Adam Seidl, MD - Board Certified Orthopaedic Surgeon - Shoulder and Elbow Specialist

Adam Seidl, MDBoard Certified Orthopaedic SurgeonShoulder and Elbow Specialist

Acromioclavicular Joint Reconstruction

  • Acute (arthroscopic)
  • Chronic (open)

PHASE I: Protect Repair(0 to 8 weeks after surgery)

  • Patients may shower immediately over clear plastic, waterproof dressing
  • Sutures are all underneath the skin and will dissolve on their own
  • Ice or cold flow systems encouraged for the first week at a minimum: should be used 3-4 times per day.
  • Sling should be in place when not performing exercises.
  • Initiate exercise program 3 times per day:
    • Immediate elbow, forearm and hand range of motion out of sling
    • Pendulum exercises
    • Passive and active assistive ER at the side to 30, flexion to 130
  • No lifting with involved extremity.
  • AVOID scapular ROM exercises.

PHASE II: Progress ROM & Protect Repair(8 to 12 weeks after surgery)

  • May discontinue sling.
  • Lifting restriction of 5 pounds with the involved extremity.
  • Advance active and passive ROM in all planes to tolerance.
  • Initiate gentle rotator cuff strengthening.
  • Initiate scapular AROM exercises.

PHASE III: Full Function(3 months after surgery)

  • Discontinue lifting restrictions.
  • Advance rotator cuff and scapular stabilizer strengthening.
  • Initiate functional progression to sports specific activities at 4 months.

Acute Coracoclavicular Ligament Reconstruction

Phase I: Protect Repair(0 to 6 weeks after surgery)

  • Patients may shower immediately over clear plastic, waterproof dressing
  • Sutures are all underneath the skin and will dissolve on their own
  • Ice or cold flow systems encouraged for the first week at a minimum: should be used 3-4 times per day.
  • Sling should be worn at all times.
  • Initiate exercise program: Immediate elbow, forearm and hand range of motion out of sling
  • No lifting with involved extremity.
  • AVOID scapular ROM exercises.

Phase II: Progress ROM & Protect Repair(6 to 12 weeks after surgery)

  • May discontinue sling.
  • Pendulum exercises
  • Passive and active assistive ER at the side to 30, flexion to 130
  • Initiate gentle rotator cuff strengthening.
  • Initiate scapular AROM exercises.

Phase III: Full Function(3 months after surgery)

  • Advance active and passive ROM in all planes to tolerance.
  • Advance rotator cuff and scapular stabilizer strengthening.
  • Initiate functional progression to sports specific activities at 5 months.
  • Discontinue lifting restrictions after 5 months

Get Adobe Reader You will need the Adobe Reader to view and print these documents.

Location Map

  • Orthopedics - University of Colorado Hospital

    1635 Aurora Ct,4th Floor
    Aurora, CO 80045

  • Highlands Ranch Hospital

    1500 Park Central Dr #401,
    Highlands Ranch,CO 80129

  • UCHealth Steadman Hawkins Clinic Denver

    175 Inverness Drive West, Suite 200,
    Englewood, CO 80112

Credibility Logos

  • The American Board of Orthopaedic Surgery logo
  • American Academy of Orthopedic Surgeons logo
  • American Shoulder And Elbow Surgeons logo
  • Western Orthopaedic Association logo
  • Alpha Omega Alpha
  • Moon Shoulder