Return to work a,er rotator cuff repair. Dr. Jean Stalder FB- Tag / Journée de perfec?onnement

Size: px
Start display at page:

Download "Return to work a,er rotator cuff repair. Dr. Jean Stalder FB- Tag / Journée de perfec?onnement 17.01.2015"

Transcription

1 Return to work a,er rotator cuff repair Dr. Jean Stalder FB- Tag / Journée de perfec?onnement

2 CH cases/year (average )

3 Treatment 48.2 Mio /year

4 Work compensa?on Mio/year

5 Work compensa?on in the US $95 billion/year

6 Social and economic factors

7 Return to work as a func?on of type of work in France p=0.42 Number of cases Total amount of cases regards their type of work number of cases who went back to work 0 Peropera?ve light- Peropera?ve medium- work/sedentary work work Type of work Peropera?ve heavy- work 1 Nové- Josserand L, Liotard J- P, Godeneche A, Neyton L, Borel F, Rey B, et al. Occupa?onal outcome a,er surgery in pa?ents with a rotator cuff tear due to a work- related injury or occupa?onal disease. A series of 262 cases. Orthopaedics & Traumatology: Surgery & Research. juin 2011;97(4):361 6.

8 Return to work as a func?on of type of work; Chicago USA 1 45 p= Number of cases Total amount of cases regards their type of work number of cases who went back to work 5 0 Peropera?ve light- Peropera?ve medium- work/sedentary work work Type of work Peropera?ve heavy- work 1 Bha?a S, Piasecki DP, Nho SJ, Romeo AA, Cole BJ, Nicholson GP, et al. Early Return to Work in Workers Compensa?on Pa?ents A,er Arthroscopic Full- Thickness Rotator Cuff Repair. Arthroscopy: The Journal of Arthroscopic & Related Surgery. août 2010;26(8):

9 Time away from work regards type of work 12 (p=0.05) Months 6 4 Time away from work regards type of work 2 0 Non- manual Manual Heavy manual type of work Nové- Josserand L, Liotard J- P, Godeneche A, Neyton L, Borel F, Rey B, et al. Occupa?onal outcome a,er surgery in pa?ents with a rotator cuff tear due to a work- related injury or occupa?onal disease. A series of 262 cases. Orthopaedics & Traumatology: Surgery & Research. juin 2011;97(4):361 6.

10 Time away from work in CH 117 days

11 Return to work as a func?on of work compensa?on status (WC)

12 Toronto (CA) vs Indianapolis (USA) Return to work regards work compensafon (WC) status Number of cases returning to work aaer rotator cuff surgery Holtby and al. Misamore and al. p>0.01 NWC WC 1 Holtby R, Razmjou H. Impact of work- related compensa?on claims on surgical outcome of pa?ents with rotator cuff related pathologies: A matched case- control study. Journal of Shoulder and Elbow Surgery. avr 2010;19(3): Misamore GW, Ziegler DW, Rushton JL. Repair of the rotator cuff. A comparison of results in two popula?ons of pa?ents. J Bone Joint Surg Am. sept 1995;77(9):

13 Return to work as a func?on of age % 80.00% 70.00% 60.00% 50.00% p= % 30.00% Return to work No return to work 20.00% 10.00% 0.00% 50 years years 55 years Age distribufon Nové- Josserand L, Liotard J- P, Godeneche A, Neyton L, Borel F, Rey B, et al. Occupa?onal outcome a,er surgery in pa?ents with a rotator cuff tear due to a work- related injury or occupa?onal disease. A series of 262 cases. Orthopaedics & Traumatology: Surgery & Research. juin 2011;97(4):361 6.

14 Effect of alcohol use on return to work 1 1 Bha?a S, Piasecki DP, Nho SJ, Romeo AA, Cole BJ, Nicholson GP, et al. Early Return to Work in Workers Compensa?on Pa?ents A,er Arthroscopic Full- Thickness Rotator Cuff Repair. Arthroscopy: The Journal of Arthroscopic & Related Surgery. août 2010;26(8):

15 Return to work and alcohol dependence in lilerature

16 Anatomical factors

17 Nature of tendon injury (%) Supraspinatus only Subscapularis only 50 Supra + infraspinatus Supra + subscapularis 7.6 Supra + infra + subscapularis Nové- Josserand L, Liotard J- P, Godeneche A, Neyton L, Borel F, Rey B, et al. Occupa?onal outcome a,er surgery in pa?ents with a rotator cuff tear due to a work- related injury or occupa?onal disease. A series of 262 cases. Orthopaedics & Traumatology: Surgery & Research. juin 2011;97(4):361 6.

18 Time before returning to work as a func?on of number of tendons injured p=0.04 Months Time away from work regards number of tendons injured Number of tendons Nové- Josserand L, Liotard J- P, Godeneche A, Neyton L, Borel F, Rey B, et al. Occupa?onal outcome a,er surgery in pa?ents with a rotator cuff tear due to a work- related injury or occupa?onal disease. A series of 262 cases. Orthopaedics & Traumatology: Surgery & Research. juin 2011;97(4):361 6.

19 Return to work as a func?on of the number of tendons injured p=0.04 Number of cases returning back to work aaer rotator cuff repair (%) 64.00% 62.00% 60.00% 58.00% 56.00% 54.00% 52.00% 50.00% 48.00% Number of tendons injured number of cases returning to work (%) Nové- Josserand L, Liotard J- P, Godeneche A, Neyton L, Borel F, Rey B, et al. Occupa?onal outcome a,er surgery in pa?ents with a rotator cuff tear due to a work- related injury or occupa?onal disease. A series of 262 cases. Orthopaedics & Traumatology: Surgery & Research. juin 2011;97(4):361 6.

20 Return to work as a func?on of surgical technique 70% p= % Return to work in % 50% 40% 30% 20% % of pa?ents returning to work regards to surgical technique 10% 0% open mini- open arthroscopy Surgical technique Nové- Josserand L, Liotard J- P, Godeneche A, Neyton L, Borel F, Rey B, et al. Occupa?onal outcome a,er surgery in pa?ents with a rotator cuff tear due to a work- related injury or occupa?onal disease. A series of 262 cases. Orthopaedics & Traumatology: Surgery & Research. juin 2011;97(4):361 6.

21 Take home message Age Number of tendons Time out of work (pre- &post surgery) Compensa?on system

22 References 1. Nové- Josserand L, Liotard J- P, Godeneche A, Neyton L, Borel F, Rey B, et al. Occupa?onal outcome a,er surgery in pa?ents with a rotator cuff tear due to a work- related injury or occupa?onal disease. A series of 262 cases. Orthopaedics & Traumatology: Surgery & Research. juin 2011;97(4): Hawkins RJ, Brock RM, Abrams JS, Hobeika P. Acromioplasty for impingement with an intact rotator cuff. J Bone Joint Surg Br. nov 1988;70(5): Webb D, Gulmann D, Cawley P, Lubowitz JH. Con?nuous Infusion of a Local Anesthe?c Versus Interscalene Block for Postopera?ve Pain Control A,er Arthroscopic Shoulder Surgery. Arthroscopy: The Journal of Arthroscopic & Related Surgery. sept 2007;23(9): Viola RW, Boatright KC, Smith KL, Sidles JA, Matsen FA. Do shoulder pa?ents insured by workers compensa?on present with worse self- assessed func?on and health status? J Shoulder Elbow Surg. oct 2000;9(5): Bha?a S, Piasecki DP, Nho SJ, Romeo AA, Cole BJ, Nicholson GP, et al. Early Return to Work in Workers Compensa?on Pa?ents A,er Arthroscopic Full- Thickness Rotator Cuff Repair. Arthroscopy: The Journal of Arthroscopic & Related Surgery. août 2010;26(8): Hawkins RJ, Chris T, Bokor D, Kiefer G. Failed anterior acromioplasty. A review of 51 cases. Clin Orthop Relat Res. juin 1989;(243): Holtby R, Razmjou H. Impact of work- related compensa?on claims on surgical outcome of pa?ents with rotator cuff related pathologies: A matched case- control study. Journal of Shoulder and Elbow Surgery. avr 2010;19(3): Denard PJ, Lädermann A, Burkhart SS. Long- Term Outcome A,er Arthroscopic Repair of Type II SLAP Lesions: Results According to Age and Workers Compensa?on Status. Arthroscopy: The Journal of Arthroscopic & Related Surgery. avr 2012;28(4): Sallay PI, Hunker PJ, Brown L. Measurement of baseline shoulder func?on in subjects receiving workers compensa?on versus noncompensated subjects. Journal of Shoulder and Elbow Surgery. mai 2005;14(3): Tashjian RZ, Henn RF, Kang L, Green A. The effect of comorbidity on self- assessed func?on in pa?ents with a chronic rotator cuff tear. J Bone Joint Surg Am. févr 2004;86- A(2): Watson EM, Sonnabend DH. Outcome of rotator cuff repair. Journal of Shoulder and Elbow Surgery. mai 2002;11(3): S?glitz Y, Gosselin O, Sedagha?an J, Sirveaux F, Molé D. Pain a,er shoulder arthroscopy: A prospec?ve study on 231 cases. Orthopaedics & Traumatology: Surgery & Research. mai 2011;97(3): Weber SC, Jain R, Parise C. Pain Scores in the Management of Postopera?ve Pain in Shoulder Surgery. Arthroscopy: The Journal of Arthroscopic & Related Surgery. janv 2007;23(1): Misamore GW, Ziegler DW, Rushton JL. Repair of the rotator cuff. A comparison of results in two popula?ons of pa?ents. J Bone Joint Surg Am. sept 1995;77(9): McKee MD, Yoo DJ. The effect of surgery for rotator cuff disease on general health status. Results of a prospec?ve trial. J Bone Joint Surg Am. juill 2000;82- A(7): Mackenzie EJ, Morris Jr JA, Jurkovich GJ, Yasui Y, Cushing BM, Burgess AR, et al. Return to work following injury: the role of economic, social, and job- related factors. American journal of public health. 1998;88(11):

23 Thanks to Maria Stoichita (Cand.Med. Lausanne - CHUV)

The Trans-Rotator Cuff Approach to SLAP Lesions: Technical Aspects for Repair and a Clinical Follow-up of 31 Patients at a Minimum of 2 Years

The Trans-Rotator Cuff Approach to SLAP Lesions: Technical Aspects for Repair and a Clinical Follow-up of 31 Patients at a Minimum of 2 Years The Trans-Rotator Cuff Approach to SLAP Lesions: Technical Aspects for Repair and a Clinical Follow-up of 31 Patients at a Minimum of 2 Years Stephen J. O Brien, M.D., Answorth A. Allen, M.D., Struan H.

More information

Fact. However. Historically 5/4/15. Arthroscopic Revision Cuff Repair. Revision Rotator Cuff Repair: How To Do It Better

Fact. However. Historically 5/4/15. Arthroscopic Revision Cuff Repair. Revision Rotator Cuff Repair: How To Do It Better Fact Revision Rotator Cuff Repair: How To Do It Better Stephen S. Burkhart, MD San Antonio, Texas Functional outcome after cuff repair is better in patients with a healed rotator cuff. Harryman et al.

More information

Shoulder Pain and Weakness

Shoulder Pain and Weakness Shoulder Pain and Weakness John D. Kelly IV, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 32 - NO. 11 - NOVEMBER 2004 For CME accreditation information, instructions and learning objectives, click here. A

More information

Outcomes After Hip Arthroscopy in Patients With Workers Compensation Claims

Outcomes After Hip Arthroscopy in Patients With Workers Compensation Claims Outcomes After Hip Arthroscopy in Patients With Workers Compensation Claims John P. Salvo, MD; Sommer Hammoud, MD; Russell Flato, BA; Nicole Sgromolo, BA; Elliot S. Mendelsohn, MD abstract Patients with

More information

Second Look Arthroscopy Following Arthroscopic Shoulder Anterior Instability Reconstruction

Second Look Arthroscopy Following Arthroscopic Shoulder Anterior Instability Reconstruction Second Look Arthroscopy Following Arthroscopic Shoulder Anterior Instability Reconstruction Emmanuel Antonogiannakis, Christos K. Yiannakopoulos, George Babalis, Dimitrios Kostopoulos, Gerasimos Gialas,

More information

Classic shoulder impingement as described by. Anterior Internal Impingement: An Arthroscopic Observation. Original Article With Video Illustration

Classic shoulder impingement as described by. Anterior Internal Impingement: An Arthroscopic Observation. Original Article With Video Illustration Original Article With Video Illustration Anterior Internal Impingement: An Arthroscopic Observation Steven Struhl, M.D. Purpose: The source of pain in patients with a stable shoulder and clinical signs

More information

Internal Impingement in the Etiology of Rotator Cuff Tendinosis Revisited

Internal Impingement in the Etiology of Rotator Cuff Tendinosis Revisited Internal Impingement in the Etiology of Rotator Cuff Tendinosis Revisited Jeffrey E. Budoff, M.D., Robert P. Nirschl, M.D., Omer A. Ilahi, M.D., and Dennis M. Rodin, M.D. Purpose: The theory of internal

More information

Mini Medical School _ Focus on Orthopaedics

Mini Medical School _ Focus on Orthopaedics from The Cleveland Clinic Mini Medical School _ Focus on Orthopaedics Arthritis of the Shoulder: Treatment Options Joseph P. Iannotti MD, PhD Professor and Chairman, Department of Orthopaedic Surgery The

More information

Notice of Independent Review Decision DESCRIPTION OF THE SERVICE OR SERVICES IN DISPUTE:

Notice of Independent Review Decision DESCRIPTION OF THE SERVICE OR SERVICES IN DISPUTE: Notice of Independent Review Decision DATE OF REVIEW: 12/10/10 IRO CASE #: NAME: DESCRIPTION OF THE SERVICE OR SERVICES IN DISPUTE: Determine the appropriateness of the previously denied request for right

More information

Internal Impingement in the Overhead Athlete: A Correlation of Findings on MRI and Arthroscopic Evaluation

Internal Impingement in the Overhead Athlete: A Correlation of Findings on MRI and Arthroscopic Evaluation Internal Impingement in the Overhead Athlete: A Correlation of Findings on MRI and Arthroscopic Evaluation Lee D Kaplan, MD J Towers, MD PJ McMahon, MD CH Harner,, MD RW Rodosky,, MD Thrower s shoulder

More information

Reimbursements for. Getting Reimbursed for Shoulder Scopes. Even the most common procedures can challenge the most experienced coders.

Reimbursements for. Getting Reimbursed for Shoulder Scopes. Even the most common procedures can challenge the most experienced coders. Cristina Bentin, CCS-P, CPC-H, CMA Getting Reimbursed for Shoulder Scopes Even the most common procedures can challenge the most experienced coders. Reimbursements for orthopedic surgeries under the Medicare

More information

INTERSCALENE BLOCK AND OTHER ARTICLES ON ANESTHESIA FOR ARTHROSCOPIC SURGERY NOT QUALIFYING AS EVIDENCE

INTERSCALENE BLOCK AND OTHER ARTICLES ON ANESTHESIA FOR ARTHROSCOPIC SURGERY NOT QUALIFYING AS EVIDENCE INTERSCALENE BLOCK AND OTHER ARTICLES ON ANESTHESIA FOR ARTHROSCOPIC SURGERY NOT QUALIFYING AS EVIDENCE Hughes MS, Matava MJ, et al. Interscalene Brachial Plexus Block for Arthroscopic Shoulder Surgery.

More information

SHOULDER INSTABILITY IN PATIENTS WITH EDS

SHOULDER INSTABILITY IN PATIENTS WITH EDS EDNF 2012 CONFERENCE LIVING WITH EDS SHOULDER INSTABILITY IN PATIENTS WITH EDS Keith Kenter, MD Associate Professor Sports Medicine & Shoulder Reconstruction Director, Orthopaedic Residency Program Department

More information

28% have partial tear of the rotator cuff.

28% have partial tear of the rotator cuff. ROTATOR CUFF TENDON RUPTURE Anatomy: 1. Rotator cuff consists of: Subscapularis anteriorly, Supraspinatus superiorly and Infraspinatus and Teres minor posteriorly. 2 Biceps tendon is present in the rotator

More information

Ms. Ruth Delaney ROTATOR CUFF DISEASE Orthopaedic Surgeon, Shoulder Specialist

Ms. Ruth Delaney ROTATOR CUFF DISEASE Orthopaedic Surgeon, Shoulder Specialist WHAT DOES THE ROTATOR CUFF DO? WHAT DOES THE ROTATOR CUFF DO? WHO GETS ROTATOR CUFF TEARS? HOW DO I CLINICALLY DIAGNOSE A CUFF TEAR? WHO NEEDS AN MRI? DOES EVERY CUFF TEAR NEED TO BE FIXED? WHAT DOES ROTATOR

More information

Rotator cuff repair in spinal cord injury patients

Rotator cuff repair in spinal cord injury patients Rotator cuff repair in spinal cord injury patients Richard L. Popowitz, MD, John E. Zvijac, MD, John W. Uribe, MD, Keith S. Hechtman, MD, Matthias R. Schürhoff, MD, and Jeremy B. Green, BA, Coral Gables,

More information

Level V Evidence. Minor Shoulder Instability. Alessandro Castagna, M.D., Ulf Nordenson, M.D., Raffaele Garofalo, M.D., and Jon Karlsson, M.D., Ph.D.

Level V Evidence. Minor Shoulder Instability. Alessandro Castagna, M.D., Ulf Nordenson, M.D., Raffaele Garofalo, M.D., and Jon Karlsson, M.D., Ph.D. Level V Evidence Minor Shoulder Instability Alessandro Castagna, M.D., Ulf Nordenson, M.D., Raffaele Garofalo, M.D., and Jon Karlsson, M.D., Ph.D. Abstract: The wide spectrum of shoulder instability is

More information

Outcome of Arthroscopic Repair of Type II SLAP Lesions in Worker_s Compensation Patients

Outcome of Arthroscopic Repair of Type II SLAP Lesions in Worker_s Compensation Patients HSSJ (2007) 3: 58 62 DOI 10.1007/s11420-006-9023-2 ORIGINAL ARTICLE Outcome of Arthroscopic Repair of Type II SLAP Lesions in Worker_s Compensation Patients Nikhil N. Verma, MD & Ralph Garretson, MD &

More information

Rehabilita)on a-er anterior stabilisa)on surgery. It s all about communica)on Jo Gibson MCSP MSc.

Rehabilita)on a-er anterior stabilisa)on surgery. It s all about communica)on Jo Gibson MCSP MSc. Rehabilita)on a-er anterior stabilisa)on surgery It s all about communica)on Jo Gibson MCSP MSc. Today Considera)ons - ge;ng it right at the start Pre- op Assessment What I need to know Safe zone Role

More information

ROTATOR CUFF SYNDROME Arbejds- og Miljømedicinsk Årsmøde 2008 ROTATOR CUFF SYNDROME = SHOULDER PAIN Steen Bo Kalms, Shoulder- and Elbow Surgeon ROTATOR CUFF SYNDROME VERY COMMON DIAGNOSIS ON REFERRED PTT

More information

Dr. Benjamin Hewitt. Subacramial Decompression & Rotator Cuff Repair

Dr. Benjamin Hewitt. Subacramial Decompression & Rotator Cuff Repair Please contactmethroughthegoldcoasthospitaswityouhaveanyproblemsafteryoursurgery. Dr. Benjamin Hewitt Orthopaedic Surgeon Subacramial Decompression & Rotator Cuff Repair The Rotator Cuff consists of four

More information

Arthroscopic Shoulder Procedures. David C. Neuschwander MD. Shoulder Instability. Allegheny Health Network Orthopedic Associates of Pittsburgh

Arthroscopic Shoulder Procedures. David C. Neuschwander MD. Shoulder Instability. Allegheny Health Network Orthopedic Associates of Pittsburgh Arthroscopic Shoulder Procedures David C. Neuschwander MD Allegheny Health Network Orthopedic Associates of Pittsburgh Shoulder Instability Anterior Instability Posterior Instability Glenohumeral Joint

More information

Diagnostic Accuracy of Clinical Tests for the Different Degrees of Subacromial Impingement Syndrome

Diagnostic Accuracy of Clinical Tests for the Different Degrees of Subacromial Impingement Syndrome This is an enhanced PDF from The Journal of Bone and Joint Surgery The PDF of the article you requested follows this cover page. Diagnostic Accuracy of Clinical Tests for the Different Degrees of Subacromial

More information

Thermal Capsulorrhaphy as a Treatment of Joint Instability. Original Policy Date

Thermal Capsulorrhaphy as a Treatment of Joint Instability. Original Policy Date MP 7.01.65 Thermal Capsulorrhaphy as a Treatment of Joint Instability Medical Policy Section Surgery Issue 12/2013 Original Policy Date 12/2013 Last Review Status/Date Reviewed with literature search/12/2013

More information

The postoperative rehabilitation program is critical

The postoperative rehabilitation program is critical Reduction of Postoperative Stiffness After Arthroscopic Rotator Cuff Repair: Results of a Customized Physical Therapy Regimen Based on Risk Factors for Stiffness Samuel S. Koo, M.D., M.P.H., B. K. Parsley,

More information

Rotator Cuff Tears in Football

Rotator Cuff Tears in Football Disclosures Rotator Cuff Tears in Football Roger Ostrander, MD Consultant: Mitek Consultant: On-Q Research Support: Arthrex Research Support: Breg Research Support: Arthrosurface 2 Anatomy 4 major muscles:

More information

The Passive Distraction Test: A New Diagnostic Aid for Clinically Significant Superior Labral Pathology

The Passive Distraction Test: A New Diagnostic Aid for Clinically Significant Superior Labral Pathology The Passive Distraction Test: A New Diagnostic Aid for Clinically Significant Superior Labral Pathology John A. Schlechter, D.O., Stacy Summa, P.A.-C., and Benjamin D. Rubin, M.D. Purpose: The purpose

More information

Articular Cartilage Injury to the Knee: Current Concepts in Surgical Techniques and Rehabilitation Management

Articular Cartilage Injury to the Knee: Current Concepts in Surgical Techniques and Rehabilitation Management Articular Cartilage Injury to the Knee: Current Concepts in Surgical Techniques and Rehabilitation Management Combined Sections Meeting 2014 Las Vegas, Nevada, February 3 6, 2014 James L. Carey, MD, MPH

More information

Combined SLAP with Arthroscopic Rotator Cuff Repair Large to Massive Tears = or > 3 cm

Combined SLAP with Arthroscopic Rotator Cuff Repair Large to Massive Tears = or > 3 cm Combined SLAP with Arthroscopic Rotator Cuff Repair Large to Massive Tears = or > 3 cm *It is the treating therapist s responsibility along with the referring physician s guidance to determine the actual

More information

The Two Banditos: SLAP Lesion Shoulder and Labral Tear Hip. Dr. Arno Smit - WROSC Hazelmere Golf and Country Club April 11, 2013

The Two Banditos: SLAP Lesion Shoulder and Labral Tear Hip. Dr. Arno Smit - WROSC Hazelmere Golf and Country Club April 11, 2013 The Two Banditos: SLAP Lesion Shoulder and Labral Tear Hip Dr. Arno Smit - WROSC Hazelmere Golf and Country Club April 11, 2013 Hip is the new shoulder Increasing interest in non-arthroplasty hip issues.

More information

Rehabilitation Guidelines for Shoulder Arthroscopy

Rehabilitation Guidelines for Shoulder Arthroscopy Rehabilitation Guidelines for Shoulder Arthroscopy Front View Long head of bicep Acromion Figure 1 Shoulder anatomy Supraspinatus Image Copyright 2010 UW Health Sports Medicine Center. Short head of bicep

More information

.org. Rotator Cuff Tears: Surgical Treatment Options. When Rotator Cuff Surgery is Recommended. Surgical Repair Options

.org. Rotator Cuff Tears: Surgical Treatment Options. When Rotator Cuff Surgery is Recommended. Surgical Repair Options Rotator Cuff Tears: Surgical Treatment Options Page ( 1 ) The following article provides in-depth information about surgical treatment for rotator cuff injuries, and is a continuation of the article Rotator

More information

Form follows function. As physicians and scientists,

Form follows function. As physicians and scientists, Technical Note Reprint of: The Deadman Theory of Suture Anchors: Observations Along a South Texas Fence Line q Stephen S. Burkhart, M.D. Abstract: Suture anchors are being increasingly reported as a means

More information

DAVID CHARLES JOHNSON, MD

DAVID CHARLES JOHNSON, MD DAVID CHARLES JOHNSON, MD 19455 Deerfield Ave Suite 312 Lansdowne, VA 20176 (703) 729-5010 dcjmd@nationalsportsmed.com Biographical Experience Date of Birth 07/05/69 Rockville Centre, NY 2006 2009 The

More information

Curriculum Vitae Curtis R. Noel, MD

Curriculum Vitae Curtis R. Noel, MD Curriculum Vitae Curtis R. Noel, MD Education Fellowship: Steadman-Hawkins Clinic of the Carolinas 2005 2006 Spartanburg, SC Residency: Summa Health Systems 2000-2005 Akron, OH Medical School: University

More information

Treatment Options for Rotator Cuff Tears A Guide for Adults

Treatment Options for Rotator Cuff Tears A Guide for Adults Treatment Options for Rotator Cuff Tears A Guide for Adults Is This Guide for Me? YES, if your doctor has told you that you have a rotator cuff tear, which is an injury to one or more of the muscles and

More information

Arthroscopic capsular release for refractory shoulder stiffness: A critical analysis of effectiveness in specific etiologies

Arthroscopic capsular release for refractory shoulder stiffness: A critical analysis of effectiveness in specific etiologies J Shoulder Elbow Surg (2010) 19, 580-587 www.elsevier.com/locate/ymse Arthroscopic capsular release for refractory shoulder stiffness: A critical analysis of effectiveness in specific etiologies Bassem

More information

SHOULDER INSTABILITY. E. Edward Khalfayan, MD

SHOULDER INSTABILITY. E. Edward Khalfayan, MD SHOULDER INSTABILITY E. Edward Khalfayan, MD Instability of the shoulder can occur from a single injury or as the result of repetitive activity such as overhead sports. Dislocations of the shoulder are

More information

Quantifying the Extent of a Type II SLAP Lesion Required to Cause Peel-Back of the Glenoid Labrum A Cadaveric Study

Quantifying the Extent of a Type II SLAP Lesion Required to Cause Peel-Back of the Glenoid Labrum A Cadaveric Study Quantifying the Extent of a II SLAP Lesion Required to Cause Peel-Back of the Glenoid Labrum A Cadaveric Study Aruna Seneviratne, M.D., Kenneth Montgomery, M.D., Babette Bevilacqua, P.A.C., and Bashir

More information

Rotator Cuff Repair and Rehabilitation

Rotator Cuff Repair and Rehabilitation 1 Rotator Cuff Repair and Rehabilitation Surgical Indications and Considerations Anatomical Considerations: The rotator cuff complex is comprised of four tendons from four muscles: supraspinatus, infraspinatus,

More information

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Labral Tears

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Labral Tears Labral Tears The shoulder is your body s most flexible joint. It is designed to let the arm move in almost any direction. But this flexibility has a price, making the joint prone to injury. The shoulder

More information

Victims Compensation Claim Status of All Pending Claims and Claims Decided Within the Last Three Years

Victims Compensation Claim Status of All Pending Claims and Claims Decided Within the Last Three Years Claim#:021914-174 Initials: J.T. Last4SSN: 6996 DOB: 5/3/1970 Crime Date: 4/30/2013 Status: Claim is currently under review. Decision expected within 7 days Claim#:041715-334 Initials: M.S. Last4SSN: 2957

More information

Bankart Repair using the Smith & Nephew BIORAPTOR 2.9 Suture Anchor

Bankart Repair using the Smith & Nephew BIORAPTOR 2.9 Suture Anchor Shoulder Series Technique Guide *smith&nephew BIORAPTOR 2.9 Suture Anchor Bankart Repair using the Smith & Nephew BIORAPTOR 2.9 Suture Anchor Gary M. Gartsman, M.D. Introduction Arthroscopic studies of

More information

Physical Examination for Partial Tears of the Biceps Tendon

Physical Examination for Partial Tears of the Biceps Tendon Physical Examination for Partial Tears of the Biceps Tendon Harpreet S. Gill, MD, George El Rassi, MD, Michael S. Bahk, MD, Renan C. Castillo, MS, PhD, and Edward G. McFarland,* MD From the Divisions of

More information

A Patient s Guide to Shoulder Pain

A Patient s Guide to Shoulder Pain A Patient s Guide to Shoulder Pain Part 2 Evaluating the Patient James T. Mazzara, M.D. Shoulder and Elbow Surgery Sports Medicine Occupational Orthopedics Patient Education Disclaimer This presentation

More information

CURRICULUM VITAE. Sanford Sinclair Kunkel, M.D.

CURRICULUM VITAE. Sanford Sinclair Kunkel, M.D. CURRICULUM VITAE Sanford Sinclair Kunkel, M.D. OFFICE ADDRESS Orthopaedics Indianapolis, P.C. 8450 Northwest Blvd. Indianapolis, IN 46278 317-802-2000 EDUCATION UNDERGRADUATE: MEDICAL SCHOOL: Indiana University

More information

Clinical Testing for Tears of the Glenoid Labrum. Carlos A. Guanche, M.D., and Donald C. Jones, Ph.D.

Clinical Testing for Tears of the Glenoid Labrum. Carlos A. Guanche, M.D., and Donald C. Jones, Ph.D. Clinical Testing for Tears of the Glenoid Labrum Carlos A. Guanche, M.D., and Donald C. Jones, Ph.D. Purpose: With the increasing use of shoulder arthroscopy, diagnosis of glenoid labral lesions has become

More information

5/7/2009 SHOULDER) CONDITIONS OF THE SHOULDER NOW IT TIME TO TEST YOU ICD-9 SKILLS: PLEASE APPEND THE APPROPRIATE DIAGNOSIS CODE FOR EACH:

5/7/2009 SHOULDER) CONDITIONS OF THE SHOULDER NOW IT TIME TO TEST YOU ICD-9 SKILLS: PLEASE APPEND THE APPROPRIATE DIAGNOSIS CODE FOR EACH: SHOULDER CONDITIONS OF THE SHOULDER AND THEIR TREATMENT Presented by Kevin Solinsky, CPC,CPC-I,CEDC, CEMC The is a major joint and plays a large part in daily life, particularly for athletes and those

More information

Peter I. Sallay, M.D. CURRICULUM VITAE

Peter I. Sallay, M.D. CURRICULUM VITAE Peter I. Sallay, M.D. CURRICULUM VITAE Education College Purdue University West Lafayette, Indiana B.S. Chemistry with honors, 1984 Medical Indiana University Medical School Indianapolis, Indiana M.D.

More information

The rapid evolution of arthroscopic shoulder surgery

The rapid evolution of arthroscopic shoulder surgery Technical Note Arthroscopic Repair of SLAP Lesions With a Bioknotless Suture Anchor Edward Yian, M.D., Conrad Wang, M.D., Peter J. Millett, M.D., and Jon J. P. Warner, M.D. Abstract: The diagnosis and

More information

Different techniques for incorporating platelet-rich

Different techniques for incorporating platelet-rich Clinical Indications and Techniques for the Use of Platelet-Rich Plasma in the Shoulder Nickolas Garbis, MD,* Anthony A. Romeo, MD,* Geoffrey Van Thiel, MD, MBA,* Neil Ghodadra, MD,* Matthew T. Provencher,

More information

LOURDES MEDICAL ASSOCIATES PROFESSIONAL ORTHOPAEDICS SPORTS MEDICINE & ARTHROSCOPY

LOURDES MEDICAL ASSOCIATES PROFESSIONAL ORTHOPAEDICS SPORTS MEDICINE & ARTHROSCOPY LOURDES MEDICAL ASSOCIATES PROFESSIONAL ORTHOPAEDICS SPORTS MEDICINE & ARTHROSCOPY Sean Mc Millan, DO Director of Orthopaedic Sports Medicine & Arthroscopy 2103 Burlington-Mount Holly Rd Burlington, NJ

More information

Crescent-shaped rotator cuff tears are relatively

Crescent-shaped rotator cuff tears are relatively Use of Preoperative Magnetic Resonance Imaging to Predict Rotator Cuff Tear Pattern and Method of Repair J. F. James Davidson, M.D., Stephen S. Burkhart, M.D., David P. Richards, M.D., and Scot E. Campbell,

More information

Rotator Cuff Tear: When to Repair and When to Smooth and Move the Shoulder

Rotator Cuff Tear: When to Repair and When to Smooth and Move the Shoulder Rotator Cuff Tear: When to Repair and When to Smooth and Move the Shoulder Summary Overview: The rotator cuff is the most commonly torn structure in the shoulder. Rotator cuff tears usually produce symptoms

More information

ACL plastik, erfarenheter av. tidig kirurgisk behandling. tidig kirurgisk behandling 6/12/2013

ACL plastik, erfarenheter av. tidig kirurgisk behandling. tidig kirurgisk behandling 6/12/2013 in sports Per Renström, MD, PhD Professor emeritus,,, Sweden Member ATP and ITF Sports Science and Medical Committees Physician Swedish Football Association Presentation at the IOC Advanced team physician

More information

Arthroscopic Subscapularis Repair

Arthroscopic Subscapularis Repair CHPTER 18 rthroscopic Subscapularis Repair mmar nbari, MD nthony. Romeo, MD n all-arthroscopic repair of the subscapularis tendon has seen significant interest in the past 10 years. s we refine our knowledge

More information

AAOS Guideline on Optimizing the Management of Rotator Cuff Problems

AAOS Guideline on Optimizing the Management of Rotator Cuff Problems AAOS Guideline on Optimizing the Management of Rotator Cuff Problems Summary of Recommendations The following is a summary of the recommendations in the AAOS clinical practice guideline, Optimizing the

More information

Rehabilitation Guidelines for Type I and Type II Rotator Cuff Repair and Isolated Subscapularis Repair

Rehabilitation Guidelines for Type I and Type II Rotator Cuff Repair and Isolated Subscapularis Repair UW Health SpoRTS Rehabilitation Rehabilitation Guidelines for Type I and Type II Rotator Cuff Repair and Isolated Subscapularis Repair The anatomic configuration of the shoulder joint (glenohumeral joint)

More information

1 of 6 1/22/2015 10:06 AM

1 of 6 1/22/2015 10:06 AM 1 of 6 1/22/2015 10:06 AM 2 of 6 1/22/2015 10:06 AM This cross-section view of the shoulder socket shows a typical SLAP tear. Injuries to the superior labrum can be caused by acute trauma or by repetitive

More information

James M. Hill, M.D., M.S.

James M. Hill, M.D., M.S. James M. Hill, M.D., M.S. Orthopaedic Associates, S.C. 1300 E. Central Road Arlington Heights, Illinois 60005 HOSPITAL AFFILIATIONS Northwest Community Hospital Arlington Heights, Illinois 1995-Present

More information

The arthroscopic treatment of unidirectional anterior

The arthroscopic treatment of unidirectional anterior Arthroscopic Treatment of Multidirectional Shoulder Instability With Minimum 270 Labral Repair: Minimum 2-Year Follow-up Joshua M. Alpert, M.D., Nikhil Verma, M.D., Robert Wysocki, M.D., Adam B. Yanke,

More information

SLAP repair with arthroscopic decompression of the spinoglenoid cyst

SLAP repair with arthroscopic decompression of the spinoglenoid cyst SICOT J 2016, 2, 1 Ó The Authors, published by EDP Sciences, 2016 DOI: 10.1051/sicotj/2015036 Available online at: www.sicot-j.org ORIGINAL ARTICLE OPEN ACCESS SLAP repair with arthroscopic decompression

More information

Curriculum vitae: Matthias A Zumstein

Curriculum vitae: Matthias A Zumstein Curriculum vitae: Matthias A Zumstein ADRESS HOSP.: Orthopaedic Sports Medicine and Knee Surgery Dept. of Orthopaedics and Traumatology University of Bern Inselspital 3010 Bern Switzerland Phone: +41 31

More information

Epidemiology of Meniscal Injury Associated With ACL Tears in Young Athletes

Epidemiology of Meniscal Injury Associated With ACL Tears in Young Athletes Section Editor: Bennie G.P. Lindeque, MD Epidemiology of Injury Associated With ACL Tears in Young Athletes CPT Kelly G. Kilcoyne, MD; CPT Jonathan F. Dickens, MD; Erik Haniuk, BS; Kenneth L. Cameron,

More information

A Simplified Approach to Common Shoulder Problems

A Simplified Approach to Common Shoulder Problems A Simplified Approach to Common Shoulder Problems Objectives: Understand the basic categories of common shoulder problems. Understand the common patient symptoms. Understand the basic exam findings. Understand

More information

Diagnostic accuracy of shoulder ultrasound performed by a single operator

Diagnostic accuracy of shoulder ultrasound performed by a single operator Radiology Australasian Radiology (2007) 51, 226 229 Diagnostic accuracy of shoulder ultrasound performed by a single operator DM Cullen, WH Breidahl and GC Janes Perth Orthopaedic and Sports Medicine Centre,

More information

Shoulder Instability. Fig 1: Intact labrum and biceps tendon

Shoulder Instability. Fig 1: Intact labrum and biceps tendon Shoulder Instability What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone

More information

Matthew L. Hansen, MD

Matthew L. Hansen, MD Matthew L. Hansen, MD Current Position Orthopaedic Surgeon OrthoArizona, Mezona Orthopaedic, 2013 - present Gilbert, AZ Areas of Specialty Orthopaedic Sports Medicine Hip Arthroscopy: Labrum repair Labrum

More information

Employees Compensation Appeals Board

Employees Compensation Appeals Board U. S. DEPARTMENT OF LABOR Employees Compensation Appeals Board In the Matter of DAVID S. HESS and DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE, Baltimore, MD Docket No. 01-1232; Oral Argument Held

More information

Birthdate: January 17, 1955 Martial Status: Married Virginia Poynton Occupational Therapist with Master s in Health Professions Education

Birthdate: January 17, 1955 Martial Status: Married Virginia Poynton Occupational Therapist with Master s in Health Professions Education CURRICULUM VITAE -- John A. Brna, M.D. BUSINESS ADDRESS: 860 W. Blackhawk St. #2806 Chicago, IL 60642 Birthdate: January 17, 1955 Martial Status: Married Virginia Poynton Occupational Therapist with Master

More information

THE SHOULDER. Shoulder Pain. Fractures. Instability and Dislocations of the Shoulder

THE SHOULDER. Shoulder Pain. Fractures. Instability and Dislocations of the Shoulder THE SHOULDER Shoulder Pain 1. Fractures 2. Sports injuries 3. Instability/Dislocations 4. Rotator Cuff Disease and Tears 5. Arthritis Fractures The shoulder is made up of three primary bones, the clavicle,

More information

Musculoskeletal: Acute Lower Back Pain

Musculoskeletal: Acute Lower Back Pain Musculoskeletal: Acute Lower Back Pain Acute Lower Back Pain Back Pain only Sciatica / Radiculopathy Possible Cord or Cauda Equina Compression Possible Spinal Canal Stenosis Red Flags Initial conservative

More information

Evolution of arthroscopic shoulder stabilization: do we still need open techniques?

Evolution of arthroscopic shoulder stabilization: do we still need open techniques? Surgical Procedures Evolution of arthroscopic shoulder stabilization: do we still need open techniques? Page 1 of 6 S Sedeek*, E Gerard, H Andrew Abstract Introduction Traumatic anterior instability of

More information

SLAP repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust

SLAP repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust SLAP repair An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Open Rotator Cuff Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy

Open Rotator Cuff Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy Open Rotator Cuff Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy Rotator Cuff Repair is a surgical procedure utilized for a tear in the

More information

Impingement Syndrome and Tears of the Rotator Cuff

Impingement Syndrome and Tears of the Rotator Cuff Dr Matthew Brick Orthopaedic Surgeon Impingement Syndrome and Tears of the Rotator Cuff Impingement is a very common problem in which the tendons of the rotator cuff (predominantly supraspinatus) rub on

More information

Arthroscopic Management of Superior Labral Anterior and Posterior (SLAP) and Associated Lesions: Clinical Features and Functional Outcome

Arthroscopic Management of Superior Labral Anterior and Posterior (SLAP) and Associated Lesions: Clinical Features and Functional Outcome 44 Original Article Arthroscopic Management of Superior Labral Anterior and Posterior (SLAP) and Associated Lesions: Clinical Features and Functional Outcome Mui Hong Lim, 1 MBBS, MRCS (Edin), MMed (Orth),

More information

John J Christoforetti, MD Mark Langhans Jr, BS, JT Redshaw, BS, Michael Allen DPT, Ellen Wilson ATC, Elizabeth Pickle, Ben Kivlan PT

John J Christoforetti, MD Mark Langhans Jr, BS, JT Redshaw, BS, Michael Allen DPT, Ellen Wilson ATC, Elizabeth Pickle, Ben Kivlan PT SAFETY OF OUTPATIENT HIP ARTHROSCOPY AS COMPARED TO INPATIENT ADMISSION: A PROSPECTIVE COHORT STUDY OF THE FIRST 100 OPERATIVE ARTHROSCOPIES FOR A FELLOWSHIP TRAINED HIP ARTHROSOCOPIST John J Christoforetti,

More information

CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Rotator Cuff Repair

CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Rotator Cuff Repair 1.0 Policy Statement... 2 2.0 Purpose... 2 3.0 Scope... 2 4.0 Health & Safety... 2 5.0 Responsibilities... 2 6.0 Definitions and Abbreviations... 3 7.0 Guideline... 3 7.1 Pre-Operative... 3 7.2 Post-Operative...

More information

Shoulder Impingement/Rotator Cuff Tendinitis

Shoulder Impingement/Rotator Cuff Tendinitis Copyright 2011 American Academy of Orthopaedic Surgeons Shoulder Impingement/Rotator Cuff Tendinitis One of the most common physical complaints is shoulder pain. Your shoulder is made up of several joints

More information

Overhead Throwing: A Strength & Conditioning Approach to Preventative Injury

Overhead Throwing: A Strength & Conditioning Approach to Preventative Injury By: Michael E. Bewley, MA, CSCS, C-SPN, USAW-I, President, Optimal Nutrition Systems Strength & Conditioning Coach for Basketball Sports Nutritionist for Basketball University of Dayton Overhead Throwing:

More information

BODY BODY PEDICLE PEDICLE TRANSVERSE TRANSVERSE PROCESS PROCESS

BODY BODY PEDICLE PEDICLE TRANSVERSE TRANSVERSE PROCESS PROCESS Learning Objective Radiology Anatomy of the Spine and Upper Extremity Identify anatomic structures of the spine and upper extremities on standard radiographic and cross-sectional images Timothy J. Mosher,

More information

SLAP Repair Protocol Arthroscopic Labral Repair Protocols (Type II, IV and Complex Tears)

SLAP Repair Protocol Arthroscopic Labral Repair Protocols (Type II, IV and Complex Tears) SLAP Repair Protocol Arthroscopic Labral Repair Protocols (Type II, IV and Complex Tears) This protocol has been modified and is being used with permission from the BWH Sports and Shoulder Service. The

More information

Biceps Tenodesis Protocol

Biceps Tenodesis Protocol Department of Rehabilitation Services Physical Therapy The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone

More information

CURRICULUM VITAE Joseph I. Fernandez, M.D., F.A.C.S. Orthopaedic Surgery and Sports Medicine

CURRICULUM VITAE Joseph I. Fernandez, M.D., F.A.C.S. Orthopaedic Surgery and Sports Medicine CURRICULUM VITAE Joseph I. Fernandez, M.D., F.A.C.S. Orthopaedic Surgery and Sports Medicine PERSONAL INFORMATION Date of Birth: Place of Birth: Citizenship: Marital Status: Spouse's Name: 9-Jul-62 Miami,

More information

Preoperative Health Status of Patients With Four Knee Conditions Treated With Arthroscopy

Preoperative Health Status of Patients With Four Knee Conditions Treated With Arthroscopy CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 395 pp. 164 173 2002 Lippincott Williams & Wilkins, Inc. Preoperative Health Status of Patients With Four Knee Conditions Treated With Arthroscopy Daniel

More information

Shoulder Injuries. Why Bother? QAS Injury Prevalence. Screening Injury 29.2% 12 month cumulative injury prevalence. Dr Simon Locke

Shoulder Injuries. Why Bother? QAS Injury Prevalence. Screening Injury 29.2% 12 month cumulative injury prevalence. Dr Simon Locke Shoulder Injuries Dr Simon Locke Why Bother? Are shoulder and upper limb injuries common? Some anatomy What, where, what sports? How do they happen? Treatment, advances? QAS Injury Prevalence Screening

More information

POSTOPERATIVE SHOULDER

POSTOPERATIVE SHOULDER JEROEN BOSCH HOSPITAL POSTOPERATIVE SHOULDER Matthieu J.C.M. Rutten Musculoskeletal Ultrasound Society 22nd Annual Meeting, 19 22 Sept 2012 Leuven, Belgium JEROEN BOSCH HOSPITAL POSTOPERATIVE SHOULDER

More information

Combined lesions of the glenoid labrum include labral

Combined lesions of the glenoid labrum include labral 9(1):10 14, 2008 Ó 2008 Lippincott Williams & Wilkins, Philadelphia T E C H N I Q U E Arthroscopic Repair of Combined Labral Lesions MAJ Brett D. Owens, MD, Bradley J. Nelson, MD, and COL Thomas M. DeBerardino,

More information

Copeland Surface Replacement Arthroplasty (Hannan Mullett)

Copeland Surface Replacement Arthroplasty (Hannan Mullett) 1.0 Policy Statement... 2 2.0 Purpose... 2 3.0 Scope... 2 4.0 Health & Safety... 2 5.0 Responsibilities... 2 6.0 Definitions and Abbreviations... 3 7.0 Guideline... 3 7.1 Pre-Operative... 3 7.2 Post-Operative...

More information

Administration ~ Education and Training (919) 684 3170

Administration ~ Education and Training (919) 684 3170 The Accreditation Council for Graduate Medical Education requires the educational program to provide a curriculum that must contain the following educational components to its Trainees; overall educational

More information

WHY DO PEOPLE WITH COMPENSABLE INJURIES HAVE POORER OUTCOMES THAN THOSE WITH NON COMPENSABLE INJURIES?

WHY DO PEOPLE WITH COMPENSABLE INJURIES HAVE POORER OUTCOMES THAN THOSE WITH NON COMPENSABLE INJURIES? WHY DO PEOPLE WITH COMPENSABLE INJURIES HAVE POORER OUTCOMES THAN THOSE WITH NON COMPENSABLE INJURIES? A Systematic Review Olufemi Adekeye Master of Public Health Medical College of Wisconsin Capstone

More information

ABSTRACT. Conrad Wang, MD is a Resident in the Harvard Combined Orthopaedic Residency Program

ABSTRACT. Conrad Wang, MD is a Resident in the Harvard Combined Orthopaedic Residency Program SUPERIOR LABRAL TEARS OF THE SHOULDER: SURGICAL REPAIR USING A BIORESORBABLE KNOTLESS SUTURE ANCHOR CONRAD WANG, MD, EDWARD YIAN MD, PETER J. MILLETT MD, MSC., JON J.P. WARNER, MD HARVARD SHOULDER SERVICE,

More information

A patient s s guide to: Arthroscopy of the Hip

A patient s s guide to: Arthroscopy of the Hip A patient s s guide to: Arthroscopy of the Hip Brian J. White MD Assistant Team Physician Denver Nuggets Western Orthopaedics - Denver, Colorado Introduction This is designed to provide you with a better

More information

The surgical management of superior labral anterior posterior

The surgical management of superior labral anterior posterior WAYNE A. DESSAUR, MSc 1 PhD 2 Diagnostic Accuracy of Clinical Tests for Superior Labral Anterior Posterior Lesions: A Systematic Review The surgical management of superior labral anterior posterior (SLAP)

More information

UHealth Sports Medicine

UHealth Sports Medicine UHealth Sports Medicine Rehabilitation Guidelines for Arthroscopic Rotator Cuff Repair Type 2 Repairs with Bicep Tenodesis (+/- subacromial decompression) The rehabilitation guidelines are presented in

More information

Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears:

Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: Department of Rehabilitation Services Physical Therapy This protocol has been adopted from Brotzman & Wilk, which has been published in Brotzman SB, Wilk KE, Clinical Orthopeadic Rehabilitation. Philadelphia,

More information

J F de Beer, K van Rooyen, D Bhatia. Rotator Cuff Tears

J F de Beer, K van Rooyen, D Bhatia. Rotator Cuff Tears 1 J F de Beer, K van Rooyen, D Bhatia Rotator Cuff Tears Anatomy The shoulder consists of a ball (humeral head) and a socket (glenoid). The muscles around the shoulder act to elevate the arm. The large

More information