Tel:01706 869025
emma.shires2@circlehealthpartners.co.uk
www.fixmyshoulder.co.uk
Mr Robin Seagger
MBBS MSc FRCS
Consultant Orthopaedic Surgeon
Shoulders Elbows and Sports Injuries
Arthroscopic Posterior Stabilisation
Aims:
To stabilise posterior or multidirectional shoulder instability
Sling:
External rotation brace for 3 weeks- except washing and exercises
Normal poly-sling up to 6 weeks
Wean form 6 weeks
Restrictions:
Avoid shoulder flexion, internal rotation and adduction for 6-8 week
Avoid axial loading of flexed shoulder for 3 months
0-3weeks:
Check neurovascular status and post op note
Hand, wrist and elbow active motion
Gentle flexed pendulum exercises- up to 50 degrees
3-6 weeks:
Continue pendulum exercises up to 80 degrees
Internal and external rotation to 20 degrees only
Push hand, elbow and wrist range of motion
Scapular setting in neutral
6-8 weeks:
Wean from sling
Progress internal and external rotation to 50% of contralateral side
Aim for active assisted flexion to 120-140 degrees in scapula plane and external rot.
Avoid adduction in internal rotation
8-12 weeks:
Start gentle rotator cuff strengthening
Scapula setting and control exercises
Progress active elevation exercises
From 12 weeks:
Aim for full range of flexion
75 % of rest of contralateral range of motion
Push strengthening over range
Sports:
3 months-non contact sports (cycling, jogging, swimming- breast stroke)
6 months- return to contact and overhead sports
Work:
Sedentary jobs- as pain allows
Manual jobs- return 6-8 weeks and adjust for up to3 months
Driving:
8weeks depending on comfort