AC Joint Reconstruction — Acromioclavicular Joint Reconstruction

Massachusetts General Hospital · MGH Sports Medicine

Weight-Bearing

Sling first 2 weeks; avoid PROM >90 deg elevation Phase I; progressive UE use Phase II+

Key Restrictions

No PROM >90 deg elevation Phase I; sling x 2 wks; progressive RC strengthening; closed chain deferred to Phase IV

Timeline & Phases

4 phases: Phase I (0-6 wks, sling, PROM <90 deg elevation), Phase II (7-12 wks, progressive PROM/AAROM), Phase III (13-18 wks, RC strengthening, overhead), Phase IV (19+ wks, advanced strengthening, return to sport)

Notes

Revised October 2021; AC joint reconstruction; avoid PROM >90 deg elevation Phase I; sling 2 wks; progressive RC and periscapular strengthening; closed chain Phase IV. [Archived copy — original Massachusetts General Hospital URL retired in the Mass General Brigham site migration; Wayback snapshot 2025-02-16.]

Surgeon / Author

MGH Sports Medicine

Published

October 2021