ASD/ACJ Excision
Indications:
- 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 | |
On Discharge from Hospital
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Out patient Physio
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Milestones |
Full recovery can take 6-9 months. |
Caution |
Any significant increase in pain or decrease in ROM arrange a clinic appointment for a review. |
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