Reverse Total Shoulder Arthroplasty — (rTSA)

Ohio State University Wexner Medical Center · OSU Sports Medicine

Weight-Bearing

Sling 4-6 wks per surgeon; no driving x 6 wks; jogging may begin at 12 wks

Key Restrictions

No IR, cross-body adduction, or extension x 12 wks (Hand Behind Back position); elevation in scaption only 4-6 wks (rTSA most stable at 30 deg ER); no forced shoulder flexion; no stretching into pain; no pushing to end ranges; no supporting body weight x 12 wks; long-term: no push-ups or bench press; 15 lb limit below shoulder height; 10 lb limit above shoulder height; subscapularis precautions: no ER PROM past neutral x 4 wks, no active IR x 8 wks (confirm with surgeon)

Timeline & Phases

4+ phases: Phase I (0-2 wks), Phase II (2-4 wks), Phase III (4-6 wks), Phase IV (6-12 wks), strengthening/plyometric phases (12-16 wks+); plyometrics no earlier than 16 wks; return to sport at 6 months with physician clearance

Notes

.edu site; 2023 CPG format; outcome tools: QuickDASH, Simple Shoulder Test, ASES Short Form; discharge criteria: 110-150 deg elevation, 30-50 deg functional ER; return to sport criteria explicit; most common sports: swimming, fitness, golf, tennis, pickleball; posterior instability precautions check with surgeon

Surgeon / Author

OSU Sports Medicine

Published

2023