S/P Anterior Capsulorarrhaphy Anterior ETAC

Definition:
The principle of electrothermally-assisted capsulorrhpahy (ETAC) is to apply enough heat to "loose" capsuloligamentous tissue to cause shrinkage of collagen fibrils through unwinding of the collagen triple helix. Disruption of hydrogen bonds transforms the tissue into a denatured state. ETAC can be applied using one of two sources of heat: laser or radiofrequency. The thermal energy is applied arthroscopically to tissue at a temperature of 65 degrees C.

Symptoms
  • Pain in the shoulder
  • Recurrent anterior shoulder dislocation
  • Weakness in the shoulder
  • Loss of ROM in the shoulder
Causes
  • Recurrent anterior shoulder dislocation
Treatment
  • Period of immobilization in a pillow sling
  • Passive ROM, progress to active ROM
  • Posture program
  • Shoulder stabilization exercises
  • Upper extremity strengthening
S/P Anterior Capsulorarrhaphy Anterior ETAC Phase I

Purchase Phase

  • SP Anterior Capsulorarrhaphy Anterior ETAC
  • Pendulums
  • Passive Shoulder Flexion
  • Passive Shoulder Abduction
  • Passive Shoulder External Rotation
  • Passive Shoulder Internal Rotation
  • Passive ER With Stick
  • Table Slides
  • Shoulder Sitting Posture
  • Scap Squeezes
  • Walkfite
  • WalkFit Program

S/P Anterior Capsulorarrhaphy Anterior ETAC 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

S/P Anterior Capsulorarrhaphy Anterior ETAC Phase III

Purchase Phase

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