MD follow up at 3 weeks post op to clear for PT 3-6 Weeks post-op: ! Bankart Repair Protocol Bankart Repair Protocol This rehabilitation protocol has been developed for the patient following Bankart surgical procedure for anterior shoulder instability. 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 For this reason the shoulder is the most mobile joint in the body. 1 Rev. 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. 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 Arthroscopic Anterior Stabilization (with or without Bankart Repair): The intent of this protocol is … 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. 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. When the inferior glenohumeral ligament is torn, this is called a Bankart tear. Parking Patient parking is … Specific … Each phase is adaptable based on the individual and special circumstances. • Begin passive abduction and forward flexion 1. 2) Wilk KE. Please note these are meant to be guidelines for rehabilitation to be followed by a certified physical or occupational therapist. Each year, Allina Health is recognized nationally and locally for our exceptional expertise and care. Anterior Labrum Repair Protocol Stage I (0-4 weeks): Key Goals: • Protect the newly repaired shoulder. 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; 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 Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. • Allow for decreased inflammation and healing. 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 … Arthroscopic Bankart Repair animation from www.shoulderdoc.co.uk This protocol is intended to be a general outline only. The protocol is based on protecting the repair in the initial phase, gradually restoring mobility, strength and control in the later phase. Rehabilitation protocols. protocol into an appropriate treatment plan. Advanced Continuing Education Institute, LLC. Arthroscopic Debridement of Type I and III SLAP Lesions Protocol The physician reserves the right to either advance or delay this protocol as deemed necessary. The socket portion of the joint is not naturally deep. Your doctor will need to repair and reattach the tendon, using suture anchoring devices. 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. It is no means intended to be a substitute for one’s Bankart repair rehabilitation protocol. Each phase is adaptable based on the individual and special circumstances. It is designed for rehabilitation following Arthroscopic Bankart repair /Anterior Capsulorrhaphy procedure. Anatomy and Biomechanics . Jon “JP” Warner, M.D. 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. Please note this protocol is a guideline. As the shoulder pops out of joint, it often tears the labrum, especially in younger patients. Shoulder Bankart Repair – Young Patient Post-op Protocol 2019-10-21T15:36:08-04:00. The most common form of shoulder ligament injury is the Bankart lesion, where the ligaments are torn from the front of the socket. repair instability and restore function of dislocated shoulders. It is not intended to be a substitute for one’s clinical decisionmaking. Bankart Repair Protocol . University of Wisconsin Sports Medicine (2011). 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 Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. 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. Listed below are physical therapy (PT) protocols categorized by physician. 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. Please review our … Hypothesis: The rehabilitation protocols of academic orthopaedic surgery departments vary widely despite the presence of consensus protocols. Post-op instructions for shoulder rehab. 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. Posterior Labral Repair Adopted 8/09 1 General Principles: This protocol was designed to provide the rehabilitation professional with a guideline of postoperative care. Achieving the criteria of each phase should be emphasized more than the approximate duration. Bankart lesions can result from a single dislocation or from recurrent dislocations. BANKART REPAIR REHABILITATION PROTOCOL (Arthroscopic/Open) This protocol was developed for patients who have had a bankart repair. If there is a tear below the middle of the glenoid, your doctor will reattach the ligament to the glenoid (Bankart repair). Abbott Northwestern, Buffalo, Mercy and United Hospitals were recognized as a 2020 Blue Cross Blue Shield Blue Distinction Center + for Knee and Hip Replacement. 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 The tear is to part of the labrum called the inferior glenohumeral ligament. Arthroscopic Anterior Stabilization (with or without a Bankart Repair) Protocol Arthroscopic Anterior Stabilization (with or without a Bankart Repair) Protocol Published on … Please call 302-831-8893 to schedule an appointment.. Thomas Sanders MD RE-ENTRY THROWING PROGRAM Criteria for Entry 1. Bankart and SLAP Repair Post Operative PT Protocol Please contact the UWMC Shoulder and Elbow Team with any questions. attachment. repair include less surgical trauma to the adjacent tissue in the shoulder and improved outcomes. Fowler Kennedy Sport Medicine Clinic (2015). 55 Fruit Street, Suite 3G, 3200 . Immediately post-operatively, exercises must be modified so as not to place The physician reserves the right to either advance or delay this protocol as … Ankle Ligament Reconstruction Rehabilitation Protocol . 3, 23, 44 Therefore, the need for absolute immobilization after arthroscopic Bankart repair has been reexamined in recent years. Anterior Stabilization/Bankart Repair *If surgery was performed by Dr. VanThiel, please see vanthielmd.com for therapy protocol. In some instances, an open procedure is performed in which the muscles are separated to expose the shoulder capsule. Background: Outcomes after arthroscopic Bankart repair can be highly dependent on compliance and participation in physical therapy. 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. No PT or the first 3 weeks ! Dr. Gill will need to repair and reattach the tendon, using suture anchoring devices. 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 The repair is generally done through a minimally invasive approach called arthroscopic surgery. Because of the loss of anterior stability when the Arthroscopic Anterior Bankart Repair. Background: Outcomes after arthroscopic Bankart repair can be highly dependent on compliance and participation in physical therapy. Additionally, there are many variations in physician-recommended physical therapy protocols. Postoperative rehabilitation protocols for ankle, elbow, hip, hand, knee, shoulder and spine. Bankart repair approaches 97%. 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. SLAP Repair Protocol . REHABILITATION PROTOCOL Phase I: Protection Phase/Immediate Motion (0 – 6 Weeks post-op) 0-3 Weeks post-op: ! Advanced Continuing Education Institute, LLC. 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 … He is fellowship trained in both Sports Medicine and Adult Reconstruction (joint replacement) from Harvard’s Brigham and Women’s Hospital in Boston and is a former assistant Team Physician for Harvard University Athletics, Long Island Rough Riders professional soccer club, and Brooklyn College. 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 essential components of the procedure are the same no matter which technique is used. If you have questions, contact the referring physician. Goals: • Protect glenohumeral joint capsule. This entity was founded in 2000 for the purpose of improving shoulder care using patient education and transparency in outcomes reporting. Patellar Fracture with ORIF PROTOCOL-(Dr. Rolf) Brace locked at 0 degrees for ambulation for 6-8 weeks with use of bilateral axillary crutches. is the Founder and Director of the Boston Shoulder Institute. the glenoid. Shoulder. is detached, the result is an unstable biceps attachment. The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. Sling for 4 weeks (unless specified per MD order) 4) Brigham and Women’s Hospital: Arthroscopic Anterior Stabilization (with or without Bankart repair) 5) JOSPT. Immobilizer use: a. Satisfactory functional testing 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. Manage pain and swelling/modalities prn ! Kevin Wilk is the Associate Clinical Director of Champion Sports Medicine in Brimingham, AL, where he works with numerous professional and recreational athletes and … https://www.orthovirginia.com/sumida/pt-posterior-bankart-repair 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. Precautions ! 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.. Hours We are open convenient hours for appointments Monday through Friday 7:30 am to 6:30 pm. 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. 206 598-4288 2 Weeks 3 and 4 after Surgery Directions for Patient: 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: 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. (Modified Bankart Reconstruction) Ramin R. Tabaddor, MD Arlene D. Kavanagh, PA-C This protocol provides general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. The intent is to provide the therapist with a general framework. • Maintain elbow, wrist and hand function. Full, pain free ROM 2. Normal, pain free muscle strength 3. If the capsule is found to have torn away from the bone, three holes are made in the glenoid rim. Do not even measure internal rotation at the time of initial evaluation. The protocol is divided into phases. ARTHROSCOPIC POSTERIOR BANKART REPAIR Phase I – Protection Phase/Immediate Motion (0 – 6 Weeks post-op) NOTE: Avoid any internal rotation of the glenohumeral joint. PCL Reconstruction. Department of Rehabilitation Services Physical Therapy. The physician reserves the right to either advance or delay this protocol as deemed necessary. Patients with additional surgery will progress at different rates. No IR strengthening for 6-8 weeks. Brownsburg, IN 46112 P 317.26.3634 • F 317.26.3695 Posterior Labral Repair Physical Therapy Protocol Phase I: Protection (Weeks 0 to 6) Phone: 1.617.724.7300 Anterior Labral Repair Adopted 5/09 1 General Principles: This protocol was designed to provide the rehabilitation professional with a guideline of postoperative care. Bankart Repair/Anterior Capsulorrhaphy Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. If there is a tear below the middle of the glenoid, Dr. Gill will reattach the ligament to the glenoid (Bankart repair). The Bankart repair procedure can be performed either through an open incision or much more commonly, arthroscopically. Hip Arthroscopy. SLAP Repair, Bankart Repair, or Biceps Tenodesis. Bankart and SLAP Repair Post Operative PT Protocol Revised . Dr. Awowale. Rotator Cuff Repair Protocol (Large Tears). Distal Triceps Repair 2019-10-21T16:55:27-04:00 This protocol is intended to be a general outline only. Dr Kaplan specialises in advanced arthroscopic joint surgery, sports medicine and general orthopaedics. Additionally, there are many variations in physician-recommended physical therapy protocols. ACL Reconstruction. Dr Kevin Kaplan is an orthopaedic surgeon and sports medicine specialist in Jacksonville, FL. Progression should be tailored to the individual patient but the times quoted should be the earliest for mobility and strengthening exercises to begin. 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. 2019. Contact us at 617-779-6500 to make an appointment or for more information. Achieving the criteria of each phase should be emphasized more than the approximate duration. HAGL Injury. 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. Total Shoulder or Reverse Arthroplasty Protocol Dr. DeVries. To serve as a guide to physical therapy following your surgery, this section contains rehabilitation protocols specific to your procedure. This is called a Bankart repair. ACL Reconstruction with Meniscus Repair or Microfracture. UBE no resistance ! 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. 3) Wilk KE. 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. 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. The protocol is divided into phases. 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. Arthroscopic Revision Anterior Bankart Repair. If patient has a concomitant injury/repair (such as a rotator cuff repair) treatment will vary- consult with surgeon. Rotator Cuff Repair Protocol. The rate of progression will vary based upon the degree of instability and persistence of symptoms. Rehabilitation Guidelines for Arthroscopic Capsular Shift. Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair 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. Referring Physician will assign patient’s WB status depending on the type of repair and the quality of patient’s tissue. The socket portion of the joint is not naturally deep. 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 PrintedName Physician Signature Date Anterior Instability/Bankart Repair Protocol David E. Hartigan, M.D. 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: 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. Arthroscopic Anterior Stabilization (with or without Bankart Repair) Arthroscopic Debridement of Type I and III SLAP Lesions. It is not intended to be a … Start P.T. The plan of care should be based upon the patients clinical exam and individual goals. 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 Posterior Bankart Repair Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. 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. Rehabilitation Protocol After Posterior Shoulder Reconstruc1on with or without Labral Repair 333 38th St. New York, NY 10016 (646) 501 7047 newyorkortho.com! “A Simplified Approach for Arthroscopic Repair of Rotator Cuff Tear with Dermal Patch Augmentation," Advances in Orthopedic Surgery, vol. This protocol was developed for patients who have had a reverse bankart repair. Rehabilitation After surgery, you will need to keep your shoulder in … 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). Fowler Kennedy Sport Medicine Clinic (2015). 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. 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 This is an injury that is probably associated with a higher risk of recurrent dislocations than a Bankart tear. Information regarding your pre-operative instructions and care can be found here. Arthrosopic Anterior Stabilization. Download PDF. Rehabilitation Protocol for Bankart Repair This protocol is intended to guide clinicians and patients through the post-operative course of a Bankart repair. A HAGL tear can be difficult to diagnose and should always be suspected. A Bankart repair is a surgical procedure to prevent recurring anterior shoulder dislocations due to instability in the back of the shoulder. Hamilton Orthopaedics, Spine and Sports Medicine is an impressive practice and a great place to be a patient. 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. 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. If subscap repair, use caution and see subscap protocol ... Brigham and Women’s Hospital: Arthroscopic Anterior Stabilization (with or without Bankart repair) at 2-3 weeks from surgery . Boston, MA 02114. 4/16 Corey Kendall, MD 7950 rtho Ln. modification of this protocol (time frames) as our standard protocol for the management of patient’s s/p arthroscopic debridement of type I and III SLAP lesions. It is designed for rehabilitation following Arthroscopic Posterior Bankart repair. Patients with additional surgery will progress at different rates. If any of these occur, decrease activity level and ice. 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. Meniscal Repair. This is called a Bankart repair. 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. Anatomy and Biomechanics . Prior to initiation of interventions the It is no means intended to be a … • Maintain scapular control. Gradual return to ADL’s at home ! This can be done surgically with an arthroscopic technique or an open technique. rehab under guidance of PT ! Progression of treatment from one phase to the next is The protocol is divided into phases. 2015, Article ID 423949, 7 …   OrthoNC is requiring ALL patients & visitors to wear a MASK for any appointment. The degree of recurrent instability is related to the paent’s age and sport/ac0vity level. Rehabilitation Protocol After Anterior Shoulder Reconstruc1on with Open Bankart Repair 333 38th St. New York, NY 10016 (646) 501 7047 newyorkortho.com! MPFL Reconstruction. A Bankart tear typically occurs when an individual sustains a shoulder dislocation. Tibial Stress Injury Standard of Care. The open technique involves a small incision in the front of the shoulder. Patellar Tendon Repair. … Initial Visit: Dressing change . Partial Meniscectomy or Debridement. It is based on the microfracture surgery with the application of a bi-layer collagen I/III membrane. For this reason the shoulder is the most mobile joint in the body. Faculty.washington.edu DA: 22 PA: 50 MOZ Rank: 89. In addition to the fine group of physicians, the entire practice is … 2019. o Sling immobilization at all times (in flexion, abduction and 0° of rotation) except for showering and ! Please note this protocol is a guideline. Arthroscopic Bankart Repair Rehab Protocol This rehabilitation protocol has been developed for the patient following an arthroscopic Bankart surgical procedure. Studies have shown that traumac shoulder dislocaons result in recurrent instability.
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