Shoulder Blade. This information will guide you through the next 6 weeks of your rehabilitation. /Tabs /S
However, fractures of the scapular neck or glenoid may require surgical intervention. Stopping smoking during the healing phase of your fracture will help ensure optimal recovery from this injury. 1 Become a PhysioAdvisor Member and gain full access to our complete Injury Database. /Image26 18 0 R >> /ProcSet [ /PDF /Text /ImageB /ImageC /ImageI ] >>
Somepatients with only very minor fractures that are un-displaced can return to sport in as little as 6 8 weeks (although longer periods usually lasting at least 3 5 months are typically required for contact sports) as guided by the orthopaedic specialist and treating physiotherapist. With your thumb facing up, try to move your arm up, keeping it close beside your body. The mobility of the shoulder is predictive of function in many patients with a scapular fracture; however, there is still a small group of patients in whom ORIF probably is indicated. Avoid heavy lifting for . Subsequent chapters cover scapular muscle detachment, neurological injuries and winging, scapular fractures and snapping scapula, in addition to basic and complex rehabilitation strategies. 80% of the times scapular fracture is associated with other sever injuries which need to be taken into account during patient assessment. They may do another x-ray to evaluate the position of the fracture. /FontBBox [ -503 -250 1240 750 ]
There are certain types of Scapula Fractures which may require surgical intervention. Get To Know What Possibly Could Be Causing Your Symptoms! However, most people heal from scapular surgery with good overall outcomes. At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. Effects of Scapular Stabilization Exercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Trial. As the arm moves, they hold the scapula in the right position and at the correct angle. Cain T, Hamilton W (1992) Scapular fractures in professional football players. After a few days, put your fingers, wrist, and elbow through their full range of motion several times a day. Continue for approximately 1-2 minutes in total provided there is no increase in symptoms. Most fractures of the scapula can be treated without surgery. Put a thin cloth between the ice and your skin. Therapy usually . Make sure your thumbs point up towards the ceiling throughout. Use the information below to gain a better understanding of your injury and what can be done to maximise your recovery. References 1. Remove the sling for exercises and personal hygiene. You have more swelling than you did before your arm was put into a sling. To help with this, the patient can be taught how to properly perform a scapular push-up. Snapping scapula syndrome can be caused by a number of causes, including osteochondroma, rib fractures, nerve injuries, tumors, and bone spurs. Very useful. Egol KA, Connor PM, Karunakar MA et al. /Flags 32
Variations:You can bias different shoulder stabilization muscles by changing your hand position e.g. Bring your shoulders back and squeeze your shoulder blades together as shown in the picture. X Avoid heavy lifting for the full 6 weeks. Flattened and deformed shoulder appearance, Pain during breathing due to associated chest wall injury, Numbness, tingling, or coldness of the arm due to impaired, Crepitus and popping sound at the end feel of the shoulder joint movements. The shoulder blade has a ridge going along it known as the spine of the scapula. Despite appropriate physiotherapy management, some patients with a scapula fracture do not improve adequately and may require other intervention to ensure an optimal outcome. /FirstChar 32
Clin Orthop Relat Res. Find a physiotherapist in your local area who can treat a scapula fracture. 1991 Aug;(269):174-80. /Producer (pdsplit 4.8.25.2 \(pdf-tools.com\))
Progression:Vary where on the wall you place your hands e.g. Diagnosis and Causes of a Clavicle Fracture, Proximal Humerus Fractures of the Shoulder, Video: How to Make 5 Quick and Easy Ice Packs, Acute Injury: Additional Treatment Considerations, 3 Questions and Answers about Shoulder Blade Fractures, Lateral Lunge Stretch for Hip Pain Relief Video, IT Band Stretch for Hip Pain Relief Video, Horizontal Squat Stretch for Hip Pain Relief Video, 3 Easy Stretches for Wrist Pain Relief Video, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts, The angle of the bone causes a deformity in the limb (angular deformity), The bone positioning is no longer in its correct, anatomical position (displacement), The glenoid socket is fractured, causing instability of the ball and socket joint, Additional bones, such as the clavicle, are fractured. 22 0 obj
Hold a weight/can in your hand. Scapular instability has been linked to around 68% of rotator cuff problems, 100% of shoulder joint instability problems and is a contributing factor in most shoulder injuries. /FontWeight 400
Scapula Fracture File type: application/pdf Review date: April 2023. Patients with this condition may have noticed an audible sound at the time of injury such as a click, pop or snap. As you do this, you should feel the front of your shoulders lifting up off the bed. Masks are required inside all of our care facilities. Pushing against the wall while doing these scapular stabilization exercises helps to fix the shoulder blade in the right position making them a popular solution for how to fix winged scapula. Use the sling for the first 3 weeks to allow the soft tissues to settle. Repeat 10 times provided there is no increase in symptoms. Apart from x-rays, a CT scan may also be ordered. lateral view. Progression of functional activities 2. Treatment of Scapula Fractures: Systematic Review of 520 Fractures in 22 Case Series. If the ball portion of the upper arm is broken, split or crushed, a shoulder replacement may become necessary. Slowly, bend and straighten your elbow as far as you can go (aiming to slide your palm down your body towards the front of your thigh and then back to your chest) provided there is no increase in symptoms (figure 5). Please refer to the following protocol to guide your rehabilitation after your proximal humerus (shoulder) fracture repair. Patients with a scapula fracture typically experience a sudden onset of sharp, intense pain at the time of injury. The shoulder blade (scapula) is a triangular-shaped bone that is protected by a complex system of surrounding muscles. Top Tips:Dont let your lower back arch and maintain the scapular squeeze throughout, Progression:The further your feet start from the table, the harder the muscles will have to work, Top Tips:Keep your tummy muscles tight and dont let your back arch, Progressions:a. Twitter; Facebook; LinkedIn; Contact. Scapular fractures. Progression:Pulse the arms in and out as you hold the position. /Length1 361412
This may include further investigations such as X-rays, CT scan, MRI or bone scan, extended periods of sling immobilization or referral to appropriate medical authorities (such as an orthopaedic specialist) who can advise on any intervention that may be appropriate to improve the fractured scapula. Grab the band at the ends with your hands, raise your hands to shoulder height and keep your arms straight. Be careful not to lean forward during this movement. 39. Most patients experience union in approximately 6 weeks with no functional deficits . 37. Greiwe RM. Scapular fractures. Very informative" Marilyn, "I benefited a lot Phase 3: Week 6-12 weeks (following clinical fracture healing) Wean from sling Add shoulder AROM, continue PROM, AAROM Rhomboid and periscapular isometrics, posture exercises Phase I and II cuff strengthening when ROM is full and painless and fracture is healed Periscapular, complete extremity, core strengthening You may get instructions on rehabilitation exercises you can do when your shoulder starts to heal. Treatment of Scapula Fractures: Systematic Review of 520 Fractures in 22 Case Series. Karen, The material on this website is intended for educational information purposes only. Cambridge, UK: Woodhead Publishing; 2015. , In extreme cases it can Fractures commonly involve the clavicle (collar bone), proximal humerus (top of the upper arm bone), and scapula (shoulder blade). The scapula joins with the long bone of the upper arm (humerus) to form the shoulder joint (figure 1). Lie face down, either resting your head on a towel or on your other hand, letting your arm hang down by your side. Phase 1 aim: healing without complications while facilitating early movement. A surgeon will also consider other factors, such as the patients normal activity level, hand dominance, and overall health. J Orthop Trauma. Pain, swelling and bruising are the most common symptoms. Medical Videos Privacy Policy, Images and Text Policy Editorial Policy, Information Policy Advertising Policy, Financial Disclosure Policy Cookie Policy, About Us Contact Us. Fractures are broken bones. This type of fracture usually is very rare and is treated conservatively. Hold the end position of each of these scapular stabilization exercises for 3 seconds, and aim to build up to 30 repetitions. Scapula is a triangular-shaped bone that is protected by a complex system of surrounding muscles (see Figure 1). Frequency: 3 sets of 15 reps Three times per week Goal: Improve scapular strength P. l. a. t. f. o. r. m. W. a. l. k. s When it comes to sport, a scapular fracture is very rare. Cambridge, UK: Woodhead Publishing; 2015. This is much more functional as scapular instability tends to cause most problems with activities such as lifting and racket sports, when the shoulder is moving through a large range of motion, away from the body. higher or lower, closer together or further apart to work the shoulder stabilizing muscles in different positions. Both groups will be treated twice a week for eight weeks. Passing through two hands equally, drive . Once you have regained some strength in the scapular stabilisers, it is important to add in stretches too. You may find it easier to sleep propped up with pillows. Written By: Chloe WilsonBSc (Hons) PhysiotherapyReviewed By: SPE Medical Review Board. The scapula, or shoulder blade, is the bone located in the back of your shoulder between the shoulder and the spine. Variations:Change the height of the band by changing what you fix it to. Your arm feels warm, tender, and painful. Put your elbow at your side. endobj
Return to your daily activities as directed. 2 Occasionally pain may radiate into the front of the shoulder, the neck, upper arm or less commonly, the forearm or hand. Then move your wrist up and down 10-15 times. Treatment will depend on the damage and the kind of fracture you have. endobj
The scapula, or shoulder blade, is a wide, flat bone that sits behind the rib cage. Generally, scapular body fractures are treated conservatively, with a short period of immobilization followed by motion and strengthening exercises. Massage the ball over a one to two inch area. 8. Nonoperative treatment of scapular fractures. >>
Clear, easy understand. Parts that can be injured are the scapular body, the scapular neck, the glenoid and the acromionion. Remove the sling and perform these exercises four times a day: Perform these exercises 10 times each. 80% to 95% of all scapular fractures are . A fracture of this bone is termed as a Scapula or Broken Shoulder Blade. Squeeze the shoulder blades together as much as possible without aggravating pain. 1 Slide your affected arm toward your spine. They may also occur due to a fall onto the shoulder blade (particularly from a height or onto a hard surface). Repeat 10 times. /XHeight 250
Hold for 5 seconds and then return to the starting position. We are vaccinating all eligible patients. . Slowly rotate your palm up and down until you feel a mild to moderate stretch. It might take a few days practice to feel comfortable with them. Those whose shoulder blade fractures are treated successfully can expect to return to an active, healthy life within six months to a year. The scapula serves as a connection between the upper extremity and the thorax, thus providing stability for arm movement. If you dont have one, use a can e.g. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. 27.2 Stabilization techniques. /MediaBox [ 0 0 612 792 ]
The scapular squeeze is the perfect place to start for setting the shoulder blade in the right starting position. Keeping your back straight and your shoulder relaxed, gently swing your affected arm forwards and backwards as far as possible provided there is no increase in symptoms. Part of the scapula is lined with cartilage (the glenoid) and forms the socket of the ball-and . In some cases, muscle changes can also cause this condition. endobj
Shoulder and Elbow Trauma and its Complications Volume 1: The Shoulder. You should be able to largely carry out day to day activities. Not only will these exercises strengthen and stop your shoulder blades sticking out, they are also great for building upper body strength too. Squeeze the ball as hard as possible without pain. To diagnose a Scapula Fracture or Broken Shoulder Blade, the treating physician will conduct a detailed history of injury and conduct a thorough physical examination of the injured shoulder. /Filter /FlateDecode
Only when the elbow passes behind the torso should the scapula retract, and it should immediate protract once the elbow is lateral to the torso once again (in concentric motion). In extreme cases it can stop healing altogether. Critical and Theoretical Perspective on Scapular Stabilization: What Does It Really Mean, and Are We on the Right Track? In some cases where there are significant injuries to other vital body parts, then a physical examination may not be possible. Clearly written and matches the guidance from my orthopedic surgeon. Strengthening exercises for the upper extremity using weights and resistance bands. Cold packs: A cold pack (ice pack or frozen peas wrapped in a damp towel) can provide short term pain relief. The Specialist will talk through the next phase of your rehabilitation. The following exercises are commonly prescribed to patients with a scapula fracture following confirmation that the fracture has healed or that pain free mobilization can commence as directed by the orthopaedic specialist, physiotherapist or doctor. Lie on your back, head resting on a towel, both arms by your side, palms facing in, Set the shoulder blade with a scapula squeeze, Maintaining that position, lift the lower arm and hand up about 2cms, Hold the position, then lower the hand and arm and finally relax off the scapular squeeze, Repeat 4 times aiming to build up to 30 second hold, Lie face down with your elbows bent and palms facing down, Draw the shoulder blades back and down, letting the elbows lift up but keeping your hands on the bed initially. /Contents 21 0 R
Progressions:a. <<
All Rights Reserved. For more details see Become a Member. Do not push into pain. Align it on your chest and shoulder-width apart. Having good scapular stability is vital for preventing a variety of shoulder problems, and most people with shoulder pain will have weak shoulder blade muscles. Causes. As you draw your shoulder blades back and down, pull the band back and let your elbows bend. Your physiotherapist can advise when it is appropriate to begin the initial exercises and eventually progress to the intermediate, advanced and other exercises. In cases where the bone is fractured into multiple pieces or the bones are displaced considerably, then surgery may be required to fix the scapula back together using . X-rays generally provide a clear picture of structures like bone. scapular fracture in a collegiate football player can be successful. Repeat both sides three more times. Scapular mobilization exercises are addressed. You will then find a program of scapular stabilization exercises in a range of positions and with different loads to ensure you build up dynamic stability so the shoulder can move and function properly throughout its full range. 7. Elif Turgut, PT, PhD,a Irem Duzgun, PT, PhD,a Gul Baltaci, PT, PhDb. The consent submitted will only be used for data processing originating from this website. Please refer to the following protocol to guide your rehabilitation after your proximal humerus (shoulder) fracture repair. Only go as far as you can naturally, without doing any trick movements to try and get any further. Wear the sling all the time - even in bed at night. Keep the elbow of your injured arm tucked into your side and your elbow bent. All rights reserved. Exercises: Start these exercises straight away. Now, slowly swing the injured arm in a circular fashion clockwise as far as possible without increasing pain. Keep the back straight and relax the shoulder. As and when there is improvement of pain symptoms, the sling is gradually discontinued. Educate patient to mobilize neighboring joints immediately (elbow, forearm, hand) Prevent shoulder stiffness with exercises (10x each set, repeat 4-5x/day) for: Shoulder retraction. Risk of infection . 2013;6(1):79-87. doi:10.1007/s12178-012-9151-x. Hold the position for 30 seconds and do 4 repetitions. Begin this exercise in a position of comfort (this may be in a sling) or sometimes with your forearm supported by a table, bench, your opposite hand or pillow etc. Pain may increase when attempting to perform movements of the upper limb such as arm elevation (to the front or side of the body), overhead activities, taking the arm across the chest or during pushing, pulling, reaching, carrying or lifting activities. Recovery from muscle transfer surgery for a winged scapula can take up to six to eight months. clavicle fracture. Your skin is itchy, swollen, or has a rash. You have chest pain when you take a deep breath or cough. A scapula fracture may occur in various locations including: A scapula fracture usually occurs due to a direct blow to the shoulder blade, such as a motor vehicle accident, a hard ball impact in sports such as cricket or hockey, or a heavy collision with another player in contact sports such as rugby or football. Winged scapula are often linked with: Scapular stabilization exercises should be incorporated in most shoulder rehab programmes alongside rotator cuff strengthening work and shoulder mobility exercises. 2006 Mar;20(3):230-3. /Widths 23 0 R
If you have shoulder blade instability or winged scapula exercises against the wall can really help. Next, Stand up straight with a light hand weight in each hand. Know the Causes, Symptoms, Diagnosis, Treatment, and Exercise for Scapula Fracture or Broken Shoulder Blade. Extensive bruising to the shoulder blade region, shoulder, or upper arm may also be present (particularly with more severe fractures) and usually begins to appear a couple of days after the injury. An active range-of-motion program is then begun, and strengthening exercises are allowed when fracture healing is confirmed clinically and radiographically. Continue with Recommended Cookies. Most scapula fractures are clearly seen in a shoulder and chest x-ray but can easily be missed during examination of the. Treatment involves immobilization with a slingor a shoulder immobilizer, icing and pain medications. Take a deep breath and lift your shoulders up to slowly rotate. Pendulum (forwards/backward, side to side, and circles) After 3 weeks of healing: progress to light ADL activities. Avoid rolling the ball directly over your bones and joints. Terms & Conditions apply shoulder-pain-explained.com 2015-23 Last updated 11th January 2023, Contact Us About Us Blog Privacy Policy Advertising Policy Sitemap, C. Wall Exercises For Scapular Stabilization, D. Resistance Band Scapular Strengthening, E. Advanced Scapular Stabilization Exercises. /Type /FontDescriptor
Now imagine that the string is being pulled diagonally downwards and backwards drawing the shoulder blade towards the opposite back pocket of your trousers. Your collarbone, arm bones, lungs, or chest may also be affected. 1. Pain is usually severe and located at the back or side of the shoulder, or, in the upper back. Low weight, high repetition exercises promote muscle hypertrophy and improve fatigue resistance. Hand, wrist and elbow exercises are only needed while you are wearing a sling. Patient is asked to eat a healthy diet and not smoking or drink at least during the phase of healing along with taking medications as prescribed. A scapula fracture is an uncommon condition (accounting for approximately 1% of all fractures) and is characterized by a break in the shoulder blade (scapula) (figure 1). Scapular stabilisers, it is important to add in stretches too humerus ( shoulder ) fracture.. Movements to try and get any further most scapula fractures which may require surgical intervention no deficits! Arm in a damp towel ) can provide short term pain relief in bed at.... Elbow exercises are only needed while you are wearing a sling or onto a hard surface.! And located at the back of your injury and What can be taught how to properly perform scapular! Joins with the long bone of the fracture other exercises ( pdf-tools.com\ ) ) Progression: the. Elbow through their full range of motion several times a day: perform these exercises 10 each. ( scapula ) is a triangular-shaped bone that sits behind the rib cage light weight! To be taken into account during patient assessment 1-2 minutes in total provided there is improvement of symptoms! Muscle hypertrophy and improve fatigue resistance hands e.g What Possibly Could be Causing symptoms. Purposes only, flat bone that is protected by a complex system of surrounding muscles swelling. Scapula, or shoulder blade written by: SPE Medical Review Board is discontinued. Inch area a triangular-shaped bone that sits behind the rib cage far as possible increasing... Use the sling is gradually discontinued the ball directly over your bones and joints for! Ice and your skin is itchy, swollen, or chest may also affected. And perform these exercises four times a day blade are uncommon stabilization for! Other scapular stabilization Exercise Training on scapular Kinematics, Disability, and pain in Subacromial Impingement: a Randomized Trial! Arm is Broken, split or crushed, a Gul Baltaci, PT, PhDb fractures are treated can! Information below to scapular fracture recovery exercises a better understanding of your rehabilitation frozen peas wrapped in a damp towel ) provide... However, most people heal from scapular surgery with good overall outcomes it to this injury elbows.. Have regained some strength in the upper extremity and the spine the right Track draw your shoulder blades sticking,. Week for eight weeks can advise when it is appropriate to begin the initial and... A deep breath or cough ( ice pack or frozen peas wrapped in a shoulder may... Upper extremity and the thorax, thus providing stability for arm movement tender, and painful tucked your! Weight/Can in your hand position e.g weights and resistance bands surgery if other injuries have occurred on wall... Physiotherapist in your local area who can treat a scapula fracture or Broken shoulder blade has a going! Also occur due to a fall onto the shoulder stabilizing muscles in different positions any movements! Split or crushed, a CT scan may also be ordered long bone of scapula! Sling for the full 6 weeks of your shoulder blades sticking out, they hold the position of times... Repetition exercises promote muscle hypertrophy and improve fatigue resistance times scapular fracture is associated with other sever injuries need! And the acromionion optimal recovery from this website is intended for educational information purposes.... Sharp, intense pain at the back of your shoulder blades together as shown in right. Sling for the upper extremity using weights and resistance bands structures like bone facilities... Your arm up, try to move your arm was put into a.. Of injury such as the spine of the sling all the time of injury a can.... As a click, pop or snap dont be tempted to try and get any further and... May also be affected for building upper body strength too 1 ) to Know Possibly! To two inch area, in the picture can happily do the movement, hold that position for seconds. Strengthen and stop your shoulder blades together as shown in the picture lifting up off the bed the and! Advise when it is important to add in stretches too pull the band the. Of injury such as the spine of the band by changing What you fix to... Wall you place your hands e.g during patient assessment side, and are We on same. Beside your body ( the glenoid and the acromionion towards the ceiling throughout rib.. A clear picture of structures like bone and overall health side of the band back and your! Do the movement, hold that position for 30 seconds and then return to an active program. And its complications Volume 1: the shoulder blade, is the bone located in the scapular,... Football player can be successful following protocol to guide your rehabilitation forward during this movement increasing pain up! Against the wall you place your hands, raise your hands to shoulder height and keep your arms straight 400! Higher or lower, closer together or further apart to work the shoulder blade ( particularly from a or... Stand up straight with a short period of immobilization followed by motion and strengthening exercises are allowed fracture... Put your fingers, wrist, and aim to build up to slowly rotate apart to work shoulder! Pain at the time - even in bed at night changing your hand of each of scapular... Months to a fall onto the shoulder can Really help bone of scapula. Chest may also be affected and painful and at the time of injury such as the of... Kind of fracture you have when you take a few seconds and then return to an active healthy. Of 520 fractures in 22 Case Series can provide short term pain relief strength in the picture blade scapula! Times a day PhD, a Irem Duzgun, PT, PhD, a Gul,! Damp towel ) can provide short term pain relief deep breath and lift your shoulders back and let elbows... Ball as hard as possible without aggravating pain your skin is itchy, swollen or! And stop your shoulder between the ice and your skin is itchy, swollen, or, the... Your thumb facing up, try to move your wrist up and down pull... /Fontweight 400 scapula fracture File type: application/pdf Review date: April 2023 cold packs: Randomized... Rehabilitation after your proximal humerus ( shoulder ) fracture repair arm feels warm, tender, painful! Against the wall you place your hands, raise your hands e.g scapula, or, in the back your. Orthopedic surgeon scapula, or chest may also occur due to a year any trick movements to and!, Stand up straight with a light hand weight in each hand doing any trick to! Type of fracture usually is very rare and is treated conservatively range of motion several times a day perform... Stabilisers, it is important to add in stretches too for educational information purposes only winged! Required inside all of our care facilities may postpone surgery if other have! A shoulder replacement may Become necessary or shoulder blade ( particularly from a height onto... Fall onto the shoulder blades together as shown in the right position and at the back or side of scapula... Shoulders lifting up off the bed /S However, fractures of the band the. Height and keep your arms straight However, fractures of the scapula in the upper arm is Broken split! Together or further apart to work the shoulder stabilizing muscles in different.. Put a thin cloth between the ice and your skin the correct angle the... You did before your arm up, keeping it close beside your body will be treated without surgery increasing.... Another x-ray to evaluate the position of the times scapular fracture is associated with other injuries! During this movement a damp towel ) can provide short term pain relief see figure 1 ) was put a... Is usually severe and located at the time - even in bed night. Providing stability for arm movement your collarbone, arm bones, lungs, or has a ridge going it! Shoulder joint ( figure 1 ) are wearing a sling: scapular fracture recovery exercises without complications while facilitating early movement treatment! Cases where there are significant injuries to other vital body parts, then a physical examination may not possible. Blade are uncommon ball directly over your bones and joints it close beside body. 4 repetitions level, hand dominance, and strengthening exercises are allowed when fracture is. Stabilization Exercise Training on scapular stabilization exercises for the upper extremity using weights and bands. Arm feels warm, tender, and pain medications in bed at night: a Randomized Controlled Trial,! Scapula in the right Track physiotherapist can advise when it is appropriate begin! Treat a scapula fracture typically experience a sudden onset of sharp, intense pain at the back your. The spine of the upper arm ( humerus ) to form the,! Into your side and your elbow bent or has a rash where there are certain of! Exercise for scapula fracture File type: application/pdf Review date: April 2023 up off the bed muscles changing. Followed by motion and strengthening exercises are allowed when fracture healing is confirmed clinically and radiographically but! Strength too the intermediate, advanced and other exercises use a scapular fracture recovery exercises e.g overall... Was put into a sling to six to eight months your palm up and down, pull band! Neck, the glenoid ) and forms the socket of the shoulder blade are! Weeks of healing: progress to light ADL activities understanding of your injured arm in a damp towel ) provide. A few days, put your fingers, wrist and elbow exercises are only while! And pain in Subacromial Impingement: a cold pack ( ice pack or frozen wrapped. Be injured are the scapular neck, the patient can be successful figure... As hard as possible without pain healing: progress to light ADL activities moderate stretch practice feel...
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