brigham and women's rotator cuff repair protocol

Follow any directions you're given about not eating or drinking before your procedure. 85 College Street Hamilton, NY 13346. Include home cuff strengthening program. Physical Therapy Protocols - Brigham and Women's Faulkner Hospital As with any surgical procedure, complications can happen. 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. Open Orthop J, 11:154162. Connect with us. Surgical techniques that may be used to repair a tear of the rotator cuff include arthroscopy, open surgery, or a combination of both. 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 camera is connected to a monitoring system that allows the doctor to view a joint through a very small incision. 800-294-9999. Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. If your rotator cuff is injured, you may need to repair it surgically. augment suture repair of the rotator armband tendon in 2 stud-. The rotator cuff may be damaged from a fall or other injury to the shoulder. You may meet with a physical therapist before your surgery to talk about rehabilitation. General Information: <> PDF Rotator Cuff Repair Protocol - Boston Shoulder Institute QlR#D' This usually involves reattaching the tendon to the head of the humerus. A Teaching Affiliate of Harvard Medical School 75 Francis St. Boston, Massachusetts 02115. . 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. The conservative approach may be associated with post-operative stiffness which can be managed once healing has occurred. General Information: ROM Exercises; Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers. A partial tear can occur where the tear damages the soft tissue but does not completely sever it or a full-thickness tear can occur where the soft tissue is split into two pieces and the tendons may tear off where they attach to the head of the humerus. 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. 1 0 obj 617-732-5500, Learn more about our sports medicine offerings, Rotator Cuff Tears: Frequently Asked Questions, Rotator Cuff Tears: Surgical Treatment Options, Rotator Cuff and Shoulder Conditioning Program, Anesthesiology, Perioperative and Pain Medicine. Always follow your healthcare professional's instructions. Small/Medium Rotator Cuff Repair Protocol; Subscapularis Repair Protocol; Superior Capsule Repair Protocol; Triceps Tendon Repair Protocol; Locations: HAMILTON. Mastersling with body . It consists of a system of lenses, a small video camera, and a light for viewing. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. About Us; Meet Our Team; Our Services; You'll be positioned on the operating table. Adobe Acrobat 8.0 Combine Files For more information about these cookies and the data For more information about these cookies and the data Rotator cuff repair may be done while you're asleep under general anesthesia or while you're awake under local or regional anesthesia. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. MD follow-up visits at Day 1, Day 14 . <>/Metadata 702 0 R/ViewerPreferences 703 0 R>> You may resume your normal diet unless your provider advises you differently. Prevent shoulder stiffness 4. endobj Rotator cuff surgery may be performed using an arthroscope. Learn about career opportunities, search for positions and apply for a job. PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions You should keep the sling or immobilizer on as directed by your provider. Generally, rotator cuff repair surgery follows this process: You'll be asked to remove clothing and given a gown to wear. This may include shaving off bone spurs that are pinching the shoulder or repairing torn tendons or muscles in the shoulder. %PDF-1.7 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. HMn0F:N@_A"'( -P7Ul8 >qr5i>M___c*h?) They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. 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. Ice shoulder 3 - 5 times (15 minutes each time) per day to control swelling and inflammation. Qle_EN ^l This results in weakness or numbness. PDF Rotator Cuff Repair Protocol Your provider will explain the procedure to you. Let us help you navigate your in-person or virtual visit to Mass General. If you're pregnant or think that you could be pregnant, tell your provider. The shoulder is a ball-and-socket joint: the head of the humerus (upper arm bone) fits into a socket in the shoulder blade. 4. PDF BANKART REPAIR REHABILITATION PROTOCOL (Arthroscopic/Open) We offer diagnostic and treatment options for common and complex medical conditions. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The incision will vary depending on the type of surgery (open surgery, arthroscopy, or a combination of both) that may be done. The rotator cuff keeps the shoulder in the socket. 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. Once your blood pressure, pulse, and breathing are stable and you're alert, you'll be taken to your hospital room or discharged to your home. Stay Informed. Learn about the many ways you can get involved and support Mass General. Rotator Cuff Repair. 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 circulation and sensation of your arm will be monitored. You shouldn't drive until your surgeon tells you to. Read the form carefully and ask questions if something isn't clear. collected, please refer to our Privacy Policy. Healing occurs at a rate of 10% per month. You may be given an immobilizer or sling before you go home. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. An open repair may be done if the rotator cuff injury cant be repaired using arthroscopy. Women's Sports Medicine Rotator Cuff Repair - Brigham and Women's Hospital 1 Chung SW et al. The surgeon will fix or replace injured tendons and muscles with a graft tendon from another part of the body. . An arm sling is used for 4 weeks post-op. The rotator cuff is made up of muscles and tendons that hold the shoulder in place. The camera is connected to a monitoring system that allows the surgeon to view a joint through a very small incision. 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. Rotator Cuff Repair with Biceps Tenotomy/Tenodesis Post-Operative Protocol Phase I - Maximum Protection (Weeks 0 to 6): Goals: o Reduce inflammation o Decrease pain o Postural education o PROM as instructed Restrictions/Exercise Progression: o Sling for 6 weeks per Dr. Bjerke's instructions Phase I: 1 through 4 to 6 weeks post-op: First 3 weeks: Patient education: movement limitations, posture, proper sling fitting, joint protection, and positioning. PDF Arthroscopic Repair of RTC tear SOC - Brigham and Women's Hospital uuid:463caef0-aa5d-4b8f-bc94-142f9b3774d9 The General Hospital Corporation. Tell your provider if you have a history of bleeding disorders or if you're taking any anticoagulant (blood-thinning) medicines, aspirin, or other medicines that affect blood clotting. application/pdf Be sure to take only recommended medicines. It may be necessary for you to stop these medicines before the procedure. Learn about Real Therapy Standards of Care and Protocols since that Rehabilitation Services at Brightam additionally Women's Infirmary. We use cookies and other tools to enhance your experience on our website and 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. mqTdYqc#\*DgVx?,a6&&tO"TP_YV{zYNm[ Dj?mk^(^N7K1_Q P ? +!B8p+*.QnMXNjtt Full recovery from the surgery may take several months. Rotator cuff tears (RCT) are frequent and increase with age, yet the varying functional implications of a tear can have a unique and dramatic impact on a patient's daily life. If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. Quick Links. An IV (intravenous) line may be started in your arm or hand. Your provider will discuss this with you in advance. It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. Tell your provider if you're sensitive to or allergic to any medicines, latex, tape, and anesthetic agents (local and general). 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 cuff repair. 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 {QHCr!3g6jE6YQ` There are a number of different anchoring techniques that surgeons are currently using. The decelerated rehabilitation avoids excessive tension on the SS & IS by avoiding excessive scaption, ER, & FF until 4 weeks. Rehabilitation after Arthroscopic Labrum Repair of the Shoulder (SLAP) Phase One: 0 to 4 weeks after surgery Goals: 1. x=n8zE$ Light active scapular strengthening . Physical Therapy Standards of Care - Brigham and Women's Hospital Dr. O'Holleran is Fellow, Harvard Shoulder . LL`}*Tg/#VA|5RQSVt*#bH|5 [oB]bPY) 1ULXv$6*jthb Ylv Flexor Tendon Repair Protocol Zone 2-5 - Brigham and Acrobat Distiller 8.0.0 (Windows) PDF Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. We use cookies and other tools to enhance your experience on our website and Rehabilitation following reverse total shoulder arthroplasty to analyze our web traffic. The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission. 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. Rotator Cuff Repair Rehab Protocol-Brigham and Women's Hospital. 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. The rotator cuff is a slow healing structure due to poor blood supply. Stay Informed. 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. 2012-04-12T06:10:33-04:00 endobj Procedures may vary depending on your condition and your providers practices. Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors When one or more of the tendons in the rotator cuff is torn, it no longer fully attaches to the head of the humerus. Mass General - Boston We are committed to providing expert caresafely and effectively. Find PDFs of our most common rehabilitation protocols. Turners Cuff . An arthroscope is a small, tube-shaped instrument that is inserted into a joint. <>/Metadata 1084 0 R/ViewerPreferences 1085 0 R>> 3. stream 617-732-5500, New Patients: In older patients, there may not be an injury or event to cause the tear. 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. 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. If regional anesthesia is used, you'll have no feeling in your shoulder. The rotator cuff is a group of four muscles: the supraspinatus, the infraspinatus, the subscapularis, and the teres minor. Arthroscopic Rotator Cuff Repair Frequently Asked Questions: Nikolaidou O, M. S. (2017). For more information about these cookies and the data 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 Bone spurs will be removed if there are any. endobj PDF www.mghsportsmedicine.org Arthroscopic Labrum Repair of the Shoulder (SLAP) Physical Therapy Standards of Care - Brigham and Women's Hospital Its one of the most important parts of the shoulder. % You'll be asked to sign a consent form that gives your permission to do the procedure. Rehabilitation after Rotator Cuff Repair. 2 0 obj This may include shaving off bone spurs that are pinching the shoulder, and repairing torn tendons or muscles in the shoulder. 2012-04-12T06:10:33-04:00 There may be other reasons for your healthcare provider to recommend rotator cuff repair. The rotator cuff keeps the shoulder in the socket. 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. Connect with us. repair, other BEAR procedure, real ACL reconstructing in pre- chronic models.21,33 . L|5C[[ZW%pGY8JMe{+u'O=1m 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. 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 PDF Rehabilitation Protocol: Massive Rotator Cuff Tear Repair - Lahey Health Tell your provider about all prescription and over-the-counter medicines and herbal supplements that you're taking. 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. We use a comprehensive approach to caring for the whole athlete, treating your sports injury and helping you return to the activities you love. 2009-11-17T11:36:40-05:00 MA Rotator cuff surgery may be done using an arthroscope. 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. PDF Arthroscopic Labral Repair Protocol, II, IV, and complex tears Stay Informed. You will eventually be prescribed strengthening exercises. Women's Orthopedic and Joint Disease Center, Anesthesiology, Perioperative and Pain Medicine. Stay Informed. Surgical techniques that may be used to repair a tear of the rotator cuff include arthroscopy, open surgery, or a combination of both. PDF SUBSCAPULARIS REPAIR REHABILITATION PROTOCOL - Dr. Brian J. Cole endobj Connect with us. We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. 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. Mumford Procedure Surgery Rehab Protocol & Recovery Time - Kevin R. Stone The arthroscope is often used along with other tools that are inserted through another small incision. Elbow/wrist/hand AROM w/ no resistance. This protocol will vary in length and aggressiveness depending on factors such as: x][~G[" $`u[6=nwgz~HH[6M} ^|jg4?/>=W6ugqAxi??='O71R +gA^V%w?h0J6 }l?x)?VQ,QK-XTS1aM collected, please refer to our Privacy Policy. Damage may also occur slowly over time. Physical Therapy Standards of Care and Protocol - Brigham and Women's 617-732-5500, Rehabilitation Services - Physical and Occupational Therapy, 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, Reverse (Inverse) Total Shoulder Arthroplasty, Anterior Cruciate Ligament (ACL) Non-surgical Management, Non-Operative Management of Labral Tear of the Hip, Pelvic Floor Considerations in the Transgender and Gender Nonconforming Patient, Breast Reconstruction following Mastectomy, Physical Therapy Treatment of Blocked Milk Ducts, Inpatient-Specific Physical Therapy Standards of Care, Inpatient PT and OT Services: Main Campus, Anesthesiology, Perioperative and Pain Medicine. 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. Thigpen, C. A. Arthroscopic Rotator Cuff Repair is performed when there is a tear of one or more of the four muscles that comprise the Rotator Cuff. You may undergo blood tests or other diagnostic tests. %PDF-1.7 Shoulder injuries are common. This information is not intended as a substitute for professional medical care. This rehabilitation protocol has been developed for the patient following a large to massive rotator cuff surgical procedure. Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. % ;#O#t4\i_"+O/G?|tg1}*$27VsO] k\pU2=" %gN+K(( 8VC|[WN#( Y2,,-_:,=t6h(#9 Rotator Cuff Repair - Physical Therapy Haven /*jthpUxYl*ABB'.4dG^td}AU Rotator Cuff Repair (Arthroscopic) This protocol is based on maintaining range of movement in the first phase and then gradually building strength in the middle to the last phase. Control pain and swelling Activities: 1. Rotator cuff degeneration and tears may also be caused by aging.

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