In some cases, a tendon graft and joint replacement may be necessary. Learn about the many ways you can get involved and support Mass General. Your surgeon will make a cut (incision) in the shoulder area. The type of anesthesia will depend on the specific procedure being done. MD follow-up visits at Day 1, Day 14 . The skin over your surgical site will be cleaned with an antiseptic solution. PROM shoulder flexion/abduction/ER/IR. PDF Rotator Cuff Repair with Biceps Tenotomy/Tenodesis Tell your provider about all prescription and over-the-counter medicines and herbal supplements that you're taking. A surgical repair is indicated when pain Individually, these muscles either internally or externally rotate the humerus. We use cookies and other tools to enhance your experience on our website and Shoulder injuries are common. PDF www.mghsportsmedicine.org Arthroscopic Labrum Repair of the Shoulder (SLAP) The Orthopaedic & Arthritis Center at Brigham and Womens Hospital is one of the most highly regarded orthopaedic and joint disease research and treatment programs in the world. An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities. Light active scapular strengthening . For more information about these cookies and the data Brigham and Women's Hospital, Boston. 4 0 obj For more information about these cookies and the data Rotator cuff degeneration and tears may also be caused by aging. We pride ourselves in the quality of patient care we provide and how we compare with other hospitals. General Information: We are committed to providing expert caresafely and effectively. Let us help you navigate your in-person or virtual visit to Mass General. Other activity restrictions may apply. An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities and eventually require rotator cuff surgery. %gN+K(( 8VC|[WN#( Y2,,-_:,=t6h(#9 Prevent shoulder stiffness 4. An arm sling is used for 4 weeks post-op. Phase I: 1 through 4 to 6 weeks post-op: First 3 weeks: Patient education: movement limitations, posture, proper sling fitting, joint protection, and positioning. You'll be positioned on the operating table. %PDF-1.6 % Damage may also occur slowly over time. If pain does not improve with nonsurgical methods, surgery may be recommended. The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. 1 Chung SW et al. We use cookies and other tools to enhance your experience on our website and ajp5 <>/Metadata 702 0 R/ViewerPreferences 703 0 R>> PDF Arthroscopic Labral Repair Protocol, II, IV, and complex tears Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears This protocol is intended to guide clinicians through the post-operative course for rotator cuff repair-small to medium tears. 175 Cambridge Street, 4th Floor Get the latest news, explore events and connect with Mass General. x=n8zE$ Other incisions may be made to use other small grasping, probing, or cutting tools. Because the sedative may make you drowsy, you'll need to arrange for someone to drive you home. Most commonly, however, this group of muscles co-contracts and . Connect with us. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. Be sure to take only recommended medicines. Stay Informed. The Sports Physical Therapy Service is an integral part of the Sports Medicine Center and the Department of Physical and Occupational Therapy. Your provider will discuss this with you in advance. ns6K2*\2 9LSs. 3. Comprehensive and innovative bone and joint care is the foundation of the Center, beginning nearly a century ago when one of our founding hospitals, the Robert Breck Brigham Hospital, became the first teaching hospital in the country wholly devoted to arthritis treatment and related diseases. PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions 175 Cambridge Street, 4th Floor Boston, MA 02114 Phone: 617-643-9999 Fax: 617-643-0822 Knee ACL Injuries - Non-operative Management ACL Reconstruction Autologous Chondrocyte Implantation (ACI)-Femoral Autologous Chondrocyte Implantation (ACI)-Patella High Tibial Osteotomy Protocol Iliotibial Band Syndrome endstream endobj 834 0 obj <>/Encoding<>>>>> endobj 826 0 obj <> endobj 164 0 obj <> endobj 166 0 obj <> endobj 167 0 obj <> endobj 168 0 obj <> endobj 2345 0 obj <> endobj 2346 0 obj <> endobj 2347 0 obj <> endobj 2348 0 obj <> endobj 2349 0 obj <> endobj 2350 0 obj <> endobj 2351 0 obj <> endobj 2352 0 obj <> endobj 2353 0 obj <> endobj 2354 0 obj <> endobj 2355 0 obj <> endobj 2369 0 obj <> endobj 2372 0 obj <> endobj 2373 0 obj <> endobj 2374 0 obj <> endobj 2381 0 obj <> endobj 2382 0 obj <> endobj 2383 0 obj <> endobj 2384 0 obj <> endobj 2385 0 obj <> endobj 2386 0 obj <> endobj 2560 0 obj <> endobj 2392 0 obj <> 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0 obj <> endobj 2305 0 obj <> endobj 2307 0 obj <> endobj 2309 0 obj <> endobj 2311 0 obj <> endobj 2313 0 obj <> endobj 2318 0 obj <> endobj 2316 0 obj <> endobj 2323 0 obj <> endobj 2328 0 obj <> endobj 2333 0 obj <> endobj 2338 0 obj <> endobj 2336 0 obj <> endobj 2343 0 obj <> endobj 2344 0 obj <> endobj 2341 0 obj <> endobj 1026 0 obj <>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC]/ExtGState<>>>/Type/Page>> endobj 1109 0 obj <> endobj 1041 0 obj <>stream The conservative rehabilitation protocol allows Sharpey fibers to form before stressing the repair with resistive exercises. uuid:5fa44141-9c8c-4c9c-b6ca-f862302a5ebb Connect with us. L|5C[[ZW%pGY8JMe{+u'O=1m These muscles originate on the shoulder blade and attach to the humeral head. Tell your provider if you have a history of bleeding disorders or if you're taking any anticoagulant (blood-thinning) medicines, aspirin, or other medicines that affect blood clotting. Journal of Shoulder and Elbow Surgery, 4:521-535. PDF ARTHROSCOPIC ROTATOR CUFF REPAIR - Brigham and Women's Faulkner Hospital 2009-11-17T11:36:40-05:00 Sports Medicine Physical Therapy Rehabilitation Protocols *COLE,*MD,*MBA RANGE OF MOTION IMMOBILIZER EXERCISES PHASE I 0-6 weeks 0-3 weeks: None 3-6 weeks: Begin PROM Limit 90 flexion, 45 ER, 20 extension 0-2 weeks: Immobilized at all times day and night Off for hygiene and gentle home exercise according to The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH. The circulation and sensation of your arm will be monitored. ntr>&TZt`3o6?=^_.9|0dd\H c9{+'+::A{NhV{. HWMo8W(oQ@QIECw^8++kJdGvqd7FWzj7,N.NlI~Kk6}b6}%O, Microsoft Word - Rotator cuff and SLAP patient info.doc. The rotator cuff consists of muscles and tendons that hold the shoulder in place and allows a person to lift his and her arm and reach up. Brigham and Women's Faulkner Hospital Rehabilitation Services 1153 Centre Street - 2nd Floor Boston, MA 02130 617-983-7271 General Information Arthroscopic Rotator Cuff Repair is performed when there is a tear of one or more of the four muscles that comprise the Rotator Cuff. 2023 Using sutures and suture anchors, the torn muscle and tendon are sewn back to the bone where it was originally attached. This procedure is specifically designed for the treatment of glenohumeral (GH) joint arthritis or complex fractures, when associated with irreparable rotator cuff (RC) damage or in the presence of RC arthropathy. 1 0 obj Take a pain reliever for soreness as recommended by your healthcare provider. Reverse or inverse total shoulder arthroplasty (rTSA) is becoming a widely accepted surgical intervention. Stay Informed. Rotator cuff repair may be done on an outpatient basis or as part of your stay in a hospital. Healing occurs at a rate of 10% per month. We use cookies and other tools to enhance your experience on our website and Connect with us. This may include shaving off bone spurs that are pinching the shoulder, and repairing torn tendons or muscles in the shoulder. You will eventually be prescribed strengthening exercises. For more information about these cookies and the data collected, please refer to our Privacy Policy. application/pdf As with any surgical procedure, complications can happen. You'll be asked to sign a consent form that gives your permission to do the procedure. If the rotator cuff is injured, it may need to be repaired surgically. Rotator Cuff Tears - New England Baptist Hospital Brigham and Womens Hospital is committed to providing all of our patients with the safest, highest-quality, most-satisfying care possible and following established protocols that have been shown to improve patient outcomes. If your rotator cuff is injured, you may need to repair it surgically. Thigpen, C. A. endobj Once your blood pressure, pulse, and breathing are stable and you're alert, you'll be taken to your hospital room or discharged to your home. If regional anesthesia is used, you'll have no feeling in your shoulder. Van der Meijden OA, W. P . This may include shaving off bone spurs that are pinching the shoulder or repairing torn tendons or muscles in the shoulder. An arthroscope is a small, tube-shaped instrument that is inserted into a joint. The damage may be due to: Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. PDF Rotator Cuff Repair Protocol This rehabilitation protocol has been developed for the patient following a large to massive rotator cuff surgical procedure. Acrobat Distiller 8.0.0 (Windows) 617-732-5500, New Patients: %PDF-1.7 Frequency of treatment will be determined by your specific needs together with the physician and physical therapist recommendations. A surgical repair is indicated when pain cannot be managed with conservative methods and is associated with weakness that causes a significant loss of function. The rotator cuff keeps the shoulder in the socket. If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. Mumford Procedure Surgery Rehab Protocol & Recovery Time - Kevin R. Stone You may not recover full range of motion in the shoulder joint. Adobe Acrobat 8.0 Combine Files endobj /*jthpUxYl*ABB'.4dG^td}AU endobj It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. Its one of the most important parts of the shoulder. General Information: NEW HARTFORD. Physical Therapy Protocols - Brigham and Women's Faulkner Hospital The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH and BWFH. Expect full recovery to take up to 4 to 6 months. Bone spurs will be removed if there are any. Extensor Tendon Injury Protocol | PDF | Thumb | Hand - Scribd Nikolaidou O, M. S. (2017). You shouldn't drive until your surgeon tells you to. The General Hospital Corporation. Protocol Delays: o The start of this protocol will be delayed 3-4 weeks following rTSR for a revision or in the presence of poor bone stock based on the surgeon's assessment of the integrity of the surgical repair. Physical Therapy Standards of Care and Protocol - Brigham and Women's Search for condition information or for a specific treatment program. An open repair may be performed if the rotator cuff injury cannot be repaired using arthroscopy. PDF BANKART REPAIR REHABILITATION PROTOCOL (Arthroscopic/Open) Be sure to discuss any concerns with your provider before the procedure. biceps tenodesis procedure involves cutting of the long head of the biceps just prior to its insertion on the superior labrum and then anchoring the tendon along its anatomical course more distally along the humerus. 85 College Street Hamilton, NY 13346. The goal of rotator cuff repair surgery is to help restore the function and flexibility of the shoulder and to relieve the pain that cant be controlled by other treatments.
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