The rotator cuff is a group of four muscles: the supraspinatus, the infraspinatus, the subscapularis, and the teres minor. 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. You may not recover full range of motion in the shoulder joint. L|5C[[ZW%pGY8JMe{+u'O=1m 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 It allows you to lift your arm and reach up. Rotator cuff surgery may be performed using an arthroscope. repair, other BEAR procedure, real ACL reconstructing in pre- chronic models.21,33 . In some cases, a tendon graft and joint replacement may be necessary. 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. Tell your provider if you're sensitive to or allergic to any medicines, latex, tape, and anesthetic agents (local and general). For more information about these cookies and the data A surgical repair is indicated when pain It may be necessary for you to stop these medicines before the procedure. The surgeon will fix or replace injured tendons and muscles with a graft tendon from another part of the body. {QHCr!3g6jE6YQ` 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. We use cookies and other tools to enhance your experience on our website and This guideline is designed to 1 0 obj 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. Connect with us. The tendons attach the humerus to the shoulder blade and aids in lifting and rotating the arm. 4 0 obj The Sports Physical Therapy Service is an integral part of the Sports Medicine Center and the Department of Physical and Occupational Therapy. <>/Metadata 1084 0 R/ViewerPreferences 1085 0 R>> Stay Informed. Day 1 - 3 weeks. An IV (intravenous) line may be started in your arm or hand. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. It consists of a system of lenses, a small video camera, and a light for viewing. Athletes and construction workers often have rotator cuff injuries due to repetitive movement and overuse of the shoulder. Nikolaidou O, M. S. (2017). Boston Rotator Cuff Surgery - Brigham and Women's Hospital Stay Informed. 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. uuid:5fa44141-9c8c-4c9c-b6ca-f862302a5ebb It consists of a system of lenses, a small video camera, and a light for viewing. 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. PDF BANKART REPAIR REHABILITATION PROTOCOL (Arthroscopic/Open) The rotator cuff may be damaged from a fall or other injury to the shoulder. The rotator cuff is made up of muscles and tendons that hold the shoulder in place. You shouldn't drive until your surgeon tells you to. Learn about the many ways you can get involved and support Mass General. The conservative approach may be associated with post-operative stiffness which can be managed once healing has occurred. You should keep the sling or immobilizer on as directed by your provider. For more information about these cookies and the data ter rotator cuff repair is 30 of eleva-tion in the scapular plane, with 0 to Massive Rotator Cuff Repair Protocol Hamilton Orthopaedics, Spine The arthroscope is often used along with other tools that are inserted through another small incision. Physical Therapy Standards of Care and Protocol - Brigham and Women's Tell your provider about all prescription and over-the-counter medicines and herbal supplements that you're taking. 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. 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. Rotator Cuff Repair - Physical Therapy Haven The rotator cuff is a slow healing structure due to poor blood supply. Frequency of treatment will be determined by your specific needs together with the physician and physical therapist recommendations. Rehabilitation Services at Brigham & Women's Hospital has accepted a modification of this protocol as our standard protocol for the management of patient's s/p arthroscopic repair of Type II and IV SLAP lesions. If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. 175 Cambridge Street, 4th Floor <>/Metadata 702 0 R/ViewerPreferences 703 0 R>> MA 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 Arthroscopic Rotator Cuff Repair Frequently Asked Questions: Get the latest news, explore events and connect with Mass General. In older patients, there may not be an injury or event to cause the tear. These treatments may include: rest, activity modification, non-steroidal anti-inflammatory medication and physical therapy. %PDF-1.7 PDF Rotator cuff and SLAP patient info - Massachusetts General Hospital % Generally, rotator cuff repair surgery follows this process: You'll be asked to remove clothing and given a gown to wear. 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. Because the sedative may make you drowsy, you'll need to arrange for someone to drive you home. For more information about these cookies and the data Always follow your healthcare professional's instructions. Rotator cuff repair may be done while you're asleep under general anesthesia or while you're awake under local or regional anesthesia. 1 0 obj The presence of a RCT can cause a vast array of impairments and associated dysfunctions. vOuAt#v;TcdMGb6 0,-oNflh$pF0lLP6r2))"9 8n`*VKNwp|d.)o6KCgiwM;UFPeM/w;%(HqPG{CZBf6vr"m 4 Ice shoulder 3 - 5 times (15 minutes each time) per day to control swelling and inflammation. collected, please refer to our Privacy Policy. 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