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Arthroscopic / Open Anterior stabilisation

The operative procedure is performed to correct recurrent dislocations and will involve soft tissue, and/or bony reconstruction.

Day 1 Post-op

  • Polysling with body belt attached for 2-3 weeks.
  • Finger, wrist and radio-ulnar and scapular movements.
  • Assisted elbow flexion and extension in standing (in sitting with SLAP lesion)
  • Neck ROM exercises
  • Teach axillary hygiene
  • Teach postural awareness

 2-3 Weeks

  • Patient attends review and removal of stitches and body belt.
  • Gentle pendular exercises into flexion/extension and circumduction only

 
4-6 Weeks

  • The sling is removed and the patient begins formal physiotherapy
  • Regain scapular and gleno-humeral stability working for shoulder joint control.
  • Gradually increase range of movement – do not push external rotation.
  • Strengthen the rotator cuff muscles.
  • Increase proprioception, using open and closed chain exercise.
  • Incorporate core stability work as appropriate
  • *No abduction coupled with external rotation until 3 months.

 
Return to Functional Activities

  • Driving 8 weeks
  • Return to work – Light duties as tolerated after 2-4 weeks. Heavy duties at 3 months
  • Swimming
  • Breaststroke at 8 weeks
  • Golf – 3 months
  • No Contact sports for 6-9 months – Contact sport including: horse riding, rugby, football, martial arts, racquet sports, wind surfing, handgliding and rock climbing.