Modified Weaver-Dunn Procedure for Reconstruction of the AC Joint

This operative procedure aims to stabilise the acromio-clavicular joint.

Day 1 Post-op

Master sling and body belt attached for 6 weeks
Finger, wrist and Radio-ulnar movements
Supported elbow flexion and extension in standing
Teach axillary hygiene
Teach postural awareness
Home when comfortable

3 Weeks

The patient is reviewed. The arm remains in the mastersling until week 6, but the bodybelt is removed.
Start gentle pendular exercises .

6 Weeks

The sling is removed and the patient begins formal physiotherapy
Avoid all range of movement above shoulder height until 12 weeks.

Aims of Physiotherapy

Regain scapular and gleno-humeral stability working for shoulder joint control rather than range
Gradually increase range of movement
Strengthen the rotator cuff muscles
Progress proprioception through open and closed chain exercises.

Return to Functional Activities

Driving 6 weeks
Return to work, light duties as tolerate heavy duties at 4 months.
Swimming: Breaststroke 8 weeks
Golf 3 months
Contact sport 6 months - including horse riding, football, rugby, martial arts, racquet sports, and rock climbing , heavy Lifting 4-6 months