Arthroscopic Dynamic Anterior Stabilisation (DAS) procedure

Phase	Rehabilitation	Precautions
Day 0	Sling in neutral (gunslinger) for 2–4 weeks; hand/wrist exercises; elbow ROM.	Sling 2–4 weeks, day & night; protect repair.
0–2 weeks	Pendular exercises; passive/active-assisted flexion/abd up to 90°; ER to neutral only (scapular plane). Gentle isometrics (e.g. deltoid).	No ER >0° (often to 30°) and no extension/IR behind back for 6 weeks. No cross-body adduction.
2–4 weeks	Continue passive ROM (stretch ER gradually up to safe limit); gradually increase flexion/abd to full ROM as allowed. Scapular stabilizers.	Avoid load or stress across anterior capsule (no pushing off).
4–6 weeks	Wean out of sling; begin active ROM (flexion, abd, ER) within safe range. Introduce gentle CCKC exercises (e.g. table push-ups at 90°).	No lifting >1–2 kg; still avoid combined abd/ER beyond safe zone.
6–12 weeks	Strengthen rotator cuff, deltoid, scapular muscles; advance AROM to full (avoid stretching into pain). Work on proprioception (CCKC).	No contact sports or heavy lifting until 12+ weeks.
12+ weeks	Full strengthening program; gradual return to sports. Throwing/sport-specific drills typically at ~4–6 months.

Phase

Rehabilitation

Precautions

Day 0

Sling in neutral (gunslinger) for 2–4 weeks; hand/wrist exercises; elbow ROM.

Sling 2–4 weeks, day & night; protect repair.

0–2 weeks

Pendular exercises; passive/active-assisted flexion/abd up to 90°; ER to neutral only (scapular plane). Gentle isometrics (e.g. deltoid).

No ER >0° (often to 30°) and no extension/IR behind back for 6 weeks. No cross-body adduction.

2–4 weeks

Continue passive ROM (stretch ER gradually up to safe limit); gradually increase flexion/abd to full ROM as allowed. Scapular stabilizers.

Avoid load or stress across anterior capsule (no pushing off).

4–6 weeks

Wean out of sling; begin active ROM (flexion, abd, ER) within safe range. Introduce gentle CCKC exercises (e.g. table push-ups at 90°).

No lifting >1–2 kg; still avoid combined abd/ER beyond safe zone.

6–12 weeks

Strengthen rotator cuff, deltoid, scapular muscles; advance AROM to full (avoid stretching into pain). Work on proprioception (CCKC).

No contact sports or heavy lifting until 12+ weeks.

12+ weeks

Full strengthening program; gradual return to sports. Throwing/sport-specific drills typically at ~4–6 months.

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Emma

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