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Artroscopia do Ombro

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Recovery after simple or diagnostic shoulder arthroscopy with no repair — an early-mobilisation fast pathway.

Updated Jun 2026
Ilustração de um ombro com duas pequenas incisões em chaveiro, vista por trás.
Movimento livre precoce após cirurgia de ombro por via artroscópica. Kieran Hirpara 4.0

Esta página foi traduzida automaticamente e ainda não foi verificada por um médico. A versão em inglês é a versão oficial.

Este protocolo abrange a reabilitação após uma artroscopia simples ou diagnóstica do ombro com o Dr. Kieran Hirpara no Mater Private Hospital Rockhampton: cirurgia de chaveiro onde a articulação foi inspecionada, lavada ou limpa (desbridada), sem nenhuma reparação. Como nenhuma reparação precisa ser protegida, esta é uma das operações de ombro com recuperação mais rápida: o objetivo é o movimento precoce e o retorno rápido à vida normal. Traga esta página ou o seu PDF para a sua primeira visita de fisioterapia para que a sua reabilitação seja coordenada.

Este protocolo aplica-se quando a artroscopia não envolveu reparação: apenas desbridamento, lavagem ou avaliação diagnóstica. Se algo foi reparado, descomprimido ou estabilizado durante a sua artroscopia, siga o protocolo para esse procedimento: por exemplo, o protocolo de reparação do manguito rotador se o seu manguito rotador foi reparado. Se não tiver certeza do que foi feito, verifique a sua nota operatória ou contacte a clínica antes de prosseguir.

Se tiver alguma preocupação sobre a sua ferida após a cirurgia, entre em contacto com a clínica. É frequentemente útil tirar uma foto da ferida e enviá-la por e-mail para revisão.

O que esperar

Após uma artroscopia sem reparo, não há nada dentro do ombro que precise de proteção, portanto, não há restrições rigorosas de movimento; o ombro é mobilizado precocemente e a progressão é baseada no conforto, não no calendário. Uma tipóia é fornecida apenas para conforto: a maioria das pessoas a utiliza durante o primeiro ou segundo dia e a remove completamente dentro da primeira semana. Não conduza enquanto estiver usando a tipóia.

O percurso em resumo:

  • Fase I — Movimento inicial e estabilização — aproximadamente as primeiras duas semanas
  • Fase II — Restauração da amplitude de movimento completa e início do fortalecimento — semana 2–6
  • Fase III — Retorno à atividade plena — a partir da semana 6

A maioria das pessoas retorna ao trabalho de escritório entre alguns dias e uma semana, e ao conduzir entre uma e três semanas após a remoção da tipóia, quando a dor se estabilizou e há confiança no controle do veículo. Trabalhos manuais pesados e atividades esportivas geralmente levam mais tempo, normalmente entre seis e doze semanas, dependendo das exigências impostas ao ombro. O ombro frequentemente permanece ligeiramente dolorido por algumas semanas enquanto a articulação se estabiliza; isso é normal e melhora à medida que a amplitude de movimento e a força retornam.

Fase I — Movimento precoce e estabilização (Semana 0–2)

As primeiras duas semanas consistem em permitir que o ombro se estabilize, mantendo-o em movimento. Utilize a tipóia apenas quando esta ajudar no conforto (tipicamente no primeiro ou segundo dia) e retire-a tanto quanto possível; não é necessário dormir com ela. Mova a mão, o pulso e o cotovelo livremente desde o início, e utilize o braço para tarefas diárias leves, como comer, lavar-se e vestir-se, conforme o conforto permitir. O movimento suave do ombro inicia-se imediatamente: exercícios pendulares e movimentos assistidos, progredindo para movimento ativo conforme o ombro permitir. O gelo e analgésicos simples ajudam a manter os exercícios confortáveis. As curativas da ferida são resistentes a salpicos, não impermeáveis; mantenha-as secas sempre que possível, e podem ser removidas cerca de dez a doze dias após a cirurgia.

Para o fisioterapeuta:

Objetivos

  • Estabilizar a dor e o inchaço
  • Amplitude de movimento precoce, progredindo de assistida para ativa, conforme tolerado
  • Independência nas atividades básicas da vida diária
  • Desmame da tipóia nos primeiros dias

Gestão

  • Tipóia apenas para conforto: incentivar o desmame nos primeiros dias e a interrupção, no máximo, dentro da primeira a duas semanas
  • Exercícios pendulares; amplitude de movimento ativa-assistida (roldana, bengala ou vara), progredindo para amplitude de movimento ativa em todos os planos, conforme tolerado
  • Movimento livre da mão, pulso e cotovelo; trabalho de preensão, conforme o conforto
  • Posicionamento da escápula e trabalho postural
  • Isometria suave do manguito rotador e do deltóide, conforme o conforto permitir
  • Crioterapia e analgesia para apoiar o programa de exercícios

Precauções

  • Não conduzir enquanto se usa a tipóia
  • A progressão do movimento é guiada pelo conforto: dor aguda ou persistente significa recuar, não forçar
  • Manter as curativas secas até à remoção, por volta dos 10–12 dias; notificar vermelhidão excessiva ou secreção

Critérios para progressão

  • Sem tipóia e confortável com as atividades diárias leves
  • Dor estabilizada o suficiente para trabalhar ativamente a amplitude de movimento

Fase II — Restaurar a amplitude total de movimento e iniciar o fortalecimento (Semana 2–6)

Com o ombro a estabilizar, o foco volta-se para a recuperação da amplitude total de movimento e o início do fortalecimento. O movimento ativo é progressivo em todas as direções, rumo à amplitude total, e o trabalho de resistência inicia-se suavemente, com isometria progressiva para exercícios com banda elástica dos músculos do manguito rotador e da escápula, conforme a tolerância. A maioria das pessoas regressa ao trabalho sedentário na primeira ou segunda semana, caso ainda não o tenha feito, e à condução assim que a tala for removida, a dor tiver diminuído e sentirem confiança para controlar o veículo numa situação de emergência (tipicamente entre uma e três semanas após a cirurgia). Atividades recreativas mais leves são retomadas durante esta fase, conforme orientação do fisioterapeuta.

Para o seu fisioterapeuta:

Objetivos

  • Amplitude de movimento ativa total, ou próxima do total, em todos os planos
  • Iniciar o fortalecimento gradual do manguito rotador e dos estabilizadores escapulares
  • Retorno às atividades diárias normais, trabalho e condução

Conduta

  • Progressão da amplitude de movimento ativa em todos os planos rumo ao total; os objetivos intermédios típicos são a flexão frontal superior a 140–160° e a rotação externa superior a 40–60°
  • Progressão de isometria para trabalho com banda elástica do manguito rotador (rotação interna e externa junto à posição neutra), avançando conforme a tolerância
  • Fortalecimento escapular: elevações, retração, protração e depressão, progressão para resistência
  • A partir da semana 4, fortalecimento isotónico leve com pesos baixos e repetições mais elevadas, conforme a tolerância
  • Terapia manual e alongamento para qualquer rigidez capsular residual, incluindo alongamento da cápsula posterior, quando indicado

Precauções

  • O fortalecimento mantém-se dentro da faixa confortável e não deve provocar dor que persista posteriormente
  • Introduzir progressivamente a rotação carregada em abdução (posições 90/90): introduzir apenas quando o trabalho de rotação neutra for confortável
  • Evitar levantamento de cargas pesadas e trabalho forçado acima da cabeça enquanto a força retorna

Critérios para progressão

  • Amplitude de movimento ativa total ou próxima do total, com dor mínima
  • Tolerância ao fortalecimento com banda e pesos leves sem exacerbação

Fase III — Retorno à atividade plena (a partir da 6ª semana)

A fase final consiste em um retorno gradual a levantamentos de peso mais pesado, trabalho manual, treino na academia e prática esportiva. O treino convencional com pesos geralmente pode ser reiniciado por volta das seis semanas, começando com cargas leves e progredindo de forma constante, e os esportes acima da cabeça ou de contato normalmente são retomados entre seis e doze semanas, dependendo do esporte e do desempenho do ombro. O critério para concluir a reabilitação é um ombro confortável, com amplitude de movimento completa e força segura; a maioria das pessoas retorna a todas as atividades desejadas por volta dos três meses, e qualquer dor residual continua a diminuir após esse período.

Para o seu fisioterapeuta:

Objetivos

  • Amplitude de movimento completa e sem dor
  • Restauração da força, resistência e confiança para o trabalho e o esporte
  • Retorno gradual a trabalhos manuais pesados, treino na academia e prática esportiva

Conduta

  • Progressão para treino de resistência convencional a partir da 6ª semana, avançando de máquinas para pesos livres conforme o controle permitir
  • Trabalho excêntrico e de cadeia fechada, conforme tolerado
  • Condicionamento específico para o esporte, incluindo um programa de arremesso ou acima da cabeça em etapas, quando relevante
  • Limitar o fortalecimento do manguito rotador a cerca de três sessões por semana para evitar tendinopatia por sobrecarga

Precauções

  • A progressão deve ser guiada pelos sintomas: dor que aumenta com a carga ou persiste após o exercício indica a necessidade de reduzir a carga
  • O retorno a esportes de contato ou acima da cabeça aguarda amplitude de movimento completa e sem dor, além de força adequada

Critérios para progressão

  • Amplitude de movimento completa e sem dor, com força comparável ao lado oposto para a atividade pretendida
  • Realização de tarefas específicas para o esporte ou trabalho sem provocação de sintomas

Após o seu protocolo

As fases acima são adaptadas de protocolos de reabilitação publicados para artroscopia diagnóstica e simples do ombro pelo Dr. Jorge Chahla (Rush University Medical Center), Dr. Benedict Nwachukwu (Hospital for Special Surgery), Dr. Blake Obrock (medicina ortopédica desportiva, Amarillo) e pelo guia do paciente do Royal National Orthopaedic Hospital para artroscopia diagnóstica do ombro. As faixas semanais são típicas, e não fixas, e a sua reabilitação é orientada individualmente pelo seu fisioterapeuta, em colaboração com a prática clínica, com base na recuperação do seu ombro. Esta página complementa as orientações gerais de recuperação da prática clínica: consulte o controlo da dor pós-operatória e os cuidados com a ferida. Para a operação em si, consulte artroscopia do ombro. A evidência subjacente a este protocolo (a justificação para a mobilização precoce, os ensaios cirúrgicos controlados com placebo e os protocolos de reabilitação publicados dos quais se inspira) está resumida na secção de evidências, disponível em formato PDF no topo desta página.

Reviewed by Dr Kieran Hirpara · 10 June 2026.

Want the clinical detail? Read the clinician version.

Talk to your treating clinician for advice specific to you.

For an appointment with the CQ Hand + Upper Limb team, ask your GP about a referral or visit www.cqupperlimb.com.

Evidence & references

Shoulder Arthroscopy (Diagnostic / Debridement / Washout) — Post-operative Rehabilitation

Topic scope: Post-operative rehabilitation after a generic keyhole shoulder arthroscopy in which nothing was repaired — diagnostic assessment, washout (lavage), debridement of degenerate tissue, removal of loose bodies, and isolated subacromial decompression or distal clavicle excision. Specific repair or reconstruction procedures have their own protocols that take priority — rotator-cuff repair, labral/instability stabilisation (anterior-Bankart, posterior-stabilisation, Latarjet), capsular release, biceps tenodesis and AC-joint stabilisation each convert to a slower, construct-protecting pathway. This page is the default keyhole pathway used only when the operation note confirms no repair was performed.

Defining principle of the rehab here: when nothing is repaired there is no construct to protect, so the rehab is an early-motion pathway — a sling for comfort only (days, not weeks), unrestricted use below shoulder height from day one, motion progressed on comfort rather than the calendar, and strengthening as soon as range and pain allow. The single branch point is whether anything was actually repaired or stabilised; if it was, recovery converts to that procedure's protected protocol. Unlike a cuff repair or a labral repair, there is no healing tissue that early movement can disrupt, so the usual risks of early motion (re-tear, construct failure) do not apply — the main thing early motion prevents here is post-operative stiffness.

The operation and why the rehab is fast

A keyhole (arthroscopic) shoulder operation in this scope involves looking inside the joint and subacromial space through small portals and doing one or more of: confirming a diagnosis, washing out the joint, trimming (debriding) frayed labrum, degenerate cuff or inflamed bursa, removing loose bodies, or shaving bone in a subacromial decompression or distal clavicle excision. None of these creates a repair that must heal under protection. That is the central fact that separates this pathway from cuff repair, stabilisation and the other audited protocols: the tissue is either removed or simply inspected, so the post-operative soreness — not a healing construct — is what paces recovery.

Because of this, recovery is among the quickest of any shoulder operation. Most people are back to desk-based work within days to a week, out of the sling within the first week, driving within one to three weeks once the sling is off and they can control the car confidently, and back to heavier manual work and sport somewhere between six and twelve weeks depending on the demands placed on the shoulder.

Evidence by theme

1. Early motion is the goal — there is no construct to protect

The case for early movement here is largely a mechanistic one rather than one settled by a dedicated trial: with no repair to disrupt, the only thing prolonged immobilisation achieves is avoidable stiffness, discomfort and delayed return to activity. The closest high-quality evidence comes by analogy from the cuff-repair literature, where — even with a real construct to protect — randomised trials and meta-analyses show early controlled motion does not increase re-tear and tends to reduce stiffness (number-needed-to-harm for re-tear in the order of several hundred). If early motion is safe when a repair is present, it is plainly safe when there is nothing to protect. Mechanistic + analogous moderate evidence; no debridement-specific RCT.

2. The procedures themselves: a candid note on efficacy

Two landmark placebo-controlled surgical trials bear directly on the commonest reason a no-repair arthroscopy is done — subacromial pain:

  • FIMPACT (BMJ 2018) — a double-blind trial of 210 patients randomised to arthroscopic subacromial decompression, diagnostic arthroscopy (placebo surgery), or exercise therapy. At 24 months decompression gave no benefit over diagnostic arthroscopy; both surgical arms improved, but no more than each other. Strong (placebo-controlled RCT).
  • CSAW (Lancet 2018) — a three-arm placebo-controlled UK trial reaching the same conclusion: decompression was no better than investigational (diagnostic) arthroscopy, and the small edge of either over no-treatment was not clinically important. Strong (placebo-controlled RCT).

The honest reading is that for subacromial pain the surgical element adds little over diagnostic arthroscopy or structured exercise — which reinforces why, when this operation is done, the rehabilitation (early motion, restoring strength and confidence) carries much of the recovery. A longer-term single RCT (Magnussen-class, 10-year follow-up, in the corpus) did favour decompression over therapy alone, so practice remains individualised — but the placebo-controlled data are the higher tier.

3. Debridement of degenerate tissue — limited, old evidence

Arthroscopic debridement of irreparable degenerative cuff lesions (Burkhart, J Bone Joint Surg 1995, in the corpus) can relieve pain and restore functional "force-couple" mechanics in selected patients, but the evidence base is small, old and uncontrolled. Debridement and washout are best understood as symptom-directed measures, not structural repairs — which again places the weight of recovery on rehabilitation rather than on a healing construct. Weak (historical case series).

4. The phased protocol is consensus, drawn from published surgeon protocols

The phase structure below is expert/consensus, compiled from published patient-guidance protocols for general/diagnostic shoulder arthroscopy and debridement (Chahla – Rush; Nwachukwu – HSS; Obrock; Royal National Orthopaedic Hospital). There is no rehabilitation RCT defining the optimal regimen for a no-repair arthroscopy; the week ranges are typical, not trial-derived. Weak/consensus.

Phased post-op timeline (no repair performed)

Phase Window Sling ROM / use Strengthening Notes
I — Early movement & settling Week 0–2 Comfort only, days (rarely > 1–2 wk), off ASAP; no sleeping in it Free hand/wrist/elbow + light ADLs from day 1; pendulums and assisted ROM progressing to active ROM as comfort allows Scapular setting; gentle cuff/deltoid isometrics as comfort allows Settle the post-op flare. No driving while in the sling. Dressings off ~10–12 days
II — Restore movement, start strength Week 2–6 Off Progress active ROM in all planes toward full (interim targets ~140–160° flexion, 40–60° ER) Isometric → elastic-band cuff + scapular work; light isotonic from ~wk 4 Desk work + driving once sling off, pain settled, confident to control the car (typically wk 1–3)
III — Return to full activity Week 6 onward Off Maintain full, pain-free ROM Conventional resistance training from ~wk 6; eccentric/closed-chain; sport-specific conditioning. Cap heavy cuff loading at ~3×/week Heavier manual work & sport return ~6–12 wk by demand; most back to everything by ~3 months

Branch point — if anything was repaired or stabilised: recovery converts to that procedure's protected protocol (e.g. rotator-cuff repair — sling ~6 weeks, restricted ROM, deferred strengthening, ~5 months total; or the relevant stabilisation/capsular-release pathway). The operation note and the rooms confirm which pathway applies.

Key controversies / evidence quality

  1. Does the surgery help at all (for subacromial pain)? Two placebo-controlled RCTs (FIMPACT, CSAW) found decompression no better than diagnostic arthroscopy, and arthroscopy little better than exercise. This is the strongest evidence in the topic — and it argues that, where a no-repair arthroscopy is performed, good rehabilitation is doing much of the work. Strong.
  2. Debridement evidence is thin and dated. The supportive data (e.g. Burkhart 1995) are small, uncontrolled case series; debridement is symptom-directed, not curative. Weak.
  3. The rehab protocol itself is consensus, not trial-derived. No RCT defines the optimal regimen after a no-repair arthroscopy; phase timings are typical surgeon-protocol values, and recovery is individualised by the treating physiotherapist. Weak/consensus.
  4. Safety of early motion is inferred, not directly tested here. It rests on a sound mechanism (nothing to protect) reinforced by analogy to the cuff-repair early-motion trials, rather than a debridement-specific RCT. Mechanistic + analogous moderate.

The evidence base for this generic pathway is genuinely limited. The high-quality data (placebo-controlled trials) speak to whether the operation helps, not to how best to rehabilitate it; the rehabilitation guidance is consensus-level. This is stated plainly because it is the honest position.

Evidence-strength flags (summary)

  • STRONG (placebo-controlled RCT): subacromial decompression gives no benefit over diagnostic arthroscopy — FIMPACT (BMJ 2018), CSAW (Lancet 2018).
  • MODERATE (analogous RCT/MA): safety of early controlled motion (extrapolated from cuff-repair early-motion trials — early motion does not raise re-tear and reduces stiffness even when a construct is present).
  • WEAK (historical case series): arthroscopic debridement of irreparable degenerative cuff lesions (Burkhart 1995).
  • WEAK / CONSENSUS: the post-operative rehabilitation protocol itself (published surgeon patient-guidance documents; no defining rehab RCT).
  • SAFETY NOTE (rare complication): glenohumeral chondrolysis has been linked to post-arthroscopic intra-articular continuous bupivacaine infusion and to thermal capsulorrhaphy — a reason such adjuncts are avoided, not a reflection on standard debridement.

CITATIONS

RAG corpus (180,000+ Orthopaedic articles)

  • Burkhart SS. Débridement of degenerative, irreparable lesions of the rotator cuff. J Bone Joint Surg Am. 1995. DOI: 10.2106/00004623-199506000-00006
  • Magnussen R, et al. Subacromial decompression yields a better clinical outcome than therapy alone: a prospective randomized study with minimum 10-year follow-up. Am J Sports Med. 2018. DOI: 10.1177/0363546518755759
  • Bailie DS, Ellenbecker TS. Severe chondrolysis after shoulder arthroscopy associated with continuous bupivacaine infusion. Arthroscopy. 2009. DOI: 10.1016/j.arthro.2009.08.024
  • (The corpus is thin on no-repair / diagnostic-arthroscopy rehabilitation specifically; the higher-tier evidence below comes from the placebo-controlled surgical trials and published surgeon protocols.)

Literature (URLs)

Published rehab protocols (patient-guidance — basis for the phase structure)

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2. You may satisfy the conditions in Section 3(a)(1) in any reasonable manner based on the medium, means, and context in which You Share the Licensed Material. For example, it may be reasonable to satisfy the conditions by providing a URI or hyperlink to a resource that includes the required information.

3. If requested by the Licensor, You must remove any of the information required by Section 3(a)(1)(A) to the extent reasonably practicable.

4. If You Share Adapted Material You produce, the Adapter's License You apply must not prevent recipients of the Adapted Material from complying with this Public License.

Section 4 -- Sui Generis Database Rights.

Where the Licensed Rights include Sui Generis Database Rights that apply to Your use of the Licensed Material:

a. for the avoidance of doubt, Section 2(a)(1) grants You the right to extract, reuse, reproduce, and Share all or a substantial portion of the contents of the database for NonCommercial purposes only;

b. if You include all or a substantial portion of the database contents in a database in which You have Sui Generis Database Rights, then the database in which You have Sui Generis Database Rights (but not its individual contents) is Adapted Material; and

c. You must comply with the conditions in Section 3(a) if You Share all or a substantial portion of the contents of the database.

For the avoidance of doubt, this Section 4 supplements and does not replace Your obligations under this Public License where the Licensed Rights include other Copyright and Similar Rights.

Section 5 -- Disclaimer of Warranties and Limitation of Liability.

a. UNLESS OTHERWISE SEPARATELY UNDERTAKEN BY THE LICENSOR, TO THE EXTENT POSSIBLE, THE LICENSOR OFFERS THE LICENSED MATERIAL AS-IS AND AS-AVAILABLE, AND MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE LICENSED MATERIAL, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHER. THIS INCLUDES, WITHOUT LIMITATION, WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, ABSENCE OF LATENT OR OTHER DEFECTS, ACCURACY, OR THE PRESENCE OR ABSENCE OF ERRORS, WHETHER OR NOT KNOWN OR DISCOVERABLE. WHERE DISCLAIMERS OF WARRANTIES ARE NOT ALLOWED IN FULL OR IN PART, THIS DISCLAIMER MAY NOT APPLY TO YOU.

b. TO THE EXTENT POSSIBLE, IN NO EVENT WILL THE LICENSOR BE LIABLE TO YOU ON ANY LEGAL THEORY (INCLUDING, WITHOUT LIMITATION, NEGLIGENCE) OR OTHERWISE FOR ANY DIRECT, SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, EXEMPLARY, OR OTHER LOSSES, COSTS, EXPENSES, OR DAMAGES ARISING OUT OF THIS PUBLIC LICENSE OR USE OF THE LICENSED MATERIAL, EVEN IF THE LICENSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSSES, COSTS, EXPENSES, OR DAMAGES. WHERE A LIMITATION OF LIABILITY IS NOT ALLOWED IN FULL OR IN PART, THIS LIMITATION MAY NOT APPLY TO YOU.

c. The disclaimer of warranties and limitation of liability provided above shall be interpreted in a manner that, to the extent possible, most closely approximates an absolute disclaimer and waiver of all liability.

Section 6 -- Term and Termination.

a. This Public License applies for the term of the Copyright and Similar Rights licensed here. However, if You fail to comply with this Public License, then Your rights under this Public License terminate automatically.

b. Where Your right to use the Licensed Material has terminated under Section 6(a), it reinstates:

1. automatically as of the date the violation is cured, provided it is cured within 30 days of Your discovery of the violation; or

2. upon express reinstatement by the Licensor.

For the avoidance of doubt, this Section 6(b) does not affect any right the Licensor may have to seek remedies for Your violations of this Public License.

c. For the avoidance of doubt, the Licensor may also offer the Licensed Material under separate terms or conditions or stop distributing the Licensed Material at any time; however, doing so will not terminate this Public License.

d. Sections 1, 5, 6, 7, and 8 survive termination of this Public License.

Section 7 -- Other Terms and Conditions.

a. The Licensor shall not be bound by any additional or different terms or conditions communicated by You unless expressly agreed.

b. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this Public License.

Section 8 -- Interpretation.

a. For the avoidance of doubt, this Public License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this Public License.

b. To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions.

c. No term or condition of this Public License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor.

d. Nothing in this Public License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.

Creative Commons is not a party to its public licenses. Notwithstanding, Creative Commons may elect to apply one of its public licenses to material it publishes and in those instances will be considered the “Licensor.” The text of the Creative Commons public licenses is dedicated to the public domain under the CC0 Public Domain Dedication. Except for the limited purpose of indicating that material is shared under a Creative Commons public license or as otherwise permitted by the Creative Commons policies published at creativecommons.org/policies, Creative Commons does not authorize the use of the trademark "Creative Commons" or any other trademark or logo of Creative Commons without its prior written consent including, without limitation, in connection with any unauthorized modifications to any of its public licenses or any other arrangements, understandings, or agreements concerning use of licensed material. For the avoidance of doubt, this paragraph does not form part of the public licenses.

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