Rotator Cuff Pathology Part III

Rotator Cuff Pathology Part III

 

Surgical Management


Open repairs:

• Large to massive repairs
• Requires less surgical skill
Mini open Repairs:

• 4 to 6 cm
• Large tears
• More skill required then open
• Improved recovery time
Arthroscopic:

• Small medium and large tears
• More skilled required by surgeon
• Improved recovery time

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Rehab Guidelines


Consult with your surgeon on specific protocols and timelines for introduction of ROM and strengthening. Listed below are general guidelines to take note of when rehabbing a rotator cuff repair:
• Per surgeon’s guidelines restore PROM as quickly as possible.

o Movement decreases scaring, be cautious of adduction, extension an IR.

• Restore humeral head stability.

o Gentle isometric, rhythmic stabilization all help to control humeral head location.
o This allows less superior migration to occur during elevation (shrug sign).

• When and if appropriate on ER rotator cuff strengthening.

o ER creates balance between the anterior and posterior shoulder and is shown to be the most difficult strength to maintain.

 

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