Superior Capsule Reconstruction

Orthopaedic Associates of Maine

Weight-Bearing

FWB; sling/swathe at all times wks 0-6; sling/swathe except exercises/bathing/sitting wks 6-8; sling for comfort (may discontinue) wks 8-10

Key Restrictions

Maximum protection 0-6 weeks; PROM limits wks 6-8: 90° abd, 20° ext, 70° IR (not behind back); AROM initiated wks 10-12; no overhead strengthening until surgeon clearance (wks 12-20+); no overhead sport or heavy lifting until wks 20-24+; indications: massive irreparable RCT, intact deltoid/subscapularis/nerve function

Timeline & Phases

0-6 wks (max protection), 6-8 wks (PROM within limits), 8-10 wks (AAROM, sling comfort), 10-12 wks (AROM, isometrics), 12-20+ wks (resisted strength, surgeon clearance), 20-24+ wks (advanced strength, sport-specific)

Notes

For massive irreparable RCT without arthritis; requires intact deltoid and subscapularis; no overhead sport or heavy lifting through advanced phase; surgeon clearance required for resistive and advanced training phases