Last Practical

Question 1

Subluxation/Dislocation (Conservative) ROM

Answer 1

0-4 Weeks: 140 flexion, 40 ER arm at side

4-8 Weeks: 160 flexion, 40 ER arm in 45 abd

Question 2

Subluxation/Dislocation (Open) ROM

Answer 2

AROM
0-4 Weeks: 140 flexion, 45 ER arm at side
4-8 Weeks: 160 flexion, 60 ER arm at side, 70 abduction

Question 3

Subluxation/Dislocation (Bankhart) ROM

Answer 3

0-2 Weeks: 90 flexion, 45 ER, 45 IR (arm at side)
3-4 Weeks Weeks: 140 flexion, 45 ER, 45 IR (in scapular plane)
5-6 Weeks: 160 flexion, 75 ER, 75 IR (90 abduction), 35 extension
6-7 Weeks: 175 flexion, 90 ER, 90 IR (90 abduction)

Question 4

Subluxation/Dislocation (Arthroscopic) ROM

Answer 4

0-2 Weeks: 60 flexion, 45 IR, 10 ER
3-4 Weeks: 90 flexion, 60 IR, 20 ER, 85 abd
5-6 Weeks: 140 flexion, 60 ER
7-9 Weeks: 160 flexion, 75 IR and ER (90 abduction)

Question 5

SLAP Repair

Answer 5

0-2 Weeks: 60 flexion, 45 IR, 15 ER
3-4 Weeks: 90 flexion, 60 IR, 30 ER, 80 abd
5-6 Weeks: 145 flexion, 55 IR, 45 ER (45 degrees abduction)
7-8 Weeks: 180 flexion, 95 ER, 75 IR (90 degrees abduction)

Question 6

Reverse total shoulder precautions

Answer 6

No extension past neutral
No adduction, IR, extension
No ER greater than 30
No IR past neutral

Question 7

Total shoulder precautions

Answer 7

PROM up to 6 weeks
No ER greater than 30 degrees
No active IR or extension past neutral

Question 8

Conservative dislocation/instability precautions

Answer 8

No extension or abduction

Question 9

Dislocation/Instability Surgical Precautions

Answer 9

Only AROM if open procedure
If open, avoid active IR and subscap isos for 4 weeks
No active ER and abduction

Question 10

SLAP Repair Precautions

Answer 10

No extension, ER, abduction AROM

No isolated biceps contraction or strengthening

Question 11

Proximal humerus fracture conservative

Answer 11

No ER or extension past neutral (3-4 weeks)