PDF Biceps Tenodesis Protocol - Brigham and Women's Hospital Dr. O'Holleran is Fellow, Harvard Shoulder . The presence of a RCT can cause a vast array of impairments and associated dysfunctions. Physical Therapy Protocols - Brigham and Women's Faulkner Hospital L|5C[[ZW%pGY8JMe{+u'O=1m {QHCr!3g6jE6YQ` A surgical repair is indicated when pain We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. For more information about these cookies and the data Control pain and swelling Activities: 1. The rotator cuff is made up of muscles and tendons that hold the shoulder in place. Athletes and construction workers often have rotator cuff injuries due to repetitive movement and overuse of the shoulder. An arthroscope is a small, tube-shaped instrument that is inserted into a joint. 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. 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. Damage may also happen slowly over time. If pain does not improve with nonsurgical methods, surgery may be recommended. Massive Rotator Cuff Repair Protocol Hamilton Orthopaedics, Spine 2023 PDF Rotator Cuff Repair Protocol - Boston Shoulder Institute skip to Cookie . 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. If the rotator cuff is injured, it may need to be repaired surgically. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. Rotator Cuff Repair | ShoulderDoc Rehabilitation following reverse total shoulder arthroplasty Before you agree to the test or the procedure make sure you know: The reason you're having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you're to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you didn't have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or problems, How much you'll have to pay for the test or procedure. 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. 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. HMn0F:N@_A"'( -P7Ul8 >qr5i>M___c*h?) Be sure to discuss any concerns with your provider before the procedure. % 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 Rotator Cuff Repair. Reverse or inverse total shoulder arthroplasty (rTSA) is becoming a widely accepted surgical intervention. This procedure is specifically designed for the treatment of glenohumeral (GH) joint arthritis or complex fractures, when associated with irreparable rotator cuff (RC) damage or in the presence of RC arthropathy. If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. /-BmN2'ux)>MxYLV#a$F]7W9.|EzuonDxH/?uXPoN,);? Adobe Acrobat 8.0 Combine Files 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. The rotator cuff may be damaged from a fall or other injury to the shoulder. Get the latest news, explore events and connect with Mass General. 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. Van der Meijden OA, W. P . %PDF-1.6 % The arthroscope is often used along with other tools that are inserted through another small incision. Once youre home, its important to keep the surgical area clean and dry. You may undergo blood tests or other diagnostic tests. The skin over your surgical site will be cleaned with an antiseptic solution. Stay Informed. This protocol is time based (dependent on tissue healing) as well as criterion based. Most commonly, however, this group of muscles co-contracts and . 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