Rotator Cuff Repair

• Shoulder tendons usually injured in a fall
• Night pain, weakness with elevation, pain with activities
• Exam and MRI confirm the tear
• If torn repair is outpatient, under local block, performed arthroscopically
• Immediate rehabilitation exercises are crucial to excellent return to full sports

Clavicle Fracture Repair

• Displaced and Angulated fractures can be set straight and out to full length
• Intramedullary fixation with a screw and washer works the best for early return to sports
• Earlier the better for repair but can be performed late as a salvage procedure for non unions

Acromioclavicular Joint Reconstruction –

• Early and late repair of displaced AC joints by reconstruction of the ligaments works best
• Prefer allograft donor tissue reconstruction without artificial materials or screws
• Surgery can restore normal appearance and strength

Acromioclavicular Joint Reconstruction

• Post-Operative Physical Therapy Protocol
• Early strengthening with the goal to restore full motion

Frozen Shoulder Overview

• Loss of motion, inability to reach behind or overhead, usually with pain
• Sometimes related to injury but not consistently
• Responds slowly to physical therapy and cortisone
• Arthroscopic release of scar bands often helpful

Frozen Shoulder Release Post-Operative Protocol

• Manual joint manipulation
• Spasm release
• Total body exercise and conditioning
• Pilates, yoga, stretching, acupuncture sometimes very helpful

Rotator Cuff Repair Post-Operative Rehabilitation Protocol

• Specific shoulder strengthening program to restore power and motion

Non-Displaced Fracture of the Greater Tuberosity –

• Common after a fall
• Early rehab with careful strengthening to avoid displacement of the bone

Shoulder Instability (Bankart) Repair Rehabilitation Protocol

• Coordinated muscle strengthening program to stabilize the shoulder