0000037781 00000 n 0000044046 00000 n rotator cuff repair. 0000036227 00000 n 0000050469 00000 n Rehabilitation Protocol: Massive Rotator Cuff Repair Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey Medical Center, Peabody B. 0000032599 00000 n 0000014587 00000 n Stryker's comprehensive rotator cuff platform is focused on delivering simple, efficient and innovative technologies for arthroscopic and open rotator cuff repair, so you can focus on the patient. After completion of the rotator cuff repair, attention is … 0000036946 00000 n 0000034456 00000 n While the post-op dressing is in place, icing should be done continuously. They are not meant to replace your physical therapist. The surgeon will also use plastic screws and sutures to repair the torn tendon. Restore strength and dynamic stability of the shoulder. No sling Elbow: - Gentle AROM of elbow at side II No The American Society of Shoulder and Elbow Therapists’ consensus statement on rehabilitation following arthroscopic rotator cuff repair. 0000038540 00000 n 0000005609 00000 n In shoulder and knee reconstruction, successful outcomes from an operation are 50% surgery and the other half is rehabilitation. Arthroscopic Rotator Cuff Repair Protocol: The intent of this protocol is to provide the therapist and patient with guidelines for the post-operative rehabilitation course after arthroscopic rotator cuff repair. Passive range–of–motion recommendations in protocols designated for large or massive (A), medium (B), and small (C) rotator cuff tears and protocols with rotator cuff size unspecified (D). Every year, millions of people experience shoulder pain and seek help from a doctor. 0000030680 00000 n As mentioned, the ultimate goal of a rehabilitation program after rotator cuff repair is to maintain secure the tendon. 0000042144 00000 n 0000045233 00000 n 0000053464 00000 n Always be guided by the patient’s pain. 0000014454 00000 n %PDF-1.4 %���� And so do we. This post-operative protocol is designed for SMALL rotator cuff tears that are repaired by arthroscopic methods. /����*jt�hp��UxYl��*��A��B������B��컉'�͐�.4dG^�t������d�}�A�U� 0000061574 00000 n 0000012744 00000 n Standard rehabilitation protocols do not focus on recovery of strength until adequate early tendon-to-bone healing has occurred and glenohumeral ROM has recovered. ARTHROSCOPIC AND OPEN ROTATOR CUFF REPAIR REHABILITATION PROTOCOL WEEK 1 - 2 Shoulder sling and swathe full time day and night. Meet Kevin L Harreld, MD. Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors 0000053803 00000 n 0000034912 00000 n Click through the list of surgical procedures on the left to view our suggested rehab protocol for each one. 0000032112 00000 n 0000039845 00000 n 0000061870 00000 n 0000029318 00000 n hÞb```¢),Ì«@(ÊÂÀqá/G%{[4ö[Úg ö\:8:DcGBàbPF#Lz2>`øÑá߬`Un@:4£PAf?ÜT!Æð¿PUþ À 0000047389 00000 n 0000044957 00000 n This post-operative protocol is designed for SMALL rotator cuff tears that are repaired by arthroscopic methods. 0000039259 00000 n Keep the water, homogeneity determined protocol with massive rotator cuff repair protocol physical therapy would have seen in need it can cause of an open and function. 0 The Arthrex® SpeedBridge™ repair is a surgical technique system that combines fully threaded SwiveLock® anchors with FiberTape® suture. • Immobilizer can be removed occasionally to allow range of motion to the hand, wrist, and elbow. Restore passive range of motion. Rotator Cuff Repair. 0000057356 00000 n Once the repair is appropriately tensioned, the shoulder is taken through normal range of motion in internal and external rotation while the repair is arthroscopically visualized to ensure adequate fixation. This exercise is usually easier sitting up. 0000043876 00000 n It is not a big operation to repair a torn rotator cuff, but the rehabilitation time can be long depending on the size of the tear and the quality of the tendons/muscles. J Shoulder Elbow Surg, 1996. It includes creating 3-4 small incisions (roughly 0.5 inch each) around the shoulder joint. <<9eff33b88d836a40845d518c24d322ef>]>> 0000043488 00000 n 0000060386 00000 n xref 0000057214 00000 n 0000044403 00000 n Rotator Cuff Repair. 0000046463 00000 n �e�k'eY|&~�lѰl%��h���$v�,�*�`H��ٰ. 0000037595 00000 n Among the 95 remaining patients, 51 underwent rotator cuff tear repair, 25 shoulder stabilisation, and 19 subacromial decompression. 0000035377 00000 n Those patients who have good rotator cuff tissue integrity, a one to two tendon repair, with a tear 3 centimeters or less will typically be progressed on The deltoid muscle is separated to ⦠0000054411 00000 n 0000038327 00000 n A complete rotator cuff tear will not heal. 0000013501 00000 n This protocol is designed for the patient following arthroscopic rotator cuff repair. 0000048890 00000 n Other common indications include labrum tear, ligament tear and repair of frequent shoulder dislocations. 0000050607 00000 n 0000061287 00000 n drjeffreywitty.com Kibler Scapula Exercises: - starts POW12 - Adapted from: Arndt et al Orthop Traumatol Surg Res 2012 Kim et al AJSM 2012 Cuff et al JSES 2012 Ma et al Arthroscopy 2012 Keener et al JBJS 2014 Koh et al JBJS 2014 0000036033 00000 n 0000052179 00000 n Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol. 0000038112 00000 n How Much Does Rotator Cuff Surgery Cost? 0000059916 00000 n "@Äbe Á 0000009461 00000 n 0000041382 00000 n 0000054273 00000 n 0000030276 00000 n He has led to massive rotator cuff repair physical therapy protocol be minimal decreases usually performed due to therapy protocols on the size. to bone attachment and prevent shoulder stiffness. ROTATOR CUFF REPAIR (<3cm) REHABILITATION PROTOCOL Procedure ¨ Shoulder arthroscopy / biceps tenotomy / biceps tenodesis / rotator cuff repair / sub-acromial decompression / distal clavicle excision Phase I (PASSIVE) (Weeks 2-4) ¨ Sling immobilization with supporting abduction pillow to be worn at all times except for shower- 0000045805 00000 n While many of these people have a minor issue that can be treated with rest and physical therapy, some people have a torn rotator cuff, which needs treatment from an orthopedic surgeon.Here is everything you need to know about experiencing a rotator cuff tear and undergoing surgery to repair it. The meta-analysis suggests that the EPM protocol results in superior ROM recovery after arthroscopic rotator cuff repair but may adversely affect the shoulder function, which should be supported by further research. 0000035895 00000 n 0000044570 00000 n 0000040442 00000 n Rokito, A.S., et al., Strength after surgical repair or the rotator cuff. 0000013255 00000 n Two 4.75-mm SwiveLock anchors are used to repair the tendon in the anatomic position, similar to the subscapularis tendon. Ql���e�_E�N ����^�l�� Most rotator cuff tears can be repaired surgically by reattaching the torn tendon (s) to the humerus. Rotator cuff tears are a common problem in our growing and aging population. 0000049315 00000 n 0000056080 00000 n … 0000052991 00000 n Diet as tolerated. 0000041207 00000 n 0000051671 00000 n Arthroscopic Rotator Cuff Repair Protocol: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone an arthroscopic assisted/mini-open rotator 0000048389 00000 n This protocol is designed for the patient following arthroscopic rotator cuff repair.
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