Each phase is adaptable based on the individual and special circumstances. Please note this protocol is a guideline. Patients with additional surgery will progress at different rates.
Achieving the criteria of each phase should be emphasized more than the approximate duration. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. If you have questions, contact the referring physician.
Bankart repair rehabilitation protocol. In some instances, an open procedure is performed in which the muscles are separated to expose the shoulder. Arthroscopic anterior stabilization has a similar rate of failure to open stabilization after two years. What is arthroscopic repair?
This protocol has been modified and is being used with permission from the BWH Sports and Shoulder Service. Do not even measure internal rotation at the time of initial evaluation. Immediately post-operatively, exercises must be modified so as not to place unnecessary stress on.
Anatomy and Biomechanics. For this reason the shoulder is the most mobile joint in the body.
We prefer to perform the surgery arthroscopically (keyhole) , but some surgeons prefer an open procedure. A discussion of the advantages and disadvantages of beach chair versus lateral decubitus is beyond the scope of this review but has been well-described in. The humeral head rests.
They also varied with regard to published consensus protocols. In the glenohumeral joint, the humerus head is covered smooth cartilage so that movement is possible with as little friction as possible. Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. First and foremost, the therapist must be aware of the extent of the injury and the exact procedure performed.
ASSET Study Mean Study SD z-score. ARTHROSCOPIC CAPSULORRAPHY POSTERIOR BANKART REPAIRS REHABILITATION PROTOCOL Week - Shoulder sling and swathe or ABDUCTION brace full time day and night. Lemos, M Compiled by E. This usually done using sutures and small bone anchors. This procedure is typically performed arthroscopically at an outpatient surgery center, meaning patients go home several hours after the surgery has been completed.
Your doctor will need to repair and reattach the tendon, using suture anchoring devices. Rehabilitation After surgery, you will need to keep your shoulder in a sling for three to four weeks. Anterior Reconstruction and. Apical oblique x-ray view Fig. Shoulder dislocation - apical oblique view showing a Hill Sachs defect of the humeral head and a defect of the anterior inferior rim of the glenoid Fig.
Policy Statement: Treatment will follow the. I will adjust your individual rehabilitation based on the severity of the labrum tear and your progress at each office visit.
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