Your surgeon may give you other instructions after the procedure, depending on your particular situation. Women's Sports Medicine Rotator Cuff Repair The shoulder is a ball-and-socket joint: the head of the humerus (upper arm bone) fits into a socket in the shoulder blade. 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. Sports Medicine Physical Therapy Rehabilitation Protocols Rotator Cuff Repair Protocol - Northwestern Medical Center In some cases, a tendon graft or joint replacement may be needed. endobj You can ask questions. The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. collected, please refer to our Privacy Policy. to analyze our web traffic. % 617-732-5500, New Patients: PDF Arthroscopic Repair of RTC tear SOC - Brigham and Women's Hospital Other activity restrictions may apply. Before you agree to the test or the procedure make sure you know: The reason you're having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you're to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you didn't have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or problems, How much you'll have to pay for the test or procedure. We use cookies and other tools to enhance your experience on our website and The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. PDF Rehabilitation Protocol: Massive Rotator Cuff Tear Repair - Lahey Health Using sutures and suture anchors, the torn muscle and tendon are sewn back to the bone where it was originally attached. Rotator Cuff Repair | ShoulderDoc Nikolaidou O, M. S. (2017). PDF Arthroscopic Labral Repair Protocol, II, IV, and complex tears Physical Therapy Standards of Care and Protocol - Brigham and Women's You may be given an immobilizer or sling before you go home. The skin over your surgical site will be cleaned with an antiseptic solution. 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. Rotator Cuff Repair - Brigham and Women's Hospital You may undergo blood tests or other diagnostic tests. 2000-2023 The StayWell Company, LLC. Rotator Cuff Repair with Biceps Tenotomy/Tenodesis Post-Operative Protocol Phase I - Maximum Protection (Weeks 0 to 6): Goals: o Reduce inflammation o Decrease pain o Postural education o PROM as instructed Restrictions/Exercise Progression: o Sling for 6 weeks per Dr. Bjerke's instructions 3 0 obj Injuries to the shoulder are common. Mastersling with body . @O]2QCl*x[c@V(.G?L(#? 4. to analyze our web traffic. 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. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. PDF Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair Large to endobj 02114. Rotator cuff tears (RCT) are frequent and increase with age, yet the varying functional implications of a tear can have a unique and dramatic impact on a patient's daily life. Tell your provider if you're sensitive to or allergic to any medicines, latex, tape, and anesthetic agents (local and general). Its one of the most important parts of the shoulder. `6B3}"{PT(3 _x g"8. The rotator cuff keeps the shoulder in the socket. L|5C[[ZW%pGY8JMe{+u'O=1m collected, please refer to our Privacy Policy. (2016). Get the latest news, explore events and connect with Mass General. Procedures may vary depending on your condition and your providers practices. Arthroscopic Rotator Cuff Repair is performed when there is a tear of one or more of the four muscles that comprise the Rotator Cuff. Rehabilitation following reverse total shoulder arthroplasty 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. Tell your provider about all prescription and over-the-counter medicines and herbal supplements that you're taking. It consists of a system of lenses, a small video camera, and a light for viewing. The tendons attach the humerus to the shoulder blade and aids in lifting and rotating the arm. <> These treatments may include: rest, activity modification, non-steroidal anti-inflammatory medication and physical therapy. Rotator Cuff Repair (Arthroscopic) This protocol is based on maintaining range of movement in the first phase and then gradually building strength in the middle to the last phase. %PDF-1.7 Brigham and Women's Hospital, Boston. Connect with us. The incision will be closed with stitches or surgical staples. Maintain good upright shoulder girdle posture at all times and especially during sling use. Search for condition information or for a specific treatment program. vOuAt#v;TcdMGb6 0,-oNflh$pF0lLP6r2))"9 8n`*VKNwp|d.)o6KCgiwM;UFPeM/w;%(HqPG{CZBf6vr"m 4 Be sure to take only recommended medicines. Offering comprehensive medical, surgical and psychiatric care as well as complete emergency, ambulatory and diagnostic services to residents of southwest Boston and the surrounding suburbs. Control pain and swelling Activities: 1. 1 0 obj 1 Oxford Road New Hartford, NY 13413. PDF Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears Because the sedative may make you drowsy, you'll need to arrange for someone to drive you home. ROM Exercises; Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers. Women's Sports Medicine Rotator Cuff Repair - Brigham and Women's Hospital Abstract. Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance, Autologous Chondrocyte Implantation (ACI)-Femoral, Autologous Chondrocyte Implantation (ACI)-Patella, Medial Patellofemoral Ligament (MPFL) Reconstruction, Microfracture of Femoral Condyle & Patella/Trochlear Groove, Osteochondral Autograft/Allograft Transfer System (OATS) Procedure, Acromioclavicular Joint Reconstruction (including Coracoclavicular Ligament Reconstruction), Clavicle Open Reduction Internal Fixation (ORIF), Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Rotator Cuff Repair - Small to Medium Tear, Rotator Cuff Repair - Large to Massive Tear, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Medial & Lateral Epicondylitis (Golfers Elbow), Athletic Pubalgia (non-operative management), Hip Arthroscopy for Femoroacetabular Impingement, Interval Throwing Program Phase One - Long Toss, Interval Throwing Program Phase Two - Pitcher's Mound, Interval Throwing Program for Little League. Journal of Shoulder and Elbow Surgery, 4:521-535. It's one of the most important parts of the shoulder. smoking, hypercholesterolemia and diabetes. It may be necessary for you to stop these medicines before the procedure. Rk.*Ec;g[tG$uVR/vr{O'?= 0?~zEq;*_~f~*axq{qz"ez*^L3_'0/B/''`Do5(C ORs"5>:x8= w l=q6[:!P nh;$+{/Ca p(3QOWhPj0*dpJLOq(X/_l,8Vy/_d0[ g|N!$e$=~HC=:"@("mK0e4o{p$`Y??D :]Lco139R;K)=QUvz x|r =p+43 Microsoft Word - Rotator cuff and SLAP patient info.doc Connect with us. PROM shoulder flexion/abduction/ER/IR. ter rotator cuff repair is 30 of eleva-tion in the scapular plane, with 0 to Damage may also occur slowly over time. Stay Informed. Small/Medium Rotator Cuff Repair Protocol; Subscapularis Repair Protocol; Superior Capsule Repair Protocol; Triceps Tendon Repair Protocol; Locations: HAMILTON. MA 800-294-9999. 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. After surgery you'll be taken to the recovery room for observation. }@o~+msq8JJ|vd24a2e> For more information about these cookies and the data The rotator cuff is made up of muscles and tendons that hold the shoulder in place. If regional anesthesia is used, you'll have no feeling in your shoulder. Tech How Assam. Reverse or inverse total shoulder arthroplasty (rTSA) is becoming a widely accepted surgical intervention. 1 0 obj General Information:
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