|
|
rotator cuff tear and bicep tendon
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
rotator cuff tear and bicep tendon - November 2, 2003 3:30:00 PM
|
|
|
040670
Posts: 1
Joined: November 1, 2003
Status: offline
|
I had a repair for a ruptured bicep tendon and rotator cuff. My doctor did not really explain much and I have to go to PT now. What type of repair do they do and is this the same as a slap lesion. What should I not do in PT or at home- I am scared of tearing it
THanks
|
|
|
|
|
Re: rotator cuff tear and bicep tendon - November 2, 2003 3:38:00 PM
|
|
|
PTupdate.com
Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline
|
Unfortunately there are too many different types of procedures to try an provide you with any help. Perhaps once you start PT, your therapist can ask for a copy of your operative report, which will enable them to guide your rehab more efficiently and even explain to you what was done.
A SLAP lesion is kind of tied hand-in-hand with the biceps tendon, but is a tear of the labrum that holds the ball in the socket. SLAP stands for Superior Labrum Anterior to Posterio, and describes the location and shape of the tear.
John Duffy, PT OCS [URL=http://www.PTupdate.com]www.PTupdate.com[/URL]
|
|
|
|
|
Re: rotator cuff tear and bicep tendon - November 2, 2003 5:58:00 PM
|
|
|
coloradojulie
Posts: 413
Joined: November 10, 2002
From: colorado usa
Status: offline
|
My understanding of these procedures are as follows (our orthos do yearly cadaver dissection of shoulder and knee for the PTs and others so this is still fresh)
Biceps: In many cases, if it is a Grade one to three slap lesion, they will anchor it in place (bone anchors), if the tear is severe they will perform a tenodysis meaning they will relocate the origin of the biceps to the proximal humerous again using bone anchors. As John explained you can clarify this in your operative report with your PT. Occaisionally if the biceps is dammaged it will be amputated completely (long head) and may scar down in the bicipital groove, or you will have a "pop-eye" looking arm as the tendon is pulled away from its origin.
With a biceps repair the precautions we see here are no resisted biceps work (flexion of the arm and or elbow and no resisted supination) for 4-6 weeks. Range of motion is Passive/active assist with no directional limitations.
Rotator Cuff repair: Generally a "trough" will be created in your humerous followed by the tendon being pulled into postion and sutured or anchored to the trough, creating a new insertion. You may also check out the Wheeless Orthopedic website for more specific surgical descriptions.
After repair we typically see passive range of motion for 6 weeks, followed by active/weight of arm for 4 weeks followed by strength progression. There are no range limitations with passive range of motion.
So with the combined repair, you would be allowed to passive/active assist stretch routine for the first six weeks with no range of motion limits (now if it was your subscapularis, you might not be allowed to externally rotate or abduct and externally rotate beyond 90) Again, as John said you will need to clarify the procedure and tendon repaired with your PT.
Keep in mind also there is a huge huge variation in physician protocol and some are more aggressive and some are more conservative. In my experience, the sooner you start rehab...meaning day 2 to 3 post op the better. One of the best surgeons in the country is one of the most conservative docs we work with, not sending his patient to therapy until 6 WEEKS after repair, needless to say he didn't get full motion!
Be wary of all of the stories people tell you about their shoulder surgery or things you read. Alot depends on your individual injury, repair and situation.
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.078
|
Printable Version
