Mr Robin Mark Seagger MBBS MSc FRCS

GMC No. 4536697

Twitter @fixmyshoulder

www.fixmyshoulder.co.uk

c/o Emma Shires

emma.shires2@bmichoice.co.uk

Tel: 01706 869025

Practice Address:

BMI Highfield Hospital

Manchester Road

Rochdale

OL11 4LZ

Tel: 01706 655121

Anterior Shoulder Dislocation

Aims:                     

Initial treatment following anterior shoulder dislocation

Restrictions:          

External rotation beyond neutral for 4 weeks

Sling:                     

As comfortable.

Wean from sling 2-4 weeks if not painful

 

0-3 weeks:             

Scapular setting in neutral

Shoulder shrugs

Elbow and hand- full active ROM

Isometric rotator cuff, biceps, triceps and deltoid exercises in neutral                                                        

Pendulums from 1 week

 

3-6 weeks:            

Active ROM exercises

Strengthen cuff through ROM

Scapular control though ROM

Proprioceptive work

Aim for full flexion and ER by week 6

AVOID combined ER and Abduction

               

6 weeks +:             

Advanced rotator cuff strengthening through ROM and into apprehension range

Speed and endurance work of rotator cuff

High level closed chain work

Add sport specific and job related tasks

 

Driving:                  

From 1-3 weeks as pain and ROM allows