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 (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