Which of the following motions is typically delayed after an anterior shoulder stabilization surgery to allow for healing of the soft tissue?

• A. Shoulder flexion
• B. Combined abduction and external rotation PROM
• C. Internal rotation
• D. Shoulder extension

Answer: (B)

After an anterior shoulder stabilization surgery, it is crucial to follow a carefully structured rehabilitation protocol to ensure proper healing of the soft tissues involved. The combined motion of abduction and external rotation is particularly challenging because it places stress on the anterior capsule, which has likely been repaired during the surgery.

The anterior shoulder joint and related soft tissues must be protected to allow for adequate healing. Engaging in passive range of motion that involves abduction with external rotation can stretch the repaired structures and potentially lead to failure of the surgical repair. This is why such combined movements are typically limited or delayed for a period after the surgery.

In contrast, motions like shoulder flexion, internal rotation, and shoulder extension generally do not place as much strain on the anterior structures and may be initiated earlier in the rehabilitation process. Therefore, it is standard practice to restrict combined abduction and external rotation to safeguard the healing joint after surgery.