It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. Mumford Procedure Surgery Rehab Protocol & Recovery Time - Kevin R. Stone % ter rotator cuff repair is 30 of eleva-tion in the scapular plane, with 0 to endobj It allows you to lift your arm and reach up. The tendons attach the humerus to the shoulder blade and aids in lifting and rotating the arm. 2 0 obj ajp5 Microsoft Word - Rotator cuff and SLAP patient info.doc Mass General Brigham's Sports Medicine Program now offers urgent access virtual visits. Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. About Us; Meet Our Team; Our Services; Your provider will discuss this with you in advance. This guideline is designed to augment suture repair of the rotator armband tendon in 2 stud-. Boston, General Information: If pain does not improve with nonsurgical methods, surgery may be recommended. 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 Your surgeon will make a cut (incision) in the shoulder area. Procedures may vary depending on your condition and your providers practices. You will eventually be prescribed strengthening exercises. 3 0 obj If you believe you should have an evaluation and would like to schedule an appointment with one of our orthopaedic surgeons for rotator cuff surgery, knee replacement surgery or hip replacement surgery, call 1-800-294-9999 to speak to one of our knowledgeable coordinators who can help to connect you to the doctor that best meets your needs, or fill out an online appointment request form. For more information about these cookies and the data Connect with us. An arthroscope is a small, tube-shaped instrument that is inserted into a joint. It consists of a system of lenses, a small video camera, and a light for viewing. An IV (intravenous) line may be started in your arm or hand. This may include shaving off bone spurs that are pinching the shoulder, and repairing torn tendons or muscles in the shoulder. x=n8zE$ The General Hospital Corporation. 800-294-9999. Regain range of motion 5. Maintain good upright shoulder girdle posture at all times and especially during sling use. Learn about career opportunities, search for positions and apply for a job. If you're pregnant or think that you could be pregnant, tell your provider. This usually involves reattaching the tendon to the head of the humerus. Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors Generally, rotator cuff repair surgery follows this process: You'll be asked to remove clothing and given a gown to wear. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 32 0 R 33 0 R 34 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> When one or more of the tendons in the rotator cuff is torn, it no longer fully attaches to the head of the humerus. 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. }@o~+msq8JJ|vd24a2e> You'll be asked to sign a consent form that gives your permission to do the procedure. The arthroscope is often used along with other tools that are inserted through another small incision. 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. Get the latest news, explore events and connect with Mass General. Physical Therapy Standards of Care and Protocol - Brigham and Women's 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. You may be given an immobilizer or sling before you go home. /*jthpUxYl*ABB'.4dG^td}AU PDF Rotator Cuff Repair Protocol smoking, hypercholesterolemia and diabetes. Copyright 2007-2023. Connect with us. This rehabilitation protocol has been developed for the patient following a large to massive rotator cuff surgical procedure. Day 1 - 3 weeks. It may be necessary for you to stop these medicines before the procedure. Arthroscopic Rotator Cuff Repair is performed when there is a tear of one or more of the four muscles that comprise the Rotator Cuff. 2009-11-17T11:36:40-05:00 If your rotator cuff is injured, you may need to repair it surgically. 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. This protocol is time based (dependent on tissue healing) as well as criterion based. You may undergo blood tests or other diagnostic tests. COPYRIGHT*2014*CRC*"BRIAN*J. Individually, these muscles either internally or externally rotate the humerus. Stay Informed. endobj The conservative approach may be associated with post-operative stiffness which can be managed once healing has occurred. All rights reserved. 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 Nonsurgical treatment may relieve pain and improve function in the shoulder; however, shoulder strength does not typically improve without surgery. Rehabilitation following reverse total shoulder arthroplasty PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions: The camera is connected to a monitoring system that allows the surgeon to view a joint through a very small incision. 2012-04-12T06:10:33-04:00 5. The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. Control pain and swelling Activities: 1. 02114. Journal of Shoulder and Elbow Surgery, 4:521-535. PDF Rotator Cuff Repair (Small to Medium) Rehabilitation Guideline 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. PDF Arthroscopic Repair of RTC tear SOC - Brigham and Women's Hospital %PDF-1.6 % We pride ourselves in the quality of patient care we provide and how we compare with other hospitals. Physical Therapy Standards of Care - Brigham and Women's Hospital Rotator cuff strengthening with light Theraband - ER and IR with arm at side and pillow or towel roll under arm - Flexion to 60 degrees - Abduction to 60 degrees - Scaption to 60 degrees - Extension to 30 degrees Standing rows with Theraband Prone scapular retraction exercises (with light weight) Ball on wall (arcs, alphabet) The incision will be closed with stitches or surgical staples. Physical Therapy Standards of Care - Brigham and Women's Hospital Stay Informed. Tell your provider if you're sensitive to or allergic to any medicines, latex, tape, and anesthetic agents (local and general). Nerves or blood vessels in the area of surgery may be injured. In some cases, a tendon graft and joint replacement may be necessary. ntr>&TZt`3o6?=^_.9|0dd\H c9{+'+::A{NhV{. Rotator Cuff Repair - Brigham and Women's Hospital *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 Using sutures and suture anchors, the torn muscle and tendon are sewn back to the bone where it was originally attached. Brigham and Women's Faulkner Hospital Rehabilitation Services1153 Centre Street, 2nd FloorBoston, MA 02130. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on . 4 0 obj stream For more information about these cookies and the data endobj to analyze our web traffic. 85 College Street Hamilton, NY 13346. %PDF-1.7 The intent of posting these criteria a care and protocols a to provide clinicians and patients an understanding of ours current standards of care and protocols at BWH. Take a pain reliever for soreness as recommended by your healthcare provider. 2 0 obj Explore fellowships, residencies, internships and other educational opportunities. 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. To help reduce swelling, you may be asked to apply an ice bag to the shoulder several times per day for the first few days. Arthroscopic Anterior Shoulder Stabilization Protocol, Latissimus Dorsi Tendon Transfer Protocol, Open Anterior Shoulder Stabilization Protocol, Posterior and Posterior Inferior Capsular Shift of the Shoulder Protocol, Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Reverse (Inverse) Total Shoulder Arthroplasty Protocol, Rotator Cuff Repair Small to Medium Tear, Rotator Cuff Repair Large to Massive Tear, Ulnar Collatoral Ligament of the Elbow Reconstruction Protocol, Autologous Chondrocyte Implantation Protocol, Medial Patellofemoral Ligament (MPFL) Reconstruction, Post-operative Rehabilitation Protocol following Arthroscopic Hip Surgery for Femoroacetabular Impingement, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Brostrom Gould Repair for Ankle Instability, Functional Activity Progression Protocol following Lower Extremity Stress Injury, Return to Sport Following Knee Injury/Surgery, Running Injury Prevention Tips & Return to Running Program, Running Injury Prevention Tips & Strength Training Program, 2023Brigham and Women's Faulkner Hospital. We use cookies and other tools to enhance your experience on our website and <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> In arthroscopic shoulder repair, the surgeon inserts a small camera called an arthroscope into the shoulder joint, which displays pictures onto a screen so that the surgeon may guide surgical instruments. 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. Sports Medicine Physical Therapy Rehabilitation Protocols ;#O#t4\i_"+O/G?|tg1}*$27VsO] k\pU2=" The arthroscope is often used in conjunction with other tools that are inserted through another incision. It consists of a system of lenses, a small video camera, and a light for viewing. The Sports Physical Therapy Service is an integral part of the Sports Medicine Center and the Department of Physical and Occupational Therapy. Ensure wound healing 3. You shouldn't drive until your surgeon tells you to. Massive Rotator Cuff Repair Protocol Hamilton Orthopaedics, Spine Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. Dr. O'Holleran is Fellow, Harvard Shoulder . When may I start strengthening? . An open repair may be performed if the rotator cuff injury cannot be repaired using arthroscopy. x][~G[" $`u[6=nwgz~HH[6M} ^|jg4?/>=W6ugqAxi??='O71R +gA^V%w?h0J6 }l?x)?VQ,QK-XTS1aM Shoulder Precautions Most commonly, however, this group of muscles co-contracts and . You'll be positioned on the operating table. <>/Metadata 1084 0 R/ViewerPreferences 1085 0 R>> (2016). The damage may be due to: Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. Always follow your healthcare professional's instructions. Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. Reverse or inverse total shoulder arthroplasty (rTSA) is becoming a widely accepted surgical intervention. Your provider will arrange for an exercise rehabilitation program to help you regain muscle strength, flexibility, and function of your shoulder. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. Tech How Assam. Back to Rehabilitation Services Physical Therapy Protocols The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission. Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: <>/Metadata 702 0 R/ViewerPreferences 703 0 R>> 1 0 obj If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. PDF ARTHROSCOPIC ROTATOR CUFF REPAIR - Brigham and Women's Faulkner Hospital The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. 4 0 obj This may include shaving off bone spurs that are pinching the shoulder or repairing torn tendons or muscles in the shoulder. 1 Chung SW et al. This evidence-based small to medium rotator cuff repair physical therapy guideline is criterion-based; time frames and visits in each phase will vary depending on many factors, including patient demographics, goals, and individual progress. Some possible complications may include: The joint pain and weakness may not be relieved by the surgery. <> 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
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