Proximal Humerus — Hemiarthroplasty

Saint Louis University (SLUCare)

Weight-Bearing

N/A

Key Restrictions

Sling DC post-op day 1 (worn as desired); no active shoulder motion first 6 weeks; passive motion all planes without restrictions immediately; high rep/low weight for strengthening; full return pending Dr. Kaar approval

Timeline & Phases

Wks 0-6: sling DC post-op day 1 worn as desired, AROM neck/elbow/wrist/hand 5x/day, no active shoulder motion, passive pendulum 3x/day, passive shoulder motion all planes no restrictions, icing 3-5x/day, focus on normal scapulohumeral kinematics; Wks 6-12: passive and AAROM all planes as tolerated, periscapular strengthening (shrugs, scapular retraction), progress to active ROM, isometrics when active ROM adequate; Mo 3-6: strong periscapular strengthening (protraction, retraction, elevation), rotator cuff strengthening (bands/dumbbells) when AROM full; Mo 6-9: active shoulder girdle/RC/periscapular strengthening, high rep/low weight; Mo 9-12: gradual return to sport/ADLs/work; discharge: maximize ROM, full independent ADLs, independent HEP

Notes

SLU Sports Medicine and Shoulder Service; diagnosis: proximal humerus fracture; hemiarthroplasty; Dr. Kaar; high rep/low weight for strengthening; full return pending Dr. Kaar approval; 4-month protocol 2-3 visits/week