PATIENT INFO

GENERAL INFORMATION
 
HIPS
 
KNEES
 
OSTEOARTHRITIS
 
SHOULDERS
 
ELBOW SURGERY
 
VISCOSUPPLEMENTATION

 

ARTHROSCOPIC SUBACROMIAL DECOMPRESSION (SAD)

wHAT TO eXPECT aFTER sURGERY

Indications: For chronic impingement syndrome without rotator cuff tearing.
Procedure: Arthroscopic inspection of the humeral head, glenoid and subacromial space, indicating Debridement and/or excision of bursal tissue.

Post-Operative Care

Instructions to Patient:

EQUAL ICING AND REST/WORK RATIO IS IMPORTANT. PAIN SHOULD NOT OCCUR WITH ANY ACTIVITY, COME ON SOONER, DURING ACTIVITY OR REHAB, OR LAST LONGER AFTER REHAB. IF THIS OCCURS, MODIFICATION OR RE-EVALUATION NEEDS TO BE UNDERTAKEN.

Shower: 4 days post-op
Time in sling: 1-2 days
Range of Motion returns: 4-6 weeks
Return to full activities: 3 months
Initiate Physiotherapy: Your surgeon will instruct you.

Motion allowed:

Full active range of motion when comfort level allows.

Motion to avoid:

No active abduction (bringing the am away from your side to the level of the shoulder) for 6 weeks as this may "pinch your tendons".

Rehabilitation Protocol

Instructions to Physiotherapist:

EQUAL ICING AND REST/WORK RATIO IS IMPORTANT. PAIN SHOULD NOT OCCUR WITH ANY ACTIVITY, COME ON SOONER, DURING ACTIVITY OR REHAB, OR LAST LONGER AFTER REHAB. IF THIS OCCURS, MODIFICATION OR RE-EVALUATION NEEDS TO BE UNDERTAKEN.

LEVEL I
(week 1–3)
Shoulder immobilizer is worn for comfort only. The arm may be released as frequently as desired to dangle at side, to allow elbow motion. The wound must be kept dry fro 3 - 4 days. Active range of motion is begun in forward elevation. ER (at side) to 45° and IR (at side) to about L1.
LEVEL II
(week 3–5)
Gentle stretching in all directions for further range. Isotonic strengthening of all groups can be added. There should be full range of motion achieved at 6 weeks post-op.
LEVEL III
(week 5-8)
Vigorous stretching is undertaken as well as further strengthening. Labourers may return to work at 3 - 4 months post-op.