Indications:
- Disrupted and unstable acromioclavicular joint
- Clavicle fractures
- Scapula / Glenoid
fractures
|
Inpatient |
- Mastersling with body belt fitted in theatre for 3
weeks
- Finger, wrist and elbow movements
|
|
3 Weeks |
-
Remove body belt.
-
Posture correction / scapula setting.
|
|
6 Weeks |
-
Wean off sling
- Active flexion to 90 degrees
- Active abduction in the scapular plane to 60 degrees
- Correct abnormal movement patterns
- Start isometric rotator cuff strengthening
|
|
Week 8-12 |
-
Progress dynamic scapular control
exercises
- Progress active exercise through full ROM
- Progress rotator cuff and deltoid strengthening
- Ensure scapula dynamic control through full ROM
|
Any acute loss
of active movement should be referred to the next shoulder clinic
Return to functional activities
Driving After 12 weeks
Swimming Breaststroke: 12 weeks
Golf 3 Months
Lifting Light lifting can begin at 12 weeks. Avoid
lifting heavy items for 6 months.
Return to work Sedentary job: 6 weeks
Manual job: Guided
by Surgeon
For more information please contact
therapists@shoulderdoc.co.uk
03/11/2003 |
