brigham and women's rotator cuff repair protocolbrigham and women's rotator cuff repair protocol

Take a pain reliever for soreness as recommended by your healthcare provider. Avoid excessive reaching and external/internal rotation for the first 6 weeks. 85 College Street Hamilton, NY 13346. You may get a medicine (sedative) before the procedure to help you relax. Journal of Shoulder and Elbow Surgery, 4:521-535. You may undergo blood tests or other diagnostic tests. An open repair may be done if the rotator cuff injury cant be repaired using arthroscopy. endobj A surgical repair is indicated when pain We offer diagnostic and treatment options for common and complex medical conditions. It consists of a system of lenses, a small video camera, and a light for viewing. This protocol will vary in length and aggressiveness depending on factors such as: uuid:5fa44141-9c8c-4c9c-b6ca-f862302a5ebb The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. 833 0 obj <>/OCGs[835 0 R 836 0 R]>>/StructTreeRoot 164 0 R/Type/Catalog>> endobj 98 0 obj <> endobj 2783 0 obj <>stream For more information about these cookies and the data Thigpen, C. A. It consists of a system of lenses, a small video camera, and a light for viewing. 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 rotator cuff keeps the shoulder in the socket. `6B3}"{PT(3 _x g"8. Expect full recovery to take up to 4 to 6 months. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on . Prevent shoulder stiffness 4. to analyze our web traffic. Connect with us. The surgeon will fix or replace injured tendons and muscles with a graft tendon from another part of the body. 2000-2023 The StayWell Company, LLC. There may be other risks depending on your specific medical condition. Elbow/wrist/hand AROM w/ no resistance. Arthroscopic Rotator Cuff Repair Frequently Asked Questions: Your provider will discuss this with you in advance. %PDF-1.7 Always follow your healthcare professional's instructions. General Information: Follow any directions you're given about not eating or drinking before your procedure. 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. 3. Individually, these muscles either internally or externally rotate the humerus. ;#O#t4\i_"+O/G?|tg1}*$27VsO] k\pU2=" Call 617-643-3333 if youre experiencing a sports injury. Be sure to discuss any concerns with your provider before the procedure. Dr. O'Holleran is Fellow, Harvard Shoulder . In the case of a delayed therapy start, the following timeframes are to be adjusted so that day 1 is the first day of therapy. Connect with us. We use cookies and other tools to enhance your experience on our website and Offering comprehensive medical, surgical and psychiatric care as well as complete emergency, ambulatory and diagnostic services to residents of southwest Boston and the surrounding suburbs. 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. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. Copyright 2007-2023. The rotator cuff may be damaged from a fall or other injury to the shoulder. 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. When one or more of the tendons in the rotator cuff is torn, it no longer fully attaches to the head of the humerus. Stay Informed. 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. Open Orthop J, 11:154162. COPYRIGHT*2014*CRC*"BRIAN*J. 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 Rehabilitation after Arthroscopic Labrum Repair of the Shoulder (SLAP) Phase One: 0 to 4 weeks after surgery Goals: 1. Find PDFs of our most common rehabilitation protocols. 1 0 obj <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 32 0 R 33 0 R 34 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> @O]2QCl*x[c@V(.G?L(#? endstream endobj 834 0 obj <>/Encoding<>>>>> endobj 826 0 obj <> endobj 164 0 obj <> endobj 166 0 obj <> endobj 167 0 obj <> endobj 168 0 obj <> endobj 2345 0 obj <> endobj 2346 0 obj <> endobj 2347 0 obj <> endobj 2348 0 obj <> endobj 2349 0 obj <> endobj 2350 0 obj <> endobj 2351 0 obj <> endobj 2352 0 obj <> endobj 2353 0 obj <> endobj 2354 0 obj <> endobj 2355 0 obj <> endobj 2369 0 obj <> endobj 2372 0 obj <> endobj 2373 0 obj <> endobj 2374 0 obj <> endobj 2381 0 obj <> endobj 2382 0 obj <> endobj 2383 0 obj <> endobj 2384 0 obj <> endobj 2385 0 obj <> endobj 2386 0 obj <> endobj 2560 0 obj <> endobj 2392 0 obj <> endobj 2399 0 obj <> endobj 2400 0 obj <> endobj 2459 0 obj <> endobj 169 0 obj <> endobj 2403 0 obj <> endobj 2404 0 obj <> endobj 2405 0 obj <> endobj 2406 0 obj <> endobj 2407 0 obj <> endobj 2412 0 obj <> endobj 2413 0 obj <> endobj 2418 0 obj <> endobj 2419 0 obj <> endobj 2420 0 obj <> endobj 2421 0 obj <> endobj 2422 0 obj <> endobj 2423 0 obj <> endobj 2424 0 obj <> endobj 2425 0 obj <> endobj 2430 0 obj <> endobj 2431 0 obj <> endobj 2436 0 obj <> endobj 2437 0 obj <> endobj 2438 0 obj <> endobj 2452 0 obj <> endobj 2455 0 obj <> endobj 2456 0 obj <> endobj 2457 0 obj <> endobj 2458 0 obj <> endobj 171 0 obj <> endobj 2672 0 obj <> endobj 2469 0 obj <> endobj 2470 0 obj <> endobj 2471 0 obj <> endobj 2472 0 obj <> endobj 2473 0 obj <> endobj 2476 0 obj <> endobj 172 0 obj <> endobj 2499 0 obj <> endobj 2479 0 obj <> endobj 173 0 obj <> endobj 2480 0 obj <> endobj 2482 0 obj <> endobj 2483 0 obj <> endobj 2498 0 obj <> endobj 2485 0 obj <> endobj 2486 0 obj <> endobj 2487 0 obj <> endobj 2488 0 obj <> endobj 2489 0 obj <> endobj 2492 0 obj <> endobj 2493 0 obj <> endobj 2494 0 obj <> endobj 2495 0 obj <> endobj 2496 0 obj <> endobj 2497 0 obj <> endobj 178 0 obj <> endobj 177 0 obj <> endobj 180 0 obj <> endobj 179 0 obj <> endobj 181 0 obj <> endobj 2502 0 obj <> endobj 2504 0 obj <> endobj 2505 0 obj <> endobj 2506 0 obj <> endobj 2507 0 obj <> endobj 2508 0 obj <> endobj 2509 0 obj <> endobj 2510 0 obj <> endobj 2511 0 obj <> endobj 2512 0 obj <> endobj 188 0 obj <> endobj 2514 0 obj <> endobj 2515 0 obj <> endobj 2516 0 obj <> endobj 2517 0 obj <> endobj 2518 0 obj <> endobj 2519 0 obj <> endobj 2520 0 obj <> endobj 2529 0 obj <> endobj 2530 0 obj <> endobj 2531 0 obj <> endobj 2536 0 obj <> endobj 2541 0 obj <> endobj 2542 0 obj <> endobj 2543 0 obj <> endobj 2544 0 obj <> endobj 2545 0 obj <> endobj 182 0 obj <> endobj 2548 0 obj <> endobj 2549 0 obj <> endobj 2550 0 obj <> endobj 2551 0 obj <> endobj 2552 0 obj <> endobj 2555 0 obj <> endobj 2558 0 obj <> endobj 2559 0 obj <> endobj 189 0 obj <> endobj 2561 0 obj <> endobj 2563 0 obj <> endobj 2562 0 obj <> endobj 2564 0 obj <> endobj 2565 0 obj <> endobj 2566 0 obj <> endobj 2567 0 obj <> endobj 2568 0 obj <> endobj 2569 0 obj <> endobj 2570 0 obj <> endobj 2571 0 obj <> endobj 2572 0 obj <> endobj 2573 0 obj <> endobj 2574 0 obj <> endobj 2575 0 obj <> endobj 2584 0 obj <> endobj 174 0 obj <> endobj 2586 0 obj <> endobj 2587 0 obj <> endobj 175 0 obj <> endobj 176 0 obj <> endobj 2590 0 obj <> endobj 2591 0 obj <> endobj 2602 0 obj <> endobj 2606 0 obj <> endobj 2607 0 obj <> endobj 2608 0 obj <> endobj 2609 0 obj <> endobj 2618 0 obj <> endobj 2619 0 obj <> endobj 2620 0 obj <> endobj 2621 0 obj <> endobj 2623 0 obj <> endobj 2622 0 obj <> endobj 2626 0 obj <> endobj 2705 0 obj <> endobj 2624 0 obj <> endobj 2630 0 obj <> endobj 2628 0 obj <> endobj 2627 0 obj <> endobj 2629 0 obj <> endobj 2635 0 obj <> endobj 2632 0 obj <> endobj 2631 0 obj <> endobj 2638 0 obj <> endobj 2637 0 obj <> endobj 2636 0 obj <> endobj 2641 0 obj <> endobj 2640 0 obj <> endobj 2639 0 obj <> endobj 2644 0 obj <> endobj 2643 0 obj <> endobj 2642 0 obj <> endobj 2646 0 obj <> endobj 2645 0 obj <> endobj 2647 0 obj <> endobj 2651 0 obj <> endobj 2650 0 obj <> endobj 2652 0 obj <> endobj 2653 0 obj <> endobj 2654 0 obj <> endobj 2655 0 obj <> endobj 2656 0 obj <> endobj 2758 0 obj <> endobj 2658 0 obj <> endobj 2659 0 obj <> endobj 2660 0 obj <> endobj 2661 0 obj <> endobj 2662 0 obj <> endobj 2663 0 obj <> endobj 2664 0 obj <> endobj 2665 0 obj <> endobj 2668 0 obj <> endobj 2669 0 obj <> endobj 2670 0 obj <> endobj 2671 0 obj <> endobj 183 0 obj <> endobj 2673 0 obj <> endobj 184 0 obj <> endobj 2676 0 obj <> endobj 2675 0 obj <> endobj 2678 0 obj <> endobj 2677 0 obj <> endobj 2679 0 obj <> endobj 2680 0 obj <> endobj 2682 0 obj <> endobj 2681 0 obj <> endobj 2684 0 obj <> endobj 2683 0 obj <> endobj 2686 0 obj <> endobj 2691 0 obj <> endobj 2694 0 obj <> endobj 2687 0 obj <> endobj 2689 0 obj <> endobj 2690 0 obj <> endobj 185 0 obj <> endobj 2692 0 obj <> endobj 2695 0 obj <> endobj 2693 0 obj <> endobj 186 0 obj <> endobj 2697 0 obj <> endobj 2696 0 obj <> endobj 2698 0 obj <> endobj 2701 0 obj <> endobj 2700 0 obj <> endobj 2699 0 obj <> endobj 2706 0 obj <> endobj 2704 0 obj <> endobj 2703 0 obj <> endobj 2702 0 obj <> endobj 187 0 obj <> endobj 2710 0 obj <> endobj 2708 0 obj <> endobj 2707 0 obj <> endobj 2709 0 obj <> endobj 2711 0 obj <> endobj 2715 0 obj <> endobj 2714 0 obj <> endobj 2717 0 obj <> endobj 2716 0 obj <> endobj 2719 0 obj <> endobj 2718 0 obj <> endobj 2721 0 obj <> endobj 2720 0 obj <> endobj 2722 0 obj <> endobj 2733 0 obj <> endobj 2728 0 obj <> endobj 2727 0 obj <> endobj 2736 0 obj <> endobj 2735 0 obj <> endobj 2734 0 obj <> endobj 2739 0 obj <> endobj 2738 0 obj <> endobj 2737 0 obj <> endobj 2741 0 obj <> endobj 2740 0 obj <> endobj 2743 0 obj <> endobj 2742 0 obj <> endobj 2745 0 obj <> endobj 2744 0 obj <> endobj 2747 0 obj <> endobj 2746 0 obj <> endobj 2749 0 obj <> endobj 2748 0 obj <> endobj 2750 0 obj <> endobj 2751 0 obj <> endobj 2752 0 obj <> endobj 2753 0 obj <> endobj 2754 0 obj <> endobj 2755 0 obj <> endobj 2756 0 obj <> endobj 2757 0 obj <> endobj 170 0 obj <> endobj 2729 0 obj <> endobj 2730 0 obj <> endobj 2731 0 obj <> endobj 2732 0 obj <> endobj 2723 0 obj <> endobj 2724 0 obj <> endobj 2725 0 obj <> endobj 2726 0 obj <> endobj 2712 0 obj <> endobj 2713 0 obj <> endobj 2666 0 obj <> endobj 2667 0 obj <> endobj 2648 0 obj <> endobj 2649 0 obj <> endobj 2633 0 obj <> endobj 2634 0 obj <> endobj 2614 0 obj <> endobj 2615 0 obj <> endobj 2616 0 obj <> endobj 2617 0 obj <> endobj 2610 0 obj <> endobj 2611 0 obj <> endobj 2612 0 obj <> endobj 2613 0 obj <> endobj 2603 0 obj <> endobj 2604 0 obj <> endobj 2605 0 obj <> endobj 2600 0 obj <> endobj 2601 0 obj <> endobj 2596 0 obj <> endobj 2597 0 obj <> endobj 2598 0 obj <> endobj 2599 0 obj <> endobj 2592 0 obj <> endobj 2593 0 obj <> endobj 2594 0 obj <> endobj 2595 0 obj <> endobj 2580 0 obj <> endobj 2581 0 obj <> endobj 2582 0 obj <> endobj 2583 0 obj <> endobj 2576 0 obj <> endobj 2577 0 obj <> endobj 2578 0 obj <> endobj 2579 0 obj <> endobj 2556 0 obj <> endobj 2557 0 obj <> endobj 2553 0 obj <> endobj 2554 0 obj <> endobj 2537 0 obj <> endobj 2538 0 obj <> endobj 2539 0 obj <> endobj 2540 0 obj <> endobj 2532 0 obj <> endobj 2533 0 obj <> endobj 2534 0 obj <> endobj 2535 0 obj <> endobj 2525 0 obj <> endobj 2526 0 obj <> endobj 2527 0 obj <> endobj 2528 0 obj <> endobj 2521 0 obj <> endobj 2522 0 obj <> endobj 2523 0 obj <> endobj 2524 0 obj <> endobj 2490 0 obj <> endobj 2491 0 obj <> endobj 2474 0 obj <> endobj 2475 0 obj <> endobj 2465 0 obj <> endobj 2466 0 obj <> endobj 2467 0 obj <> endobj 2468 0 obj <> endobj 2461 0 obj <> endobj 2462 0 obj <> endobj 2463 0 obj <> endobj 2464 0 obj <> endobj 2453 0 obj <> endobj 2454 0 obj <> endobj 2449 0 obj <> endobj 2450 0 obj <> endobj 2451 0 obj <> endobj 2447 0 obj <> endobj 2448 0 obj <> endobj 2443 0 obj <> endobj 2444 0 obj <> endobj 2445 0 obj <> endobj 2446 0 obj <> endobj 2439 0 obj <> endobj 2440 0 obj <> endobj 2441 0 obj <> endobj 2442 0 obj <> endobj 2432 0 obj <> endobj 2433 0 obj <> endobj 2434 0 obj <> endobj 2435 0 obj <> endobj 2426 0 obj <> endobj 2427 0 obj <> endobj 2428 0 obj <> endobj 2429 0 obj <> endobj 2414 0 obj <> endobj 2415 0 obj <> endobj 2416 0 obj <> endobj 2417 0 obj <> endobj 2408 0 obj <> endobj 2409 0 obj <> endobj 2410 0 obj <> endobj 2411 0 obj <> endobj 2395 0 obj <> endobj 2396 0 obj <> endobj 2397 0 obj <> endobj 2398 0 obj <> endobj 2393 0 obj <> endobj 2394 0 obj <> endobj 2387 0 obj <> endobj 2388 0 obj <> endobj 2389 0 obj <> endobj 2390 0 obj <> endobj 2379 0 obj <> endobj 2380 0 obj <> endobj 2377 0 obj <> endobj 2378 0 obj <> endobj 2375 0 obj <> endobj 2376 0 obj <> endobj 2370 0 obj <> endobj 2371 0 obj <> endobj 2366 0 obj <> endobj 2367 0 obj <> endobj 2368 0 obj <> endobj 2364 0 obj <> endobj 2365 0 obj <> endobj 2360 0 obj <> endobj 2361 0 obj <> endobj 2362 0 obj <> endobj 2363 0 obj <> endobj 2356 0 obj <> endobj 2357 0 obj <> endobj 2358 0 obj <> endobj 2359 0 obj <> endobj 190 0 obj [820 0 R] endobj 191 0 obj [821 0 R] endobj 192 0 obj [822 0 R] endobj 193 0 obj [823 0 R] 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 <>/Metadata 1084 0 R/ViewerPreferences 1085 0 R>> 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. This may include shaving off bone spurs that are pinching the shoulder or repairing torn tendons or muscles in the shoulder. Connect with us. Tech How Assam. Equate active and passive range of motion. 1 Chung SW et al. The skin over your surgical site will be cleaned with an antiseptic solution. Learn about career opportunities, search for positions and apply for a job. Brigham and Women's Hospital, Boston. 4 0 obj We are committed to providing expert caresafely and effectively. Be sure to take only recommended medicines. endobj Learn about the many ways you can get involved and support Mass General. The arthroscope (if used) will be put through the incision. ROM Exercises; Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers. ek'eY|&~ll%h$v,*`H. ns6K2*\2 9LSs. endobj 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. <> There may be other reasons for your healthcare provider to recommend rotator cuff repair. You can ask questions. collected, please refer to our Privacy Policy. This philosophy of patient- and family-focused care involves systems and services that emphasize healing in a comfortable, relaxed environment. We use a comprehensive approach to caring for the whole athlete, treating your sports injury and helping you return to the activities you love. 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 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. The shoulder is a ball-and-socket joint: the head of the humerus (upper arm bone) fits into a socket in the shoulder blade. 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. skip to Cookie . endobj The rotator cuff is made up of muscles and tendons that hold the shoulder in place. Light active scapular strengthening . Athletes and construction workers often have rotator cuff injuries due to repetitive movement and overuse of the shoulder. This guideline is designed to Stay Informed. <>/Metadata 702 0 R/ViewerPreferences 703 0 R>> The goal of rotator cuff repair surgery is to help restore the function and flexibility of the shoulder and to relieve the pain that cant be controlled by other treatments. to analyze our web traffic. LL`}*Tg/#VA|5RQSVt*#bH|5 [oB]bPY) 1ULXv$6*jthb Ylv Day 1 - 3 weeks. A Teaching Affiliate of Harvard Medical School 75 Francis St. Boston, Massachusetts 02115. . Your provider will arrange for an exercise rehabilitation program to help you regain muscle strength, flexibility, and function of your shoulder. An arthroscope is a small, tube-shaped instrument that is inserted into a joint. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. endobj Shoulder injuries are common. 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. application/pdf The circulation and sensation of your arm will be monitored. Rotator cuff repair may be done on an outpatient basis or as part of your stay in a hospital. It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. 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) 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 <> Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. Nerves or blood vessels in the area of surgery may be injured. Based on your medical condition, your provider may request other specific preparation. 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. 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. If you're pregnant or think that you could be pregnant, tell your provider. Stay Informed. The arthroscope is often used in conjunction with other tools that are inserted through another incision. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> About Us; Meet Our Team; Our Services; Your recovery process will vary depending on the type of anesthesia that is given and the type of surgery thats done. You'll be positioned on the operating table. The rotator cuff may be damaged from a fall or other injury to the shoulder. The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission. /-BmN2'ux)>MxYLV#a$F]7W9.|EzuonDxH/?uXPoN,);? In some cases, a tendon graft and joint replacement may be necessary. x=n8zE$ 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. Let us help you navigate your in-person or virtual visit to Mass General. Rotator cuff repair may be done while you're asleep under general anesthesia or while you're awake under local or regional anesthesia. Rotator Cuff Repair. You will eventually be prescribed strengthening exercises. Bone spurs will be removed if there are any. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. 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. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. 2023