Arthroscopic Anterior Stabilisation/ Latarjet

Pre-operative rehabilitation is advisable (Pre-hab)

Post op
Day 1 - 3 weeks Level 1 Exercises	Sling for 3 weeks (athletes can wean off sooner under guidance of club therapist) Teach axillary hygiene Teach postural awareness and scapular setting Core stability exercises as appropriate) Proprioceptive exercises (minimal weightbearing below 90 degrees) Active assisted flexion as comfortable (in 'safe zone'* )* Active assisted external rotation as comfortable (in 'safe zone' ) Do not force or stretch No combined abduction & external rotation
3 - 6 weeks Level 2-3 exercises	Wean off sling Progress active assisted to active ROM as comfortable Do not force or stretch No combined abduction & external rotation
6 - 12 Weeks Progress Level 3+ exercises	Regain scapula & glenohumeral stability working for shoulder joint control rather than range Gradually increase ROM Strengthen Increase proprioception through open & closed chain exercise Progress core stability exercises Ensure and treat posterior tightness, if required Incorporate sports-specific rehabilitation Plyometrics and pertubation training

Milestones
Week 6	Active elevation to pre op level
Week 12	Minimum 80% range of external rotation compared to asymptomatic side Normal movement patterns throughout range
Failure to achieve milestones	Referral to shoulder clinic

Return to functional activities (guide to commence activity)
Return to work	Sedentary job: as tolerated Manual job: at least 3 months
Driving	approx. 6-8 weeks
Swimming	Breaststroke: from 6 weeks Freestyle: 12 weeks
Golf	can start from 3-6 Months
Lifting	Light lifting can begin at 3 weeks. Avoid lifting heavy items for 3 months.
Contact Sport	E.g. Horse riding, football, martial arts, racket sports and rock climbing: after 3 months