Slap repair with biceps tenodesis protocol. Avoid active elbow flexion/supinatio...
Slap repair with biceps tenodesis protocol. Avoid active elbow flexion/supination or isolated biceps Rehabilitation following tenodesis will progress more slowly over the first 2-4 weeks to protect healing biceps tendon. The normal Arm hangs Wrist and hand AROM Gripping exercises (ball, sponge) Elbow/forearm PROM Progressing to AAROM at 4 weeks if biceps tenodesis was done Cervical and thoracic spine mobility exercises / Rhythmic stabilization ER & IR in scapular plane Flexion, extension, ABD & ADD at various angles of elevation Supine to standing diagonal patterns; D1 & D2 Resisted biceps curl, supination, and Rehabilitation Protocol: Superior Labral (SLAP) Repair with Biceps TenodesisPostoperative rehabilitation protocol outlining phased recovery Considerations for the Post-operative Biceps Tenodesis Many different factors influence the post-operative biceps tenodesis rehabilitation outcomes, including pre-operative tissue quality, shoulder Protocol following Biceps Tenodesis Rehab protocol for Dr. Austin Crow MD Post-operative Rehabilitation Protocol SLAP Repair, Bankart Repair, or Biceps Tenodesis Phase I: Protective Phase (day 1 to week 6) Weeks 0-2 Shoulder sling x 6 weeks Post-operative Rehabilitation Protocol SLAP Repair, Bankart Repair, or Biceps Tenodesis PT= Physical Therapist SLAP- superior labral tear from anterior to posterior Type II: pulls off bicipital attachment and therefore anchor of the long head of the biceps is destabilized Biceps tenodesis- Definitions: SLAP- superior labral tear from anterior to posterior Type II: pulls off bicipital attachment and therefore anchor of the long head of the biceps is destabilized Biceps tenodesis- involves detaching Background & General Considerations Superior Labrum from Anterior to Posterior (SLAP) Tears: At times athletes collect minor injuries to the rotator cuff and/or labrum that progress to unstable . Austin Crow MD Post-operative Rehabilitation Protocol SLAP Repair, Bankart Repair, or Biceps Tenodesis Phase I: Protective Phase (day 1 to week 6) Weeks 0-2 Shoulder sling x 6 weeks Tensile loads of the superior labrum would require a pull of the biceps upon the superior labrum. A protocol for physical therapy after surgery to repair or detach the long head of the biceps tendon in the shoulder. The biceps anchor is intact. Consultation with the surgeon as well as a review of the operative report should be Post-operative Rehab Protocol Bankart Repair, SLAP Repair or Biceps Tenodesis PHASE I: Protective Phase (day 1 to week 6) SLAP (Superior labral Anterior to Posterior) Repair Protocol Type I SLAP Tear: Degenerative fraying of the superior labrum. Includes interventions, precautions, criteria to progress, and return-to-sport considerations. Background Indications for tenodesis include partial tears >25%, tendon subluxation, recalcitrant tendinopathy, chronic tendon atrophy, and impingement, SLAP, or rotator cuff treatment. It includes goals, precautions, exercises and progression phases for different types of 60 protocols were included Most variability: Time until full ROM and biceps strengthening Least variable: Time in sling & scapular strengthening A lack of specificity within protocols in what return to throwing A time- and criterion-based guide for post-operative SLAP repair-type II patients. The biceps attachment to the labrum is intact. Michael Gerhardt *Patient is required to complete stretching exercises 3 times per day. Type Biceps Tenodesis/SLAP Repair: Postoperative Protocols In this procedure, the superior labrum and biceps anchor is reattached to the superior glenoid or upper humerus.
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