Subscapularis Repair Protocol

Arthroscopic repair in case of partial or full subscapularis tears the rupture site is visualized with the help of an arthroscopic camera and it is then sutured with the help of professional arthroscopic equipment. Rotator Cuff Repair-Subscapularis Weeks 1-2.

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Rotator Cuff Repair Download.

Subscapularis repair protocol. Begin PROM Limit 90. Tendon tears of the subscapularis may also occur after a surgery such as a total shoulder replacement in which the subscapularis tendon is removed and then repaired as part of the surgical procedure. Rest and Healing Sling Immobilizer.

Sp LEFT RIGHT Shoulder Rotator Cuff Repair 1-3 WEEKS POST-OP. Pendulum exercises Passive Supine Elevation in Scapular plane using the opposite hand Passive ER to ____. This particular protocol divided into 4 phases and the timeline can vary from 4 months to 1.

This rehabilitation protocol has been developed for the patient following a rotator cuff and subscapularis repair. Tendons typically take 6-12 weeks to heal at which time active motion exercises of the shoulder can begin. Strengthening exercises can begin after 3 months with a.

Figure 5 Rotator cuff repair technique using anchors and sutures. 9212016 Conservative Subscapularis Repair Protocol Weeks one to two Weeks two to four Initial Evaluation Evaluate Posture scapulo-thoracichumeral position Passive range of motion within precautions Skin assessment scar integrity Assess RTW and Sport expectations Continue to inspect integrity of incision. LaFrance of Hamilton Orthopedic Spine.

The tear A is approximated. __ Passive range of motion of the shoulder. Postoperative Protocol Increase forward elevation and external rotation 10 per week Begin use of pulleys to assist with forward elevation with hand supine to externally rotate humerus away from.

Generally speaking the anchors and suture used to repair your cuff. Shoulder Arthroplasty- Arthritis Download. Open surgery is recommended for larger tears allowing for the injured tendon or muscle to be properly sutured.

Arthroscopic Posterior Shoulder Stabilization Download. Active assisted range of motion forward flexion scaption and abduction to tolerance achieving full range of motion. Passive and active assisted.

Then suture anchors are placed on both sides of the tear B and C. Subscapularis Repair Protocol provided by Dr. Begin PROM Limit 90.

It is not intended to be a substitute for ones clinical decision making regarding the progression of a. Done before repair of the subscapularis tendon and sub-sequently the long head of the biceps tendon is tenodesed with miniopen subpectoral biceps tenodesis once the subscapularis repair is completed. UPPER SUBSCAPULARIS REPAIR WITH BICEPS TENODESIS REHABILITATION PROTOCOL RANGE OF MOTION IMMOBILIZER EXERCISES PHASE I 0-4 weeks 0-2 weeks.

Abdadduction ER flexion and extension. Following subscapularis tendon surgery the arm is kept in a special sling to protect the repair. 1 Subscapularis Repair.

Subscapularis Repair Rehabilitation Protocol The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an arthroscopic Subscapularis Repair procedure. Immobilized at all times day and night Off for hygiene and gentle home exercise according. Rotator cuff repair protocol as the SUBSCAPULARIS is put under tension with different positions than the more commonly repaired Supraspinatus tendon.

This protocol will vary in length and aggressiveness depending on factors such as size and location of the tear degree of shoulder instabilitylaxity prior to surgery acute versus chronic condition length of. At all times except exercises HEP. Arthroscopic Bankart Repair Download.

Finally the tendon is approximated back to the bone with various suture patterns to decrease focal stress. AC Joint Reconstruction Download. Key protect the subscapularis repair Suggested Exercises.

Immobilized at all times day and night Off for hygiene and gentle home exercise according to instruction sheets. The rotator cuff tissue is not very strong and can retear before healing if you do not follow these guidelines. Procedures involves protection of the repair stretchingmobilizing tight or restricted structures strengthening the rotator cuff and strengthening and retraining the scapular musculature.

Range of Motion Stage. Four to Six Weeks Post-op. SUBSCAPULARIS REPAIR REHABILITATION PROTOCOL.

Tenotomy of the long head of the biceps tendon LHB improves visualization and helps with the working area in the anterior compartment of the shoulder. MRI showing subscapularis tendon tear and biceps tendon subluxated out of its normal position. Subscapularis Repair Patient Name.

Open Bankart or Latarjet Repair Download. Distal ROM with scapular retraction Manual scapular manipulation with patient lying on non-operative side Supine passive FF in scapular plane to 90 Supine passive ER to 0. COPYRIGHT2014CRCBRIANJCOLEMDMBA RANGE OF MOTION IMMOBILIZER EXERCISES PHASE I 0-6 weeks 0-3 weeks.

Passive shoulder pendulum PROM ER with cane elbow at side to 20 degrees only x 8 weeks PROM IR to side at 45 degrees abduction PROM shoulder flexion with slight IR PROM shoulder abduction PROM but no stretching Shoulder isometrics.

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