Total Shoulder Arthroplasty — (TSA)

Ohio State University Wexner Medical Center · OSU Sports Medicine

Weight-Bearing

Sling 4-6 wks per surgeon; no driving x 6 wks

Key Restrictions

No active IR x 12 wks; IR behind back should never be pushed; no supporting body weight x 12 wks; avoid shoulder extension past trunk; no stretching into pain; no heavy lifting >coffee cup through Early Loading Phase; no sudden jerking movements; ER ≤30 deg through Protection Phase (subscapularis precaution)

Timeline & Phases

4 phases: POD 1-wk 2 (home), Protection Phase (wks 2-4, PROM scaption + ER only), Early Loading Phase (wks 4-6, AAROM + isometrics, wean sling), Strengthening Phase (wks 6-10+)

Notes

.edu site; CPG format; criterion-based; subscapularis takedown management emphasized; ER 30 deg → 45 deg progression between Protection and Early Loading phases; rhythmic stabilization glenohumeral and scapulothoracic; outcome tools: QuickDASH, Simple Shoulder Test, ASES Short Form; discharge criteria: non-painful AROM, maximized functional UE use, return to advanced functional activities

Surgeon / Author

OSU Sports Medicine