All rights reserved. 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. 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. Control pain and swelling Activities: 1. We use cookies and other tools to enhance your experience on our website and The damage may be due to: Inflammation of the bursa (bursitis) in the shoulder, Inflammation of the tendons (tendinitis) in 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. 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For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. For more information about these cookies and the data %PDF-1.7 stream 3 0 obj The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. x=n8zE$ Shoulder injuries are common. Van der Meijden OA, W. P . Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors Ice shoulder 3 - 5 times (15 minutes each time) per day to control swelling and inflammation. At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. ROM Exercises; Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers. 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. Dr. O'Holleran is Fellow, Harvard Shoulder . The rotator cuff may be damaged from a fall or other injury to the shoulder. The rotator cuff consists of muscles and tendons that hold the shoulder in place and allows a person to lift his and her arm and reach up. L|5C[[ZW%pGY8JMe{+u'O=1m Other incisions may be made to use other small grasping, probing, or cutting tools. Brigham and Women's Faulkner Hospital Rehabilitation Services1153 Centre Street, 2nd FloorBoston, MA 02130. For more information about these cookies and the data The rotator cuff keeps the shoulder in the socket. <>/Metadata 1084 0 R/ViewerPreferences 1085 0 R>> Rotator Cuff Repair. Athletes and construction workers often have rotator cuff injuries due to repetitive movement and overuse of the shoulder. Always follow your healthcare professional's instructions. %gN+K(( 8VC|[WN#( Y2,,-_:,=t6h(#9 Aspirin or certain other pain medicines may increase the chance of bleeding. Surgery for rotator cuff repair involves the reattachment of the tendon to the humeral head. Rotator cuff tears (RCT) are frequent and increase with age, yet the varying functional implications of a tear can have a unique and dramatic impact on a patient's daily life. 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 Continue to emphasize scapular stabilizers. Damage may also occur slowly over time. This may include shaving off bone spurs that are pinching the shoulder or repairing torn tendons or muscles in the shoulder. endobj For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. It may be necessary for you to stop these medicines before the procedure. Turners Cuff . This evidence-based small to medium rotator cuff repair physical therapy guideline is criterion-based; time frames and visits in each phase will vary depending on many factors, including patient demographics, goals, and individual progress. Pre-op. The anesthesiologist or nurse anesthetist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery. You may be given an immobilizer or sling before you go home. 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. The rotator cuff is made up of muscles and tendons that hold the shoulder in place. ter rotator cuff repair is 30 of eleva-tion in the scapular plane, with 0 to As with any surgical procedure, complications can happen. 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. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH. to analyze our web traffic. Nerves or blood vessels in the area of surgery may be injured. General Information: A surgical repair is indicated when pain 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.