Arthroscopic Anterior Stabilisation/ Latarjet

Indications:

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

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: 3 months
Driving	6-8 weeks
Swimming	Breaststroke: 6 weeks Freestyle: 12 weeks
Golf	3 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: 3 months