AC Joint Reconstruction — Coracoclavicular (CC) Ligament Reconstruction

University of Virginia Orthopaedic Surgery

Weight-Bearing

NWB surgical UE

Key Restrictions

Sling 6 weeks; PROM only weeks 1-6; no active UE PREs initially; no throwing/overhead activities until 4+ months (16+ weeks)

Timeline & Phases

Wks 1-3: sling 6 wks, passive supine elevation with opposite hand, passive ER to neutral, hand/wrist/elbow PREs, scapular strengthening, deltoid isometrics; Wks 3-6: advance PROM (elevation to tolerance, ER to 30°), sub-maximal IR/ER isometrics at wk 5, scapular PREs; Wks 6-9: Theraband IR/ER, deltoid isotonics, biceps PREs, RC isotonics, large muscle group PREs (pecs/lats), isokinetics IR/ER with eccentric emphasis; Wks 9-16: aggressive UE PREs, IR/ER velocity spectrum isokinetics, plyometrics for overhead athletes, throwing/racquet program; 16+ wks: functional exercises, isokinetics, plyometrics, sport-specific rehab

Notes

Sling for 6 weeks; passive elevation only first 3 weeks (opposite hand assist); IR/ER isometrics begin week 5; deltoid isotonics and Theraband at week 6; isokinetics with eccentric emphasis from week 6; plyometrics for overhead athletes from week 9; sport-specific activities from week 16; no throwing until 4+ months

Published

01/2023