Physical Therapist Examination, Evaluation, and Intervention Following the Surgi

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Phys Ther. 2006 Jun;86(6):857-69.

Physical Therapist Examination, Evaluation, and Intervention

Following the Surgical Reconstruction of a Grade III

Acromioclavicular Joint Separation.

Culp LB, Romani WA.

Department of Physical Therapy and Rehabilitation Science, s

Hopkins Hospital, Baltimore, MD 21205, USA.

BACKGROUND AND PURPOSE: This case report describes the examination,

intervention, and outcome of a patient following the surgical

reconstruction of a grade III acromioclavicular (AC) joint

separation. Detailed postoperative interventions have not previously

been described in the literature.

CASE DESCRIPTION: The patient was a 34-year-old male college

professor with a left grade III AC joint separation and no prior

restrictions of upper-extremity function. After 12 weeks of

presurgical treatment, the patient's complaints included crepitus and

the inability to push open heavy doors.

INTERVENTION: Surgical reconstruction of the AC joint and a 4-month

graded exercise program were used.

OUTCOME: The patient returned to preinjury levels of function 5

months after surgery with scores of 3.33/100 and 0/100 on the

Disabilities of the Arm, Shoulder and Hand questionnaire and optional

Sport/Music or Work Module, respectively.

DISCUSSION: An intervention focusing on restoring shoulder strength,

range of motion, flexibility, and neuromuscular control of the

shoulder following a surgical reconstruction of the AC joint can lead

to a successful functional outcome.