Download as PDFPhase I – Maximum Protection (0 to 14 Days)

  • Reduce inflammation
  • Immobilization in posterior splint with the arm fully pronated
  • Sling for 2 to 3 weeks
  • Ice and modalities to reduce pain and inflammations

Phase II – Progressive Range of Motion (2 to 4 Weeks)

  • Brace setting 30 degress of extension to full flexion. Maintain full arm pronation
  • Passive/Active assisted motion 30 degrees of extension gradually moving to full flexion (fully pronated arm)
  • Active wrist flexion/extension and gripping exercise – 2 weeks
  • Active pronation/supination at 4 weeks. No aggressive supination stretching
  • Scapular strengthening exercisesl

Phase III – Progressive Range of Motion and Early Strengthening (4 to 16 weeks)

  • Gradually progress to full extension over the next three months. A five degree extension limitation is acceptable and may provide some protection against recurrence.
  • 12 weeks – Begin resisted ER/IR, biceps, triceps and wrist/forearm strengthening all planes
  • 16 weeks – may begin a general strengthening program in the gym with light resistance, progressing as tolerated.

Phase IV – Advanced Strengthening and Plyometric Drills (Weeks 6 to 10)

  • Patient is allowed to free activity as tolerated while avoiding varus stress.
  • May return to unrestricted activity at one year

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