Maintain integrity of repair gradual return of promaarom increase shoulder strength while respecting repair. You will go to the recovery room and generally will be discharged after 12 hours. Timeframes for active and resisted biceps activity will vary depending on the extent of bicipital involvement. Protection phaseimmediate motion 0 6 weeks postop goals. Arthroscopic labrum repair of the shoulder slap anatomy.
Acute hamstring injuries in swedish elite football. Bankart repair protocol bankart repair protocol this rehabilitation protocol has been developed for the patient following bankart surgical procedure for anterior shoulder instability. Rehabilitation guidelines for slap lesion repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee. Arthroscopic type ii slap repair rehabilitation protocol orthoindy.
Physical therapy protocol shoulder anteriorposterior labral repair, slap repair, capsulorrhaphy patient name. Postoperative rehabilitation protocol slap repair, bankart repair, or biceps tenodesis phase i. Less assertive therapy produces improved motion, strength, patient satisfaction, and functional outcomes. The socket portion of the joint is not naturally deep. Appendix c survey procedures and interpretive guidelines for laboratories and laboratory services.
Jan 02, 2019 for anyone interested in the infracap mlp etf amza please find historical financial statements and portfolio tracking data below. Posterior labral repair protocol weeks 12 objective is to protect healing capsule, allow early, graded, protected motion, prevent stiffness, minimize atrophy, and control pain and inflammation wear sling during the day for 34 weeks sleep in your sling for 34 weeks monitor neurovascular status. Labral repairs are limited by the inherent limitation of softtissue healing to bone. 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. Arthroscopic labral repair protocoltype ii, iv, and complex tears.
To repair the damaged origin of the long head of biceps tendon slap tear to repair the damaged origin of the long head of biceps tendon slap tear protocol. May discontinue pillow and use sling as needed range of motion. Rehabilitation is similar to that for type ii repair except for biceps activity. The purpose of a slap repair operation is to reattach the. While the postop dressing is in place, icing should be done continuously. Define the protocol to be followed for all patients referred from northwestern orthopedics after the above procedure has been performed. Bankart and slap repair post operative pt protocol revised. Pec major repair pec major repair protocol by dr kevin murphy. Test protocol for comparative evaluation of protective gloves for law enforcement and corrections applications, is a comparative evaluation protocol developed by the office of law enforcement standards of the national institute of standards and technology.
A slap tear can be caused by an acute injury such as a fall onto an outstretched arm, a shoulder dislocation or a motor vehicle accident or it may be due to repetitive overhead activities. Usually most comfortable in a seated position instruct patient in various alternative sleeping positions for early, painful stages i. Slap repair therapy protocol 5 of 4 clinical followup. It is no means intended to be a substitute for ones. Slap superior labrum, anterior and posterior is a lesion that begins posterior in the labrum and extends anteriorly, involving the anchor of the long head of the biceps brachii to the labrum. No active forceful bending of elbow or turning palm up please refer to physician and prescription as additional procedures may have been performed including anterior. Combined slap repair and biceps tenodesis for superior labral anteriorposterior tears article pdf available in knee surgery sports traumatology arthroscopy 2412 september 2015 with 598 reads. The intent of this protocol is to provide the clinician with a guideline of the. Consultation with the surgeon regarding the progression of.
Superior labrum anterior posterior slap repair type i. If in doubt, less is more when doing shoulder rehabilitation. This protocol is designed to serve as a patient guide to rehabilitation following a slap repair procedure. It is extremely important to protect the bicepslabral complex for 6 weeks postoperatively to allow appropriate healing. Each state party shall adopt such legislative and other measures as may be necessary to establish as criminal offences, when committed intentionally and in order to obtain, directly or indirectly, a. Arthroscopic slap repair rehab protocol overall goals control pain and inflammation regain normal strength, endurance and range of motion achieve the level of function based on patient goals this protocol is based upon goalorientated progression. Pdf combined slap repair and biceps tenodesis for superior. Immediately postoperatively, exercises must be modified so as not to place unnecessary stress on. The bankart procedure is performed to increase anterior stability of the shoulder. Devinder garewal mbbs, bmedsci, fracs orth, faortha orthopaedic shoulder surgeon warringal medical centre suite 7, 214 burgundy st, heidelberg, victoria 3084 0 armclinic 0 276 254.
Surgical intervention may involve debridement or repair. The intent was that, going forward, the guidance given in the protocol would be adopted within contracts. Hip labral repair protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. Continue appropriate previous exercises aarom pulley, doorway stretches through full range. Sling use your sling most of the time for the first 2 weeks. Rehabilitation after arthroscopic labrum repair of the shoulder slap phase 0.
The protocol provides useful guidance on how to deal with extensions of time and associated compensation for additional time and resource costs. The tendon of the biceps muscle also attaches to the labrum in this area and may also be affected by the injury. Slap lesion type ii repair rehabilitation program gundersen. Pectoralis major tendon repair post surgical rehabilitation. Achieving the criteria of each phase should be emphasized more than the approximate duration. Slap lesion is a superior labral buckethandle tear that extends into the biceps tendon. Interval throwing program for little league age athletes.
Ders designated employer representatives are required to be onsite during the collection process and will need to assist with the following. Notify the employee, advising himher to report to midwest toxicologys. This rehabilitation protocol has been developed for the patient following a slap superior labrum anterior posterior repair. Once the dressing is removed on the first or second day, ice is applied for 20minute periods 34 times per day. Kastlemeyer test this laboratory protocol or part thereof has been provided as an example of a laboratory sop, courtesy of the illinois state police. Physical therapy protocol shoulder anteriorposterior.
The tracking data is from august 20, 2018 through today january 2, 2019. Early passive range of motion is highly beneficial to enhance circulation within the joint to promote healing. Each patient is different and should be treated according to their tolerance in therapy. This acronym stands for superior labrum from anterior to posterior. Arthroscopic labral repair protocoltype ii, iv, and. Slap type ii repairbiceps tenodesistenotomy protocol. Each phase is adaptable based on the individual and special circumstances.
It also may include repeated psychological abuse, sexual assault, progressive social isolation, deprivation, intimidation, or economic coercion. Slap lesions, or tears of the labrum superior labrum, anterior. Rehabilitation guidelines for slap lesion repair uw health. Surgical intervention may involve debridement or repair depending on the size of the tear, the mechanism of injury and the age of the patient.
Lapb sessions can be established by either the dte or dce. The patient will followup monthly or as needed between 4 and 6 months postop the patient will return at 6 months postop for the final time to see the physician and the therapist. Domestic violence protocol definition domestic violence is a pattern of coercive behaviors that involves physical abuse or the threat of physical abuse. Time frames allow for optimal healing, and should be used as criteria for advancement along with a patients functional ability. There is a special technique to establish a label that is associated with either a preset or a zone.
Pt protocol slap repair michael j rytel, md greater pittsburgh orthopaedic associates phase 1. Uva sports medicine university of virginia school of. Summary table post op phasegoals range of motion therapeutic exercise precautions phase i 0 4 weeks after surgery goals. General information there may be a loss of external rotation when compared to the other side, but the motion is. Arthroscopic debridement of type i and iii slap lesions protocol the intent of this protocol is to provide the clinician with a guideline of the postoperative. The glsm slap type ii repair rehabilitation program is an evidencebased and soft tissue healing dependent program allowing patients to progress to. This mea ns that it is very rare to have to spend the night in the hospital. The humeral head rests in a shallow socket on the scapula called the glenoid. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making.
Apr 03, 2017 when we receive a script from a surgeon to treat a slap repair he or she is more than likely talking about a type ii slap and surgery to reattach the labrum and biceps anchor. Contact ohio state sports medicine at 6142932385 if questions arise. Bp production casing operations procedures, april 12, 2010 bp. Bankart repair protocol northeast orthopedics and sports. No lifting more than 2 pounds with the affected arm. Bankart and slap repair post operative pt protocol please contact the uwmc shoulder and elbow team with any questions. Lapb is used to manage communication and packet framing between data terminal equipment dte and the data circuitterminating equipment dce devices in the x. It has been included for training and example purposes only. During scheduling session provide copies andor identify web access for all relevant documents guiding the visits.
The lhbt may be reattached, or may have undergone a tenodesis or tenotomy. Npi is very personable and look at everyones computer issue the same i feel no matter if single person or huge corporation. Labels that identify the preset or zone being scanned are co m mon. Slap lesion repair protocol northeast orthopedics and. The usda inspector was doing what usda inspectors do best. A specific rehabilitation program is dependent on the severity of the pathologyinjury and should specifically manage the healing and requirement of. Your shoulder is the most mobile joint in your body and is therefore dependent on strong muscles, ligaments and a rim of. Protocol for the fact of having been the object of conduct set forth in article 6 of this protocol. Continue sling x 4 weeks after surgery while sleeping and walking no lifting of anything heavier than a cup of coffee 8 ounces directions for physical therapist. Regardless of whether the action is labeled a suspension, the unapproved animal activity still constitutes serious noncompliance with the phs policy iv. Th e full recovery from these procedures occurs after 69 months.
Bankart repair protocol vanderbilt university medical center. Labral fraying is also part of the normal aging process. All test samples shall be wired in a series circuit in accordance with table 1 and. Surgical repair of the pectoralis major tendon rupture has been shown to provide superior outcomes regarding strength return. This laboratory protocol or part thereof has been provided. Pectoralis major tendon rupture is a rare shoulder injury, most commonly seen in weight lifters. Rehabilitation guidelines after surgery, sports medicine. Phenolsulfuric acid mannose detection assay jason fan november 9, 2015 bowdish lab, mcmaster university hamilton, on, canada. Arthroscopic type ii slap repair rehabilitation protocol. Weeks 0 6 restrictions no active range of motion exercises before 6 weeks. Arthroscopic labral repair protocol, ii, iv, and complex tears.
Because the head of the humerus much larger than the glenoid, a soft fibrous tissue labrum called the labrum surrounds the glenoid to help deepen and stabilize the joint. Treatment will follow the defined protocol below and be carried out by physical. Arthroscopic labral repair protocol type ii, iv, and complex tears. Avoid heavy pushing, pulling or lifting directions for physical therapist. Obtain pain free passive and active rom with appropriate mechanics. Rehabilitation after arthroscopic labrum repair of the shoulder slap phase one. This injury is being seen more regularly due to the increased emphasis on healthy lifestyles. Isolated slap repair rehabilitation protocol this protocol was developed for patients who have had an isolated slap repair. Laboratory gross errors are events in the laboratory that may produce erroneous results and can be usually attributed to either analyst related errors or instrument related errors. For 4 weeks, worn at all times unless performing hep bicep. Physical therapy standards of care brigham and womens. Slap archives mike reinold feel, move and perform better. Slap lesion repair protocol slap lesion repair protocol this rehabilitation protocol has been developed for the patient following a slap superior labrum anterior posterior repair. Phase i immediate post surgical phase protected motion days 1 to week 6 04 weeks.
Reprint permission for illustrations and photos is. Slap repair biceps tenodesis new west sports medicine. Shoulder arthroscopy and slap repair day of surgery a. If patient has a concomitant injury repair such as a rotator cuff repair treatment will vary consult with surgeon. Pectoralis major repair rehabilitation protocol phase 1. The special courtesy tickets and special event tickets will then be available for collection from the office of the protocol and liaison service in room s0200 one day prior to the address of the head of. Aarom permitted at 4 weeks with good rom, good quality tissue at repair site and minimal pain passive rom exercises only r anges dictated by safe shoulder motion in the operating room 90 of forward flexion. The intent of posting these standards of care and protocols is to provide clinicians and patients.
Protocol manual, d protocol march 2, 1999 pelco d protocol page 6 of 8 c reating l abels many devices have the ability to display labels on the video. Protective phase day 1 to week 6 weeks 02 shoulder sling x 6 weeks sleep in sling x 3 weeks shoulder, elbow, and hand rom no resisted active isolated biceps. This is because the articular surface of the round humeral head is approximately four times greater than that of the relatively flat shoulder blade face glenoid fossa1 figure 1. Three distinct subcategories of type ii slap lesions have been further identified by morgan et al. Contact dr kevin murphy at 9046340640 to know more. Purpose of the abductor pillow is to keep tension off of the repair, avoid adduction. Slap repair therapy protocol 2 of 4 the cryo unit or gel ice packs should be used during this phase to control pain and swelling clinical followup. Labral repair surgery involves reanchoring or trimming the torn piece of cartilage.
Because the head of the humerus much larger than the. Arthroscopic slap repair protocol sports and orthopedic. Work with district liaison to schedule school visits. It is extremely important to protect the bicepslabral complex for 6 weeks postoperatively to allow appropriate. Some may view this as an unauthorized significant change from a previously approved protocol, while others may simply call it a new activity conducted without a protocol. Keep the abductor pillow in for the 4 weeks as well. Pdf etiology, diagnosis, and management of failed slap repair.
Essentially full time with abduction pillow 36 weeks. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus ball and the glenoid portion of the scapula socket. Protect anatomic repair allow healing of repaired labrum promaarom. The procedure is usually performed arthroscopically and is, in most cases an outpatient day surgery procedure. Patient will return to see both physician and therapist at 4. The following is a guideline for progression of postoperative treatment. Arthroscopic debridement of type i and iii slap lesions.
Postoperative protocols in this procedure, the superior labrum and biceps anchor is reattached to the superior glenoid or upper humerus. This protocol provides you with general guidelines for the postoperative rehabilitation of the patient following an arthroscopic slap repair. Patient will be released from the hospital the same day as surgery. Pec major repair protocol is a rehabilitation protocol to provide patient with the guidelines following a pectoralis major tendon surgery.
Patients with additional surgery will progress at different rates. 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 labral repair. Sling immobilization at all times except for showering and rehab under guidance of pt. Lapb is essentially hdlc in asynchronous balanced mode abm. Protective phase day 1 to week 6 weeks 02 shoulder sling x 6 weeks sleep in sling x 3 weeks shoulder, elbow, and hand rom no resisted active isolated biceps activity elbow. Slap tear can happen traumatically or in response to repetitive activity like throwing. 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 assistedminiopen rotator cuff repair. Test lab procedural manual tcxxxxxxxx initial release samtec, inc. Rehabilitation protocol for rotator cuff repair this protocol is intended to guide clinicians and patients through the postoperative course of a rotator cuff repair. Anterior cruciate ligament functional sports asssessment. Uw health s sports medicine sports rehabilitation physical therapists and athletic trainers in madison, wisconsin, help injured athletes return to. Northern protocol computers in barrie ontario canada is awesome computer repair facility and much better than staples or some huge chain place like that where you are just a number.
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