Arthroscopic Capsular Release and MUA of Frozen Shoulder

On ward:

• Sling for comfort encourage to discard once Interscalene block worn off. Aim to achieve full active ROM as achieved in theatre asap.
• Outpatient physiotherapy appointment to be arranged within one week post-op.
• Aggressive, early mobilisation. All ROM to include elevation, scaption, LR & MR good quality ROM with scapular control encouraged. Full unrestricted movements.
• Review by clinical specialist at 2/52 post-op in clinical specialist shoulder clinic at RSH, to be booked before discharged by ward staff.

2-6 weeks:

• Physiotherapy to continue ROM exercises in all planes. Hydrotherapy, passive and physiological stretches, accessory movements or soft tissue mobilisations to increase ROM.
• Strengthening cuff as required from 2/52 post-op.

6 weeks:

Shoulder clinic review 6/52 and 3/12. Continuing rehabilitation – dynamic strengthening through range.

Return to work: Sedentary 2-4 weeks (as pain allows). Modified Physical 6 weeks (as guided by surgeon).
Driving: 2 weeks (as pain and range allows) patient confirms safety to drive.
Sport: Non-contact 4-6 weeks. Contact: 6 weeks.
Swimming: Gentle with modified stroke 2 weeks onwards. Freestyle: 4-6 weeks.

Click on the links below to read the guidelines for individual procedures:

• Arthroscopic Sub-Acromial Decompression
• Rotator Cuff Repair
• Arthroscopic Subacromial Decompression + Arthroscopic Excision of Distal Clavicle (ACJt resection)
• Anterior Stabilisation (open or arthroscopic)
• SLAP repair – arthroscopic
• Acromio Clavicular Joint Reconstruction
• Anatomical Shoulder arthroplasty – Hemi arthroplasty (HA) or Total Shoulder Replacement (TSR)
• ORIF Clavicle / Hook Plate Clavicle
• ORIF proximal humeral fractures – (Proximal Humeral Locking Plate)
• ORTHO SPACE (In space Implantation)
• Physiotherapy Protocol for REVERSE Total Shoulder Replacement