University of Wisconsin Sports Medicine (2011). … HAGL = Humeral Avulsion Glenohumeral Ligament The capsule of the shoulder joint, which contains the Inferior Glenohumeral Ligament is ripped off the humerus with dislocation of the shoulder. Rehabilitation Protocol for Bankart Repair This protocol is intended to guide clinicians and patients through the post-operative course of a Bankart repair. Shoulder. Arthrosopic Anterior Stabilization. ACL Reconstruction with Meniscus Repair or Microfracture. Phone: 1.617.724.7300 Bankart and SLAP Repair Post Operative PT Protocol Revised . St. Elizabeth’s Medical Center’s Boston orthopedic surgeons work with a team of dedicated clinical staff and assistants to ensure safe, high quality, expert care throughout the surgery process. This protocol provides you with general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. The intent of this protocol is to provide the clinician with a guideline of the post- operative rehabilitation course of a patient that has undergone an arthroscopic anterior stabilization procedure. If there is a tear below the middle of the glenoid, Dr. Gill will reattach the ligament to the glenoid (Bankart repair). If the capsule is found to have torn away from the bone, three holes are made in the glenoid rim. Anterior Labral Repair Adopted 5/09 1 General Principles: This protocol was designed to provide the rehabilitation professional with a guideline of postoperative care. Referring Physician will assign patient’s WB status depending on the type of repair and the quality of patient’s tissue. Precautions ! repair instability and restore function of dislocated shoulders. Immobilizer use: a. Dr. Gill will need to repair and reattach the tendon, using suture anchoring devices. If there is a tear below the middle of the glenoid, your doctor will reattach the ligament to the glenoid (Bankart repair). SHOULDER ARTHROSCOPY WITH POSTERIOR LABRAL REPAIR REHABILITATION PROTOCOL General Notes As tolerated should be understood to include with safety for the surgical procedure; a sudden increase in pain, swelling, or other undesirable factors are indicators that you are doing too much too soon. Achieving the criteria of each phase should be emphasized more than the approximate duration. Arthroscopic or Open Anterior Stabilisation (Bankart repair) Protocol: The intent of this protocol is to provide the physiotherapist with a guideline of the post-operative rehabilitation course of a patient who has undergone an open or arthroscopic Bankart … The general treatment for a variety of shoulder procedures involves protection of the repair, stretching/mobilizing tight or restricted structures, strengthening the rotator cuff and strengthening and retraining the scapular musculature. Rehabilitation Protocols by Wilk, Reinold, and Andrews Kevin Wilk, DPT, Mike Reinold DPT, SCS, CSCS, and James Andrews, MD have created some of the most widely used, published, cited, and respected rehabilitation protocols based on exactly how they progress their patients. Hip Arthroscopy. • Maintain elbow, wrist and hand function. Anatomy and Biomechanics . Arthroscopic Bankart Repair Rehab Protocol. This rehabilitation protocol has been developed for the patient following an arthroscopic Bankart surgical procedure. The protocol is divided into phases. Each phase is adaptable based on the individual and special circumstances. Physiotherapy Protocols 403 - 233 Nelson’s Crescent New Westminster BC V3L0E4 _____ Arthroscopic Bankart Repair: Postoperative Protocol (Anterior Shoulder Instability) This procedure is normally the result of extreme laxity in the anterior capsule requiring surgical intervention to shrink the area. Advanced Continuing Education Institute, LLC. Bankart Repair/Anterior Capsulorrhaphy Rehabilitation Guideline Bankart Repair/Anterior Capsulorrhaphy Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. It is designed for rehabilitation following Current surgical methods typically employ sutures and suture anchors to repair the labrum and retension the glenohumeral ligaments, 3, 10, 45, 52 producing outcomes similar to open instability repair. For this reason the shoulder is the most mobile joint in the body. Bankart Repair Protocol Bankart Repair Protocol This rehabilitation protocol has been developed for the patient following Bankart surgical procedure for anterior shoulder instability. Additionally, there are many variations in physician-recommended physical therapy protocols. Arthroscopic Debridement of Type I and III SLAP Lesions Protocol Rotator Cuff Repair Protocol. The repair is generally done through a minimally invasive approach called arthroscopic surgery. This is an injury that is probably associated with a higher risk of recurrent dislocations than a Bankart tear. 1 Rev. To serve as a guide to physical therapy following your surgery, this section contains rehabilitation protocols specific to your procedure. As the shoulder pops out of joint, it often tears the labrum, especially in younger patients. A HAGL tear can be difficult to diagnose and should always be suspected. Bankart Repair Primary Surgery: Repair of Bankart Lesion, which is a detachment of the AIGHL/capsulolabral complex from the anterior glenoid neck, usually caused by traumatic anterior dislocation Precautions: Primary repair - Avoid “High 5 / Low 5" positions If Open repair1: No active IR for 4 weeks. ACL Reconstruction. Patellar Fracture with ORIF PROTOCOL-(Dr. Rolf) Brace locked at 0 degrees for ambulation for 6-8 weeks with use of bilateral axillary crutches. It should be stressed that this is only a protocol and should not be a substitute for clinical decision making regarding a patient’s progression. Fowler Kennedy Sport Medicine Clinic (2015). Posterior Labral Repair Adopted 8/09 1 General Principles: This protocol was designed to provide the rehabilitation professional with a guideline of postoperative care. Patients with additional surgery will progress at different rates. In some instances, an open procedure is performed in which the muscles are separated to expose the shoulder capsule. posterior labral repair protocol If you've been suffering from either Plantar Fasciitis or Posterior Tibial Tendonitis for more than a couple of weeks, chances are very good that your condition is actually not tendonitis or fasciitis at all (i.e., not inflammation), but an actual degeneration of the tissue. The protocol is based on protecting the repair in the initial phase, gradually restoring mobility, strength and control in the later phase. Please note this protocol is a guideline. Rotator Cuff Repair Protocol (Large Tears). Figure 4 Fixation of the Bankart tear using three suture anchors in the boney glenoid and sutures approximating the labrum back to the boney glenoid Figure 3 Bankart tear (anterior labral tear) When looking at a right shoulder it would 55 Fruit Street, Suite 3G, 3200 . Bankart and SLAP Repair Post Operative PT Protocol Please contact the UWMC Shoulder and Elbow Team with any questions. SLAP Repair Protocol . This protocol was developed for patients who have had a reverse bankart repair. This can be done surgically with an arthroscopic technique or an open technique. Specific … For this reason the shoulder is the most mobile joint in the body. It is not intended to be a substitute for one’s clinical decisionmaking. Dr Kevin Kaplan is an orthopaedic surgeon and sports medicine specialist in Jacksonville, FL. This protocol is intended to be a general outline only. The socket portion of the joint is not naturally deep. Information regarding your pre-operative instructions and care can be found here. Rehabilitation After surgery, you will need to keep your shoulder in … Download PDF. • Allow for decreased inflammation and healing. Fowler Kennedy Sport Medicine Clinic (2015). ACL Reconstruction with Allograft or Hamstring Autograft AND Mensical Repair: Post-op Protocol 2019-10-21T15:50:16-04:00 This protocol is intended to be a general outline only. Bankart Repair Protocol . Rehabilitation Guidelines for Arthroscopic Capsular Shift. Progression should be tailored to the individual patient but the times quoted should be the earliest for mobility and strengthening exercises to begin. Thomas Sanders MD RE-ENTRY THROWING PROGRAM Criteria for Entry 1. It is designed for rehabilitation following Arthroscopic Bankart repair /Anterior Capsulorrhaphy procedure. Bankart Repair/Anterior Capsulorrhaphy Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Title: Brigham & Women's Hospital - Shoulder Rehabilitation Protocols TABLE OF CONTENTS: 1) Arthroscopic Rotator Cuff Repair Protocol 2) Arthroscopic Anterior Stabilization (with or without Bankart Repair) 3) Latissimus dorsi tendon transfer protocol ARTHROSCOPIC POSTERIOR BANKART REPAIR Phase I – Protection Phase/Immediate Motion (0 – 6 Weeks post-op) NOTE: Avoid any internal rotation of the glenohumeral joint. Brownsburg, IN 46112 P 317.26.3634 • F 317.26.3695 Posterior Labral Repair Physical Therapy Protocol Phase I: Protection (Weeks 0 to 6) Gradual return to ADL’s at home ! Arthroscopic Rotator Cuff Repair Protocol: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone an arthroscopic assisted/mini-open rotator cuff repair. In addition to the fine group of physicians, the entire practice is … Satisfactory functional testing Patellar Tendon Repair. o Sling immobilization at all times (in flexion, abduction and 0° of rotation) except for showering and ! The tear is to part of the labrum called the inferior glenohumeral ligament. Advanced Continuing Education Institute, LLC. If you have questions, contact the referring physician. is the Founder and Director of the Boston Shoulder Institute. Simply put, the torn labrum is freed up from where it has scarred to and then repaired to its native attachment point on the glenoid. Posterior Bankart Repair Rehabilitation Protocol (Arthroscopic or Open) 0-2 weeks post-op (may begin these the day after surgery): Keep arm in sling/immobilizer at all times Remove arm from sling three times per day for the following therapeutic exercises: Arthroscopic Anterior Stabilization (with or without Bankart Repair) Arthroscopic Debridement of Type I and III SLAP Lesions. “A Simplified Approach for Arthroscopic Repair of Rotator Cuff Tear with Dermal Patch Augmentation," Advances in Orthopedic Surgery, vol. Rehabilitation Protocols by Wilk, Reinold, and Andrews Kevin Wilk, DPT, Mike Reinold DPT, SCS, CSCS, and James Andrews, MD have created some of the most widely used, published, cited, and respected rehabilitation protocols based on exactly how they progress their patients. The plan of care should be based upon the patients clinical exam and individual goals. Posterior Bankart Repair Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. is detached, the result is an unstable biceps attachment. The Bankart repair procedure can be performed either through an open incision or much more commonly, arthroscopically. Jon “JP” Warner, M.D. Mumford procedure rehab protocol Do not elevate surgical arm above 70° in any plane for the first 4 weeks post-op Do not lift any objects over 5 pounds with the surgical arm for the first 6 weeks The protocol is divided into phases. 2019. Rehabilitation protocols. Shoulder Bankart Repair – Young Patient Post-op Protocol 2019-10-21T15:36:08-04:00. Anterior Bankart Repair/Capsulorrhaphy Must keep the end feel firm for the first four months Better to keep the end feel firm rather than loose In sling for 6 weeks Never allow the surgical UE to be in a position of ER and Abduction No pulleys for 6 weeks Listed below are physical therapy (PT) protocols categorized by physician. Contact us at 617-779-6500 to make an appointment or for more information. MD follow up at 3 weeks post op to clear for PT 3-6 Weeks post-op: ! HAGL Injury. It is no means intended to be a … Because of the loss of anterior stability when the Abbott Northwestern, Buffalo, Mercy and United Hospitals were recognized as a 2020 Blue Cross Blue Shield Blue Distinction Center + for Knee and Hip Replacement. 2019. the glenoid. https://www.orthovirginia.com/sumida/pt-posterior-bankart-repair Each phase is adaptable based on the individual and special circumstances. Speer has reported that in order for a shoulder dislocation to occur, a Bankart lesion must be present and also soft tissue trauma must be present on both sides of the glenohumeral joint capsule.. UBE no resistance ! Arthroscopic Anterior Stabilization (with or without a Bankart Repair) Protocol Arthroscopic Anterior Stabilization (with or without a Bankart Repair) Protocol Published on … Distal Triceps Repair 2019-10-21T16:55:27-04:00 This protocol is intended to be a general outline only. 2) Wilk KE. Department of Rehabilitation Services Physical Therapy. Sling for 4 weeks (unless specified per MD order) Hamilton Orthopaedics, Spine and Sports Medicine is an impressive practice and a great place to be a patient. Anatomy and Biomechanics . Dr. Xinning Li, Associate Professor of Orthopaedic Surgery at the Boston University School of Medicine and Team Physician for the Boston University athletics, has a strong clinical interest in both Sports Medicine and Shoulder & Elbow surgery. The protocol is divided into phases. The Gundersen Health System Rehabilitation Programs are evidence-based and soft tissue healing dependent programs designed to allow patients to progress to vocational and sport-related activities as quickly and safely as possible. The intent is to provide the therapist with a general framework. Achieving the criteria of each phase should be emphasized more than the approximate duration. No PT or the first 3 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). The rate of progression will vary based upon the degree of instability and persistence of symptoms. Manage pain and swelling/modalities prn ! Normal, pain free muscle strength 3. Bankart repair approaches 97%. BANKART REPAIR REHABILITATION PROTOCOL (Arthroscopic/Open) This protocol was developed for patients who have had a bankart repair. A Bankart repair is a surgical procedure to prevent recurring anterior shoulder dislocations due to instability in the back of the shoulder. • Maintain scapular control. It is no means intended to be a substitute for one’s Hours We are open convenient hours for appointments Monday through Friday 7:30 am to 6:30 pm. attachment. Use of a sling only as needed or prescribed - Okay to shower once dressings are changed (Day 1) Arm is restricted from these movements for 4 weeks: extension (backwards) past the plane of the body; 3) Wilk KE. Posterior Bankart/ SLAP Repair: Rotator Cuff Tear - Non Repair: S/P Arthroscopic Partial Menisectomy: S/P Meniscal Repair: Total Shoulder Arthroplasty or Resurfacing Hemiarthroplasty Outpatient Therapy Protocol: Type I Rotator Cuff Repair: Type II Rotator Cuff Repair: Total Knee Replacement Anterior Stabilization/Bankart Repair *If surgery was performed by Dr. VanThiel, please see vanthielmd.com for therapy protocol. The protocol is divided into phases. Bankart lesions can result from a single dislocation or from recurrent dislocations. Studies have shown that traumac shoulder dislocaons result in recurrent instability. Arthroscopic Anterior Bankart Repair. Ankle Ligament Reconstruction Rehabilitation Protocol . Background: Outcomes after arthroscopic Bankart repair can be highly dependent on compliance and participation in physical therapy. Do not even measure internal rotation at the time of initial evaluation. Start P.T. PCL Reconstruction. OrthoNC is requiring ALL patients & visitors to wear a MASK for any appointment. Arthroscopic Revision Anterior Bankart Repair. Total Shoulder or Reverse Arthroplasty Protocol Dr. DeVries. PrintedName Physician Signature Date Anterior Instability/Bankart Repair Protocol David E. Hartigan, M.D. Initial Visit: Dressing change . Full, pain free ROM 2. soft tissue lesions, and the typical finding is a Bankart lesion with or without capsular laxity.|| Numerous biomechanical studies have supported this observation.3,8,15,39,44,48 Soft tissue repair,using either open or arthroscopic techniques,has been shown to have a very high rate of success.2,6,9,16,20,33,37,49 In Goals: • Protect glenohumeral joint capsule. Patients with additional surgery will progress at different rates. Each year, Allina Health is recognized nationally and locally for our exceptional expertise and care. Arthroscopic Anterior Stabilization (with or without Bankart Center Repair): The intent of this protocol is to provide the clinician with a guideline of the post- operative rehabilitation course of a patient that has undergone an arthroscopic anterior stabilization procedure. The essential components of the procedure are the same no matter which technique is used. Arthroscopic Anterior Stabilization (with or without Bankart Repair): The intent of this protocol is … 4/16 Corey Kendall, MD 7950 rtho Ln. The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports Medicine physical therapy team and sometimes, other healthcare providers. repair include less surgical trauma to the adjacent tissue in the shoulder and improved outcomes. • Begin passive abduction and forward flexion 1. It is not intended to be a … It is designed for rehabilitation following Arthroscopic Posterior Bankart repair. protocol into an appropriate treatment plan. rehabilitation guidelines For SLap Lesion repair 2 bony glenoid.4 This is repaired surgically by placing suture anchors (Figure 3) in the glenoid fossa, passing sutures through the labrum and then tying special surgical knots to approximate the labrum back to the bony glenoid rim. Autologous matrix-induced chondrogenesis, which is also known as AMIC, is a biological treatment option for articular cartilage damage bone marrow stimulating technique in combination with a collagen membrane. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. The degree of recurrent instability is related to the paent’s age and sport/ac0vity level. BANKART REPAIR REHABILITATION PROTOCOL (Arthroscopic/Open) This protocol was developed for patients who have had a bankart repair. Please note this protocol is a guideline. Patients with additional surgery will progress at different rates. The most common form of shoulder ligament injury is the Bankart lesion, where the ligaments are torn from the front of the socket. Anterior Stabilization of the Shoulder: Latarjet Protocol The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone a Latarjet procedure for anterior stabilization. If subscap repair, use caution and see subscap protocol ... Brigham and Women’s Hospital: Arthroscopic Anterior Stabilization (with or without Bankart repair) The physician reserves the right to either advance or delay this protocol as … Anterior Labrum Repair Protocol Stage I (0-4 weeks): Key Goals: • Protect the newly repaired shoulder. Meniscal Repair. The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. Each phase is adaptable based on the individual and special circumstances. rehab under guidance of PT ! The intent of this protocol is to provide the clinician with a guideline of the post- operative rehabilitation course of a patient that has undergone a Biceps Tenodesis for biceps dysfunction. The physician reserves the right to either advance or delay this protocol as deemed necessary. The open technique involves a small incision in the front of the shoulder. No IR strengthening for 6-8 weeks. The physician reserves the right to either advance or delay this protocol as deemed necessary. Faculty.washington.edu DA: 22 PA: 50 MOZ Rank: 89. Progression of treatment from one phase to the next is Please call 302-831-8893 to schedule an appointment.. Your doctor will need to repair and reattach the tendon, using suture anchoring devices. Please note this protocol is a guideline. Open Anterior Stabilization (with or without Bankart): The intent of this protocol is to provide the clinician with a guideline of the post- operative rehabilitation course of … Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair Partial Meniscectomy or Debridement. MPFL Reconstruction. Postoperative rehabilitation protocols for ankle, elbow, hip, hand, knee, shoulder and spine. WITH ARTHROSCOPIC BANKART REPAIR PHASE I (SURGERY TO 6 WEEKS AFTER SURGERY) DATES: Appointments Begin physical therapy 4-10 days after surgery Rehabilitation Goals • Protect the post-surgical shoulder • Activate the stabilizing muscles of the gleno-humeral and scapulo-thoracic joints. Parking Patient parking is … When the inferior glenohumeral ligament is torn, this is called a Bankart tear. 4) Brigham and Women’s Hospital: Arthroscopic Anterior Stabilization (with or without Bankart repair) 5) JOSPT. Hypothesis: The rehabilitation protocols of academic orthopaedic surgery departments vary widely despite the presence of consensus protocols. Patient Name Date of Surgery Procedure: Right Left Shoulder Anterior Stabilization/Bankart Repair Associated Osseous Procedure: (check if applicable) Osseous Bankart repair Evaluate and Treat Provide patient with home program This entity was founded in 2000 for the purpose of improving shoulder care using patient education and transparency in outcomes reporting. 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). The risks of the surgery include but are not limited to: Infection Nerve injury Failure of the repair/recurrent instability Stiffness in the shoulder Pain, postoperative and/or persistent Arthritis Blood clots Postoperative Instructions Immediately post-operatively, exercises must be modified so as not to place Please note these are meant to be guidelines for rehabilitation to be followed by a certified physical or occupational therapist. This is called a Bankart repair.
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