S/P Hills Sachs Repair

Definition:
Cortical depression in the posterolateral head of the humerus bone. It results from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly

Symptoms
  • Pain in the shoulder
  • Loss of ROM in the shoulder
  • Anterior shoulder instability
Causes
  • Anterior shoulder dislocation:
  • Sports
  • Falls
  • Seizures
  • Assaults
  • Throwing
  • Reaching
  • Pulling on the arm
  • Turning over in bed
Treatment
  • Period of immobilization in a pillow sling
  • Passive ROM, progress to active ROM
  • Posture program
  • Shoulder stabilization exercises
  • Upper extremity strengthening
S/P Hills Sachs Repair Phase I

Purchase Phase

  • Pendulums
  • Passive Shoulder Abduction
  • Passive Shoulder Internal Rotation
  • Passive Shoulder External Rotation
  • Passive Shoulder Flexion
  • Passive ER With Stick
  • Table Slides
  • Shoulder Sitting Posture
  • Scap Squeezes
  • Sitting Posture
  • SP SLAP Repair

S/P Hills Sachs Repair Phase II

Purchase Phase

  • Tband Shoulder ER At Zero Deg
  • Tband Shoulder ER At 90 Deg
  • Push Up Knee Holds
  • Prone Rotator Cuff Circuit
  • Wall Slides
  • T Band Wall Push W ER
  • Superman Holds
  • Curl Press
  • Passive Shoulder Abduction At Wall

S/P Hills Sachs Repair Phase III

Purchase Phase

  • Push Ups
  • Hummers
  • Sumo Flies 3 Positions
  • Wall Slides
  • Prone Rows
  • Single Arm Push Up Holds
  • Push Up Hand Fire