ASD/ACJ Excision

ASD and/or ACJ Excision

  Post op
On Discharge from Hospital 

 
  • Immobiliser (This should be removed within the first 2-3 days
  • Post-op Exercises on discharge 
  • Active (assisted) glenohumeral movement in all planes
  • Teach postural awareness and scapular setting

Out patient Physio

Levels 1-3 Exercises

 
  • Begin isometric strengthening (progress using pain & ROM as the limiting factor)
  • Rotator cuff strengthening
  • Over zealous physio or repetitive sustained overhead activity could lead to delayed healing & pain

 

Milestones

Full recovery can take 6-9 months.
Expect 80% improvement by 3 months.
   

Caution

Any significant increase in pain or decrease in ROM arrange a clinic appointment for a review. 

 
See Post-Operative Exercises

 Return to functional activities

Return to work            Sedentary job: as tolerated

                                    Manual job:      may need to modify activities for 3 months

 Driving                        1 week

Swimming                   Breaststroke:   as able

                                    Freestyle:          12 weeks

Golf                             6 weeks

Lifting                         as able

Racquet sports            Avoid repetitive overhead shots for 3 months

 

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