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What is the recovery like following reconstruction of the SC joint using a SCM tendon graft?
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The recovery protocol reported in this study indicates the arm was in a sling with a body belt for the first six weeks. During this time passive forward flexion to the shoulder level and passive external rotation to neutral were allowed. After the first six weeks active-assisted range of motion was begun in midrange as well stretching into full range. Scapular postural isometrics were also initiated after six weeks with the exclusion of pectorals major activity. After twelve weeks strengthening in the full range was introduced with progression guided by discomfort. Noncontact sports were allowed following six months as long as the joint was pain free and full motion was available. Participation in full contact sports was allowed following six months if a full push up was possibly without pain or scapular dysfunction for repeated repetitions.
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