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