Keep the muscles around your shoulder strong
The Shoulder
General Information
Rotator Cuff Repair
• Shoulder tendons usually injured in a fall
• Night pain, weakness with elevation, pain with activities
• Exam and MRI confirm the tear
• Outpatient arthroscopic procedure under local block
• Immediate rehab is crucial to optimum return to full sports
Rotator Cuff Repair Post-Operative Rehabilitation Protocol
• Specific shoulder strengthening program to restore power and motion
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
Clavical Fracture Repair - Rehabilitation
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 - Rehabilitation
• 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
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
Common Shoulder Injuries Among Athletes - Evaluation and Management.