Phase III: Six to twelve weeks after injury
Pending clinical and radiographic review by the operating surgeon, weight-bearing may now be permitted, and gradual resisted/strengthening exercises can begin.
Radiographic union of distal clavicle fractures is often delayed compared to similar midshaft fractures. Especially in low demand patients, this should not interfere with the progression of rehabilitation, as most of these patients will obtain nearly full function and minimal pain despite radiographic evidence of delayed or non-union.
Return to full activities and/or contact sports is permitted typically beyond 6 months post injury after full healing of the fracture, however, this may be sooner or later depending on the patient factors, progress of fracture healing and response to rehabilitation.