They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. collected, please refer to our Privacy Policy. It's one of the most important parts of the shoulder. Other activity restrictions may apply. This results in weakness or numbness. If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. Full recovery from the surgery may take several months. 2012-04-12T06:10:33-04:00 uuid:463caef0-aa5d-4b8f-bc94-142f9b3774d9 Your provider will arrange for an exercise rehabilitation program to help you regain muscle strength, flexibility, and function of your shoulder. 2023 Women's Orthopedic and Joint Disease Center, Anesthesiology, Perioperative and Pain Medicine. Once youre home, its important to keep the surgical area clean and dry. Our inpatient satisfaction survey, sent to patients to assess their total care experience, helps us to monitor what we are doing well and what areas may need improvement. endstream endobj 770 0 obj<>stream Physical Therapy Protocols Shoulder Elbow Hip/Knee Ankle Return to Sports Guidelines Physical Therapy Standards of Care Ankle Spine Shoulder Hip/Knee Lower Extremity Pelvic Health endobj Mass General Brigham's Sports Medicine Program now offers urgent access virtual visits. In older patients, there may not be an injury or event to cause the tear. A sterile bandage or dressing will be applied. The arthroscope is often used in conjunction with other tools that are inserted through another incision. 2000-2023 The StayWell Company, LLC. If the rotator cuff is injured, it may need to be repaired surgically. Brigham and Women's Hospital, Boston. Arthroscopic Rotator Cuff Repair is performed when there is a tear of one or more of the four muscles that comprise the Rotator Cuff. % We offer diagnostic and treatment options for common and complex medical conditions. Brigham and Womens Hospital has long been committed to not only the care of our patients but also the many other needs that they and their families have. The circulation and sensation of your arm will be monitored. Thigpen, C. A. A Teaching Affiliate of Harvard Medical School 75 Francis St. Boston, Massachusetts 02115. . 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 arthroscope is often used along with other tools that are inserted through another small incision. 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. L|5C[[ZW%pGY8JMe{+u'O=1m The General Hospital Corporation. Equate active and passive range of motion. An arm sling is used for 4 weeks post-op. 4 0 obj 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. }@o~+msq8JJ|vd24a2e> We use a comprehensive approach to caring for the whole athlete, treating your sports injury and helping you return to the activities you love. stream smoking, hypercholesterolemia and diabetes. Let us help you navigate your in-person or virtual visit to Mass General. Connect with us. The rotator cuff may be damaged from a fall or other injury to the shoulder. Prevent shoulder stiffness 4. 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endobj 195 0 obj [825 0 R] endobj 196 0 obj [816 0 R] endobj 197 0 obj <>]/P 717 0 R/S/Link/Pg 21 0 R>> endobj 199 0 obj <>]/P 534 0 R/S/Link/Pg 32 0 R>> endobj 200 0 obj [533 0 R] endobj 201 0 obj [529 0 R] endobj 2255 0 obj <> endobj 2257 0 obj <> endobj 2259 0 obj <> endobj 2261 0 obj <> endobj 2263 0 obj <> endobj 2265 0 obj <> endobj 2267 0 obj <> endobj 2269 0 obj <> endobj 2271 0 obj <> endobj 2273 0 obj <> endobj 2275 0 obj <> endobj 2277 0 obj <> endobj 2279 0 obj <> endobj 2281 0 obj <> endobj 2283 0 obj <> endobj 2285 0 obj <> endobj 2287 0 obj <> endobj 2289 0 obj <> endobj 2291 0 obj <> endobj 2293 0 obj <> endobj 2295 0 obj <> endobj 2297 0 obj <> endobj 2299 0 obj <> endobj 2301 0 obj <> endobj 2303 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 Using sutures and suture anchors, the torn muscle and tendon are sewn back to the bone where it was originally attached. Mass General - Boston 617-732-5500, New Patients: The goal of rotator cuff repair surgery is to help restore the function and flexibility of the shoulder and to relieve the pain that cannot be controlled by other treatments. Protect the surgical repair 2. You will eventually be prescribed strengthening exercises. Shoulder injuries are common. 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 type of anesthesia will depend on the specific procedure being done. Ice shoulder 3 - 5 times (15 minutes each time) per day to control swelling and inflammation. 4 0 obj Bone spurs will be removed if there are any. There may be other reasons for your healthcare provider to recommend rotator cuff repair. Tell your provider about any of the following: Redness, swelling, bleeding, or other drainage from the incision site, Numbness or tingling in the affected arm or hand. Connect with us. The rotator cuff keeps the shoulder in the socket. Search for condition information or for a specific treatment program. This usually involves reattaching the tendon to the head of the humerus. For more information about these cookies and the data The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission. %PDF-1.6 % Because the sedative may make you drowsy, you'll need to arrange for someone to drive you home. Quick Links. 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. 1 Chung SW et al. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. Adobe Acrobat 8.0 Combine Files Nikolaidou O, M. S. (2017). The conservative rehabilitation protocol allows Sharpey fibers to form before stressing the repair with resistive exercises. The damage may be due to: Inflammation of the bursa (bursitis) in the shoulder, Inflammation of the tendons (tendinitis) in the shoulder. The damage may be due to: Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. SUBSCAPULARIS REPAIR REHABILITATION PROTOCOL ! 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. We are committed to providing expert caresafely and effectively. There are a number of different anchoring techniques that surgeons are currently using. Rotator Cuff Repair. collected, please refer to our Privacy Policy. (2016). Regain range of motion 5. These treatments may include: rest, activity modification, non-steroidal anti-inflammatory medication and physical therapy. Surgery for rotator cuff repair involves the reattachment of the tendon to the humeral head. Today, the Center a collaboration of the Department of Orthopaedic Surgery and the Division of Rheumatology, Inflammation, and Immunity - is known for its pioneering team of physicians and researchers dedicated to doing everything possible for our patients while helping to develop and apply the most advanced treatments for bone and joint diseases and conditions. Microsoft Word - Rotator cuff and SLAP patient info.doc augment suture repair of the rotator armband tendon in 2 stud-. 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. 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. The rotator cuff is made up of muscles and tendons that hold the shoulder in place. 1 0 obj Rotator cuff repair may be done while you're asleep under general anesthesia or while you're awake under local or regional anesthesia. 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. Your health and safety remain our top priority: Learn about our Safe Care Commitment | Use our Prescreen app before arrival for faster entry | Read the COVID-19 Vaccine FAQs. x=n8zE$ @O]2QCl*x[c@V(.G?L(#? Control pain and swelling Activities: 1. The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. 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. 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 . The tendons attach the humerus to the shoulder blade and aids in lifting and rotating the arm. We use cookies and other tools to enhance your experience on our website and Individually, these muscles either internally or externally rotate the humerus. You can ask questions. For more information about these cookies and the data The surgeon will fix or replace injured tendons and muscles with a graft tendon from another part of the body. `6B3}"{PT(3 _x g"8. 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) Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on . endobj 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. It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. Arthroscopic Rotator Cuff Repair Frequently Asked Questions: Continue to emphasize scapular stabilizers. All rights reserved. application/pdf For more information, please visit the following webpages on orthoinfo.org: Please visit orthoinfo.org if your condition is not listed above. Brigham and Women's Hospital, Division of Rheumatology, Inflammation, and Immunity, nonsteroidal anti-inflammatory medications. The rotator cuff is a slow healing structure due to poor blood supply. mqTdYqc#\*DgVx?,a6&&tO"TP_YV{zYNm[ Dj?mk^(^N7K1_Q P ? +!B8p+*.QnMXNjtt repair, other BEAR procedure, real ACL reconstructing in pre- chronic models.21,33 . 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. Get the latest news, explore events and connect with Mass General. Explore fellowships, residencies, internships and other educational opportunities. x][~G[" $`u[6=nwgz~HH[6M} ^|jg4?/>=W6ugqAxi??='O71R +gA^V%w?h0J6 }l?x)?VQ,QK-XTS1aM %PDF-1.7 It allows you to lift your arm and reach up. The rotator cuff is made up of muscles and tendons that hold the shoulder in place. Other incisions may be made to use other small grasping, probing, or cutting tools. Maintain good upright shoulder girdle posture at all times and especially during sling use. endobj The rotator cuff may be damaged from a fall or other injury to the shoulder. to analyze our web traffic. 2 0 obj For more information about these cookies and the data Generally, rotator cuff repair surgery follows this process: You'll be asked to remove clothing and given a gown to wear. Based on your medical condition, your provider may request other specific preparation. It consists of a system of lenses, a small video camera, and a light for viewing. Nonsurgical treatment may relieve pain and improve function in the shoulder; however, shoulder strength does not typically improve without surgery. /-BmN2'ux)>MxYLV#a$F]7W9.|EzuonDxH/?uXPoN,);? Call 617-643-3333 if youre experiencing a sports injury. vywh0*-)Ha[ %2+$t^> K5$*{c Z Q.@B[,4nr^{.zlqE@`Cu.> MD follow-up visits at Day 1, Day 14 . You may be given an immobilizer or sling before you go home. collected, please refer to our Privacy Policy. There may be other risks depending on your specific medical condition. 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. Take a pain reliever for soreness as recommended by your healthcare provider. 3. Your provider will discuss this with you in advance. It may be necessary for you to stop these medicines before the procedure. ntr>&TZt`3o6?=^_.9|0dd\H c9{+'+::A{NhV{. Nerves or blood vessels in the area of surgery may be injured. Find PDFs of our most common rehabilitation protocols. In some cases, a tendon graft and joint replacement may be necessary. 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. The presence of a RCT can cause a vast array of impairments and associated dysfunctions. It allows you to lift your arm and reach up. 4. We pride ourselves in the quality of patient care we provide and how we compare with other hospitals. /*jthpUxYl*ABB'.4dG^td}AU Learn about Real Therapy Standards of Care and Protocols since that Rehabilitation Services at Brightam additionally Women's Infirmary. Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. 2009-11-17T11:36:40-05:00 An arthroscope is a small, tube-shaped instrument that is inserted into a joint. Procedures may vary depending on your condition and your providers practices. As with any surgical procedure, complications can happen. For very large tears, physical therapy may be delayed to promote rotator cuff healing up to 6 weeks postoperatively. 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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