Evidence of inflammation or scuffing on the under
surface of the acromion, coracoacromial ligament & on the bursal side of the
rotator cuff (i.e. presence of impingement
Procedure:
Removal of bone from the acromion & partial resection of
the coracoacromial ligament
The AC joint remains intact unless excision is
indicated, the distal clavicle and part of the acromion is removed
The superior AC ligament remains intact so that the
joint remains stable
Protocol
Post op
Day 1
Mastersling (This should be removed within the first
2-3 days
Finger, wrist and elbow movements
Pendular exercises
Active (assisted) glenohumeral movement in all
planes
Teach postural awareness and scapular setting
Book out patient appointment and ensure the patient
has the advice booklet before discharge
1 Week
Out patient Physio
Begin isometric strengthening (progress using pain &
ROM as the limiting factor)
Over zealous physio or repetitive sustained
overhead activity could lead to delayed healing & pain
Return to functional activities
Return to work Sedentary job: as tolerated
Manual job: may need to modify
activities for 3 months
Driving 1 week
Swimming Breaststroke: as able
Freestyle: 12 weeks
Golf 6
weeks
Lifting as
able
Racquet sports Avoid
repetitive overhead shots for 3 months
