Shoulder Rehabilitation After Minimal Invasive Surgery Around Shoulder Joint

  • Ayça Uyan
  • Utku Uyan
  • Haluk Ozcanli
  • A. Merter Ozenci


Proximal humerus fractures and acromioclavicular joint dislocation are the most common reasons for minimally invasive shoulder surgery. A fall (often low energy) is the most common mechanism. The rehabilitation approach that is used for patients following proximal humerus fractures and acromioclavicular joint dislocation differs depending on fracture type, pattern, and surgical approach. The postoperative management of the shoulder is as important as intraoperative care. Although each patient receives an individualized program, the basic goals are the same.


Shoulder joint Rehabilitation Minimal invasive surgery Activity 


  1. Andrews JR, Wilk KE, Satterwhite YE, Tedder JL (1993) Physical examination of the thrower’s elbow. J Orthop Sports Phys Ther 17:296–304CrossRefGoogle Scholar
  2. Andrews JR, Harrelson GL, Wilk KE (2012) Physical rehabilitation of the injured athlete, 4th edn. Elsevier Saunders, PhiladelphiaGoogle Scholar
  3. Brunner A, Thormann S, Babst R (2012) Minimally invasive percutaneous plating of proximal humeral shaft fractures with the proximal humerus internal locking system (PHILOS). J Shoulder Elb Surg 21:1056–1063CrossRefGoogle Scholar
  4. Brunner A, Weller K, Thormann S, Jöckel JA, Babst R (2010) Closed reduction and minimally invasive percutaneous fixation of proximal humerus fractures using the Humerus block. J Orthop Trauma 24:407–413CrossRefGoogle Scholar
  5. Brunner F, Sommer C, Bahrs C et al (2009) Open reduction and internal fixation of proximal humerus fractures using a proximal humeral locked plate: a prospective multicenter analysis. J Orthop Trauma 23:163–172CrossRefGoogle Scholar
  6. Camcı E, Duzgun I, Hayran M, Baltacı G (2013) Scapular kinematics during shoulder elevation performed with and without elastic resistance in men without shoulder pathologies. J Orthop Sports Phys Ther 43(10):735–743. Scholar
  7. Choi SW, Lee TJ, Moon KH, Cho KJ, Lee SY (2008) Minimally invasive coracoclavicular stabilization with suture anchors for acute acromioclavicular dislocation. Am J Sports Med 36(5):961–965CrossRefGoogle Scholar
  8. Ellenbecker TS, Davies GJ (2001) Closed kinetic chain exercise. A comprehensive guide to multiple-joint exercises. Human Kinetics Publishers, Champaign, ILGoogle Scholar
  9. Fukuda K, Craig EV, An K-N, Cofield RH, Chao EY (1986) Biomechanical study of the ligamentous system of the acromioclavicular joint. J Bone Joint Surg Am 68:434–440CrossRefGoogle Scholar
  10. Gorbaty JD et al (2017) Classifications in brief: Rockwood classification of acromioclavicular joint separations. Clin Orthop Relat Res 475(1):283–287CrossRefGoogle Scholar
  11. Guy DK, Wirth MA, Griffin JL, Rockwood CA Jr (1998) Reconstruction of chronic and complete dislocations of the acromioclavicular joint. Clin Orthop Relat Res 347:138–149CrossRefGoogle Scholar
  12. Kirkley A, Werstine R, Ratjek A, Griffin S (2005) Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder: long-term evaluation. Arthroscopy 21:55–63CrossRefGoogle Scholar
  13. Lee SJ, Nicholas SJ, Akizuki KH (2003) Reconstruction of the coracoclavicular ligaments with tendon graft. Am J Sports Med 31:648–655CrossRefGoogle Scholar
  14. Pabia PS, Kolber MJ, McCarthy JP (2011) Post rehabilitation strength and conditioning of the shoulder: an interdisciplinary approach. Strength Cond J 33(3):42–55CrossRefGoogle Scholar
  15. Sproul RC, Iyengar JJ, Devcic Z, Feeley BT (2011) A systematic review of locking plate fixation of proximal humerus fractures. Injury 42:408–413CrossRefGoogle Scholar
  16. Rockwood CA, Williams GR, Young DC (1996) Acromioclavicular injuries. In: Rockwood CA, Green DP, Bucholz RW, Heckman JD (eds) Fractures in adults, vol I, 4th edn. Lippincott-Raven, Philadelphia, PA, pp 1341–1413Google Scholar
  17. Wilk KE, Yenchak AJ, Arrigo CA, Andrews JR (2011) The advanced throwers ten exercise program: a new exercise series for enhanced dynamic shoulder control in the overhead throwing athlete. Phys Sportsmed 39:90–97CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ayça Uyan
    • 1
  • Utku Uyan
    • 2
  • Haluk Ozcanli
    • 3
  • A. Merter Ozenci
    • 4
  1. 1.Faculty of Health Science, Department of Physiotherapy and RehabilitationIstanbul Aydin UniversityIstanbulTurkey
  2. 2.Sanliurfa Mehmet Akif Inan Education and Research HospitalSanliurfaTurkey
  3. 3.Faculty of Medicine, Department of OrthopaedicsAkdeniz UniversityAntalyaTurkey
  4. 4.Department of Orthopaedics, Medical Park HospitalAntalyaTurkey

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