Arthroscopic Rotator Cuff Repair Frequently Asked Questions: This information is not intended as a substitute for professional medical care. Damage may also happen slowly over time. 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. This usually involves reattaching the tendon to the head of the humerus. About Us; Meet Our Team; Our Services; Rotator cuff repair may be done on an outpatient basis or as part of your stay in a hospital. The type of anesthesia will depend on the specific procedure being done. Small/Medium Rotator Cuff Repair Protocol; Subscapularis Repair Protocol; Superior Capsule Repair Protocol; Triceps Tendon Repair Protocol; Locations: HAMILTON. 2000-2023 The StayWell Company, LLC. Connect with us. The camera is connected to a monitoring system that allows the surgeon to view a joint through a very small incision. 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. It may be necessary for you to stop these medicines before the procedure. ntr>&TZt`3o6?=^_.9|0dd\H c9{+'+::A{NhV{. You may meet with a physical therapist before your surgery to talk about rehabilitation. For more information about these cookies and the data 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. Once youre home, its important to keep the surgical area clean and dry. 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. We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. Dr. O'Holleran is Fellow, Harvard Shoulder . In some cases, a tendon graft and joint replacement may be necessary. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on . The rotator cuff is a slow healing structure due to poor blood supply. If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. Connect with us. Read the form carefully and ask questions if something isn't clear. collected, please refer to our Privacy Policy. We use a comprehensive approach to caring for the whole athlete, treating your sports injury and helping you return to the activities you love. Start progressive rotator cuff and shoulder strengthening at 3 months - isometrics initially Initiate isotonic strengthening at 4 months (Theraband, dumbbells, Hughston's exercises, etc). Nerves or blood vessels in the area of surgery may be injured. You'll be positioned on the operating table. The arthroscope (if used) will be put through the incision. Regain range of motion 5. augment suture repair of the rotator armband tendon in 2 stud-. }@o~+msq8JJ|vd24a2e> Surgical techniques that may be used to repair a tear of the rotator cuff include arthroscopy, open surgery, or a combination of both. Most commonly, however, this group of muscles co-contracts and . The circulation and sensation of your arm will be monitored. 4. We use cookies and other tools to enhance your experience on our website and Your provider will arrange for an exercise rehabilitation program to help you regain muscle strength, flexibility, and function of your shoulder. Operative report should be read to determine the extent of rotator cuff involvement, integrity of the articular surface, involvement of the biceps tendon and glenoid labrum. L|5C[[ZW%pGY8JMe{+u'O=1m Connect with us. Learn about career opportunities, search for positions and apply for a job. HMn0F:N@_A"'( -P7Ul8 >qr5i>M___c*h?) x=n8zE$ Stay Informed. The Orthopaedic & Arthritis Center at Brigham and Womens Hospital is one of the most highly regarded orthopaedic and joint disease research and treatment programs in the world. collected, please refer to our Privacy Policy. vOuAt#v;TcdMGb6 0,-oNflh$pF0lLP6r2))"9 8n`*VKNwp|d.)o6KCgiwM;UFPeM/w;%(HqPG{CZBf6vr"m 4 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. A Teaching Affiliate of Harvard Medical School 75 Francis St. Boston, Massachusetts 02115. . Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: collected, please refer to our Privacy Policy. 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. 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 . Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears This protocol is intended to guide clinicians through the post-operative course for rotator cuff repair-small to medium tears. A surgical repair is indicated when pain 3 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. 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. Women's Orthopedic and Joint Disease Center, Anesthesiology, Perioperative and Pain Medicine. Brigham and Women's Faulkner Hospital Rehabilitation Services1153 Centre Street, 2nd FloorBoston, MA 02130. The tendons attach the humerus to the shoulder blade and aids in lifting and rotating the arm. SUBSCAPULARIS REPAIR REHABILITATION PROTOCOL ! to analyze our web traffic. ek'eY|&~ll%h$v,*`H. Bone spurs will be removed if there are any.