Superior Capsular Reconstruction
Keys to a Successful Outcome
For the first two weeks, wear the brace at all times and avoid any movement of the shoulder.
Avoid any weight lifting for at least the first 12 weeks.
Avoid any excessive motion of the surgical arm in all planes for the first 4 weeks.
Weeks 0-2: Wear at all times*; Weeks 2-6: Worn daytime only
Weeks 0-2: No ROM; Weeks 2-4: PROM; limit: Flex 90°, Ext 20°, ER 45°, Abd 45°, ABER 45°
Weeks 0-2: Elbow/wrist ROM, grip strength/pendulums; Weeks 2-6: PROM to ER to 45°; Codman's, posterior cap mobilizations; closed chain scapular ex
Begin A/AAROM; Advance to Flex 140°, Abd 135°, ABER 90°, ABIR 45°**
Begin active-assisted ex, deltoid/RTC isometrics at 8 weeks; begin resistive ex for scap stabilizers, bi/triceps, and RTC***
Progress to full AROM
Begin ER and lat eccentrics, GH stabilization; muscle endurance activities; cycling/running as tolerated at 12 weeks.
Progress scap stabilization and eccentric strengthening; scap perturbation; begin plyo and throwing/racquet program; maintain ROM/flexibility
Progress Phase IV activities, return to full activity as tolerated
*Off for hygiene and gentle home exercise
**if a distal clavicle excision is performed, horizontal adduction is restricted for 8 weeks post-op
***if a biceps tenodesis is performed, avoid active flexion of biceps and eccentric loads on biceps for 6 weeks post-op