AC Joint Stabilisation

Indications:

Performed for AC Joint Dislocations

Protocol:

Pre-operative rehabilitation is advisable

Post Operation

Day 1 - 3 weeks  

  • Sling for 3 weeks (athletes can wean off sooner under guidance of club therapist)
  • Teach axillary hygiene
  • Teach postural awareness and scapular setting
  • Core stability exercises as appropriate
  • Proprioceptive exercises (minimal weightbearing below 90 degrees)
  • Active assisted flexion as comfortable 
  • Active assisted external rotation as comfortable 
  • Do not force or stretch

3 - 6 weeks

  • Wean off sling
  • Progress active assisted to active ROM as comfortable
  • Do not force or stretch

6 - 12 Weeks

  • Regain scapula & glenohumeral stability working for shoulder joint control rather
  • than range
  • Gradually increase ROM
  • Strengthen
  • Increase proprioception through open & closed chain exercise
  • Progress core stability exercises
  • Incorporate sports-specific rehabilitation
  • Plyometrics and pertubation training

Milestones

Week 6

  • Active elevation to pre op level

Week 12

  • Minimum 80% range of external rotation compared to asymptomatic side
  • Normal movement patterns throughout range

 

Return to functional activities

Return to work

  • Sedentary job: as tolerated
  • Manual job: 3 months

Driving

  • 6-8 weeks

Swimming

  • Breaststroke: 6 weeks
  • Freestyle: 12 weeks

Golf

  • 3 Months

Lifting

  • Avoid lifting heavy items for 3 months.

Contact/High Impact Sports (e.g. Rugby League, AFL, martial arts, racket sports and Surfing)

  • 3 months

 

 

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