病人是一位基层医务工作者，肩关节脱位复位后一个月左右MRI检查并发肩袖损伤（冈上肌），Bankart等很多合并损伤，经过艰苦的康复训练，功能满意，满意后就很少来复查，这是我国康复现状。

以上是患者按照我的要求，微信拍的一组照片，通过这个病历把肩关节脱位康复流程整理成册，也方便更好指导病人康复训练，再次强调保守治疗不等于不治疗，相反保守治疗要求对医生和患者具有更高的要求，病人通情达理，配合复查，医生理解康复理念，不是一个只会开刀的手术匠。

钟摆：This can be performed 10x/day to help with pain management.

外展：By grasping a broomstick in your hands, use the opposite hand to push the affected arm up and to the side slowly. Return back to the starting position slowly. Perform 10x, three times per day.

屈曲：Bring your hand to rest on a countertop, while you are facing the counter. Slowly back your feet up as you let your shoulder come up towards your ears. Return slowly back to the starting position. Perform 10x, three times per day

外旋：Grasp a broomstick in your hands with your affected hand on the end. Use your unaffected side to push the broomstick gently out to the side, but keeping your affected side’s elbow in. Return back to the starting position. Perform 10x, three times per day.

Isometric Abduction – push the outside of your elbow into the wall

Isometric Internal Rotation – Start with your elbow bent to 90 degrees at your side with your thumb pointing to the ceiling. Push the palm side of your hand into a door frame.

Shoulder Alphabets

Lie on your back with your arm pointed straight up at the ceiling. Move your whole arm in order to “write” out in the air different words.

The alphabet, the name of your favourite tv show, or the first 3 items on your bucket list are all good places to start. Spend about 60 seconds at a time working on this.

Proprioception and shoulder muscle control

As you continue to progress, you can use controlled perturbations to allow your shoulder the experience of reacting to (somewhat) unexpected forces.

For example, you can hold your arm overhead and have a trusted helper apply perturbations to your arm (push you around) while you try to hold your shoulder in place.