Arthroscopic Subacromial Decompression + Arthroscopic Excision of Distal Clavicle
- Wear sling as needed for rest and pain relief for approx. 2/52
- Avoid axial loading through upper limb.
- Exercises and advice sheet given by physio. i.e. active assisted exercises, GHJ – elevation and lateral rotation, posture, scapula setting and isometric cuff. No limitations in range of movement. Active exercises dependant on pain limitation and muscle control of movement.
- Care of sling and washing techniques
- Removal of sling for gentle exercises advised 4 times/day
- May be limited by pain but can progress > 90° elevation in the first 2/52. No restrictions in ROM, dependant on active muscle control and pain.
- Review by clinical specialist at 2-4/52 post-op in clinical specialist shoulder clinic at RSH, to be booked before discharged by ward staff.
- Progress as sub-acromial decompression. Patients may be have more pain at end range elevation than standard ASAD.
6 weeks plus:
- Functional and sports specific rotator cuff and scapular training through range, to include proprioception.
Return to work: Sedentary 2-3 weeks (as pain allows). Physical 4-6 weeks (as pain allows).
Driving: 2 weeks (as pain and range allows) patient confirms they are able to drive safely.
Sport: Non contact 2-3 months. Contact 3-6months
Swimming: Gentle with modified stroke 3-4 weeks. Freestyle 8 weeks
Click on the links below to read the guidelines for individual procedures:
- Arthroscopic Sub-Acromial Decompression
- Rotator Cuff Repair
- Anterior Stabilisation (open or arthroscopic)
- SLAP repair – arthroscopic
- Acromio Clavicular Joint Reconstruction
- Anatomical Shoulder arthroplasty – Hemi arthroplasty (HA) or Total Shoulder Replacement (TSR)
- Arthroscopic Capsular Release and MUA of Frozen Shoulder
- ORIF Clavicle / Hook Plate Clavicle
- ORIF proximal humeral fractures – (Proximal Humeral Locking Plate)
- ORTHO SPACE (In space Implantation)
- Physiotherapy Protocol for REVERSE Total Shoulder Replacement