brigham and women's rotator cuff repair protocol
PDF Rotator cuff and SLAP patient info - Massachusetts General Hospital 2012-04-12T06:10:33-04:00 x][~G[" $`u[6=nwgz~HH[6M} ^|jg4?/>=W6ugqAxi??='O71R +gA^V%w?h0J6 }l?x)?VQ,QK-XTS1aM PDF Reverse Total Shoulder Replacement Therapy Protocol Surgery for rotator cuff repair involves the reattachment of the tendon to the humeral head. Your surgeon may give you other instructions after the procedure, depending on your particular situation. 1 The intent of this Protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone a Flexor Tendon Repair.It is by no means Brigham AND women 'S HOSPITAL intended to be a substitute for one's clinical decision-making regarding the progression of a A Teaching Affiliate of Harvard Medical School patient's post-operative course . For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. 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. %gN+K(( 8VC|[WN#( Y2,,-_:,=t6h(#9 Explore fellowships, residencies, internships and other educational opportunities. endobj 2023 Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. Control pain and swelling Activities: 1. When one or more of the tendons in the rotator cuff is torn, it no longer fully attaches to the head of the humerus. 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. Rehabilitation following reverse total shoulder arthroplasty %PDF-1.7 Avoid excessive reaching and external/internal rotation for the first 6 weeks. For more information about these cookies and the data Day 1 - 3 weeks. Copyright 2007-2023. PDF ARTHROSCOPIC ROTATOR CUFF REPAIR - Brigham and Women's Faulkner Hospital The following Standards of Care and Protocols are the property of BWH and should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. If you're pregnant or think that you could be pregnant, tell your provider. Journal of Shoulder and Elbow Surgery, 4:521-535. Ensure wound healing 3. Brigham and Women's Faulkner Hospital Rehabilitation Services1153 Centre Street, 2nd FloorBoston, MA 02130. For surgery at the surgery center at Brigham and Women's Hospital/MGH Foxborough Report directly to the 4th Floor SHOULDER - ROTATOR CUFF REPAIR WITH SLAP REPAIR POSTOPERATIVE INSTRUCTIONS Phase One: the first week after surgery GOALS: Control pain and swelling Protect the rotator cuff repair Protect wound healing Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: After surgery you'll be taken to the recovery room for observation. You can ask questions. Flexor Tendon Repair Protocol Zone 2-5 - Brigham and The skin over your surgical site will be cleaned with an antiseptic solution. The Sports Physical Therapy Service is an integral part of the Sports Medicine Center and the Department of Physical and Occupational Therapy. It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. Physical Therapy Standards of Care - Brigham and Women's Hospital HWMo8W(oQ@QIECw^8++kJdGvqd7FWzj7,N.NlI~Kk6}b6}%O, Microsoft Word - Rotator cuff and SLAP patient info.doc. When may I start strengthening? In addition to a complete medical history, your provider may do a complete physical exam to make sure that you're in good health before undergoing the procedure. ajp5 We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. It consists of a system of lenses, a small video camera, and a light for viewing. Some possible complications may include: The joint pain and weakness may not be relieved by the surgery. <> We use cookies and other tools to enhance your experience on our website and 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. Rotator Cuff Repair - Brigham and Women's Hospital Search for condition information or for a specific treatment program. Shoulder injuries are common. It's one of the most important parts of the shoulder. PDF Arthroscopic Repair of RTC tear SOC - Brigham and Women's Hospital Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. Acrobat Distiller 8.0.0 (Windows) Rotator cuff repair may be done on an outpatient basis or as part of your stay in a hospital. to analyze our web traffic. ROM Exercises; Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers. PROM shoulder flexion/abduction/ER/IR. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. The following Standards is Care and Protocols are the real away BWH and should not be copied or otherwise used without the get of the Director of Rehabilitation Services. These muscles originate on the shoulder blade and attach to the humeral head. Elbow/wrist/hand AROM w/ no resistance. 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. smoking, hypercholesterolemia and diabetes. ter rotator cuff repair is 30 of eleva-tion in the scapular plane, with 0 to Stay Informed. to analyze our web traffic. The rotator cuff is made up of muscles and tendons that hold the shoulder in place. endstream endobj 770 0 obj<>stream We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. Learn about Real Therapy Standards of Care and Protocols since that Rehabilitation Services at Brightam additionally Women's Infirmary. At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. Rotator cuff degeneration and tears may also be caused by aging. 833 0 obj <>/OCGs[835 0 R 836 0 R]>>/StructTreeRoot 164 0 R/Type/Catalog>> endobj 98 0 obj <> endobj 2783 0 obj <>stream MD follow-up visits at Day 1, Day 14 . Healing occurs at a rate of 10% per month. Connect with us. The arthroscope (if used) will be put through the incision. 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.
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