Brace abduction bracesling, remove sling only to bathe and to complete exercises. Laser arthroscopic surgery is a procedure to visualize, diagnose and treat joint problems, and probably might help to your son if the doctor suggested it. Island orthopaedics and sports medicine, pc massapequa, new york. Postoperative protocol this rehabilitation protocol has been developed for the patient following a rotator cuff surgical procedure. Arthroscopic anterior stabilization with or without bankart repair. Arthroscopic rotator cuff repair postoperative guidelines. After the first day or two, as the pain lessens, you may decrease the frequency with which you take the medication. The goal of rotator cuff repair is to eliminate pain and improve function with increased shoulder strength and range of motion.
Postoperative rehabilitation guidelines for rotator cuff. Pictures courtesy of simpleset, used with permission. The effects of a standard postoperative rehabilitation. Postoperative rehabilitation following arthroscopic. Arthroscopic rotator cuff repair postoperative rehab protocol. Purpose of the abductor pillow is to keep tension off of the repair, avoid adduction. Postoperative instructions shoulder arthroscopy and. Effect of two rehabilitation protocols on range of motion and healing rates after arthroscopic rotator cuff repair. Keep the abductor pillow in for the 4 weeks as well. It is by no means intended to serve as a substitute for ones clinical decision making regarding the progression of a patients post operative course.
This may be performed either through keyhole surgery arthroscopy or open surgery, using sutures and bone anchors. We recommend wearing it all the time for 46 weeks post op, including while sleeping. See your doctor as soon as possible after an injury has occurred. The postoperative rehabilitation following arthroscopic rotator cuff repair begins pre operatively when the shoulder surgeon explains to the patient the planned operative procedure, the peri operative course and the demands of the post operative rehabilitation. If so, this should be done by direct communication with the. Open, miniopen, and allarthroscopic rotator cuff repair. The surgeon has to cut, sew, and displace the complex tissues that lie deep within the shoulders network.
Rotator cuff repair protocol the following procedures were performed. Rotator cuff post operative rehabilitation protocol general considerations. Phase i immediate postoperative phase weeks 0 6 days 014 patient is seen 2 days post operative to remove surgical dressings and pain catheter. Arthroscopic labral repair protocoltype ii, iv, and. Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers. Size and location of tear degree of shoulder laxity prior to surgery. Arthroscopic shoulder surgery for the treatment of rotator. Rotator cuff surgery is sometimes most straightforward approach to treat rotator cuff injuries. The conservative approach may be associated with post operative stiffness which can be managed once healing has occurred. The american society of shoulder and elbow therapists. Arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Ini0ally pa0ents will use a sling to protect the repair site and allow healing of the tendon back to the bone. You may remove your dressing 4 days after surgery and get in the shower.
Arthroscopic rotator cuff repair shoulderdoc by prof. Mediumlarge rotator cuff repair post op protocol 20191021t15. 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 anterior stabilization procedure. Post operative rehabilitation following arthroscopic rotator cuff repair. Arthroscopic rotator cuff repair frequently asked questions. Post operative arthroscopic subacromial decompression protocol 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 an arthroscopic subacromial decompression. 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. Starting the first day after surgery you should remove the sling 34 times per day to perform pendulum exercises and elbowwrist range of motion unless otherwise specified by dr. Length of arthroscopic rotator cuff repair and shoulder surgery.
Complete recovery time after rotator cuff surgery varies from somewhere between 6 months to a year and is affected by many factors such. Progression of arom against gravity and duration of sling use is predicated both on the size of tear and quality of tissue and should be guided by referring physician. Rehabilitation protocol for rotator cuff repair this protocol is intended to guide clinicians and patients through the post operative course of a rotator cuff repair. Rotator cuff repair post operative rehabilitation protocol. This leaves the patient vulnerable to an array of risks during the procedure itself. Improvement in terms of strength, movement and pain reduction can be expected after rotator cuff repair surgery. Tears of the rotator cuff tendons rc are a frequent cause of shoulder complaints. For this reason the shoulder is the most mobile joint in the body.
Postop instructions arthroscopic rotator cuff repair dr. Rolf 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 labral repair. Showering is allowed once dressings and catheter is removed. Rehabilita0on is vital to regaining mo0on, strength and func0on of the shoulder a8er surgery. The advantages of repairing a rotator cuff tear arthroscopically keyhole surgery are. Postoperative instructions for shoulder arthroscopy with. The socket portion of the joint is not naturally deep. Arthroscopic labral repair protocol type ii, iv, and complex tears.
Postoperative instructions rotator cuff repair please note that these instructions are general guidelines to be followed. Purpose there is still conflicting evidence to support postoperative rehabilitation protocols using immobilization following rotator cuff repair over early motion. Type one rotator cuff repair arthroscopic or miniopen small tear less than 1 cm i. Post operative arthroscopic subacromial decompression. The sling is for your protection after the surgery. A rotator cuff repair involves stitching the torn tendon back onto its attachment to the arm bone humerus. 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 assistedminiopen rotator cuff repair. You may remove the sling for bathing, home exercise, and physical. You will be receiving a post operative phone call from the surgical staff within a few days after surgery to check on you and assist you with any concerns. Verma or either physician assistant supersede the instructions below and should be followed. This protocol is intended to be a general outline only. Debridement of an acromial bone spur and removal of the inflammed bursa arthroscopic repair of your rotator cuff.
The clinical outcomes of the surgical methods of rotator cuff repair open, miniopen, and all arthroscopic cuff repair vary, as each method. Conventional rehabilitation protocols after reconstruction. The intent of this guideline is to provide both the patient and treating therapist with a framework of the post operative rehabilitation course following arthroscopic assistedminiopen rotator cuff repair. It is not intended to be a substitute for ones clinical decision. Postop instructions arthroscopic rotator cuff repair. The conservative rehabilitation protocol allows sharpey fibers to form before stressing the repair with resistive exercises. If patient also has a capsular release along with a biceps tenodesis, patient can begin.
The physician reserves the right to either advance or delay this protocol as deemed necessary. Rolf 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 debridementcapsular release. Rotator cuff repair postoperative rehabilitation protocol. Rotator cuff repair protocol boston shoulder institute. Post operative arthroscopic subacromial decompression protocol. Rehabilitation protocol after arthroscopic rotator cu. Rotator cuff repair protocol page2 range of motion phase 1 phase 2 phase 3 phase 4. Regardless of the advances of arthroscopic surgery, procedures to repair a rotator cuff injury are invasive. The patient may wish to discuss their preferences with the anesthesiologist prior to surgery. The first rotator cuff repair was performed by dr codman in 1911, utilizing an open technique. Post operative rehabilitation guidelines for rotator cuff tears please note that these instructions are general guidelines to be followed. Ac joint arthritis ac joint reconstruction arthroscopic bankart repair arthroscopic surgery information biceps tenodesis surgery frozen shoulder pectoralis major repair posterior bankart repair rotator cuff repair protocol shoulder. Postoperative rotator cuff repair rehabilitation protocol.
This protocol will vary in length and aggressiveness depending on factors such as. Name of this procedure is derived from the greek words arthron, which means joint, and skopein, which means to look at. You will be sent home from the surgery center with prescriptions for pain medication. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Rotator cuff repair surgery works best on recent injuries rather than those caused by chronic conditions. Post operative instructions for shoulder arthroscopy with rotator cuff repair dr. Early passive range of motion of the glenohumeral joint to prevent capsular adhesions is essential. Unfortunately, there is no consensus on the rehabilitation protocols and contents following the surgical procedure. It is no means intended to be a substitute for ones. The objective of the study was to evaluate the evolution of pain, shoulder function, and patients perception of their health status up to 1 year after cuff rotator repair and a standard postoperative rehabilitation protocol.