Subacromial Decompression — / Distal Clavicle Excision

UCLA Department of Orthopaedic Surgery - Sports Medicine · Thomas Kremen MD (adapted from Brian J. Cole MD MBA)

Weight-Bearing

N/A (upper extremity)

Key Restrictions

Sling for comfort 0-2 wks; D/C sling wks 2-4; no resisted motions Phase I (0-4 wks); no abduction or 90/90 ER until 4-8 wks; if distal clavicle excision: horizontal adduction restricted x 8 wks

Timeline & Phases

Phase I (0-4 wks): sling 0-2 wks (comfort only), PROM, grip/wrist/hand ROM, Codman's pendulums, no resisted motions; ROM goals: 140° FF, 40° ER at side, IR behind back with gentle posterior capsule stretching | Phase II (4-8 wks): AROM progressing, light isometrics RC/deltoid advancing to therabands, passive stretching at end ranges; ROM goals: 160° FF, 60° ER at side, IR with posterior capsule stretch | Phase III (8-12 wks): full ROM without discomfort, advance strengthening, eccentric resisted motions, closed chain activities

Notes

Adapted from Brian J. Cole MD MBA protocol (copyright 2003 CRC); if distal clavicle excision performed: horizontal adduction restricted x 8 wks post-op; tabular protocol format (ROM / immobilizer / exercise columns); no abduction or 90/90 ER until Phase II (4-8 wks); Kremen MD UCLA PatientPop practice site

Surgeon / Author

Thomas Kremen MD (adapted from Brian J. Cole MD MBA)

Published

2003