8.29 TSA Flashcards
Why would someone need a TSA?
- bad OA, RA
- breast cancer
- AVN
- fx that can’t be fixed
- janky RTC
TSA vs salvage
- save as much as they can, but may not be able to salvage the tissue
- need TSA instead of RTC repair
When does rehab begin for a TSA generally?
about 6 weeks post-op
What happens within the first 6 weeks post-op for a TSA?
- PROM
- mobs
- isometrics
- don’t usually see them a lot at the beginning or they’ll use their visits up
Why should a TSA pt be seen by PT at least once?
- Ability to walk and balance: are they safe after surgery?
- What happens if they were using a walker? Do we need to change the assistive device?
- Are they safe to go home?
- Bed mobility?
What types of exercises will be done for TSA in the hospital?
- some pendulum stuff
- work on distal joints
Why do TSA pts do pendulum exercises?
- distraction should feel better
- supposed to be PROM
Why is it so important to do exercises for the distal arm after a TSA?
don’t want atrophy below the surgical site
Why should pts not squeeze a tennis ball for grip exercises?
- causes more finger splaying
- doesn’t mimic normal grip
3 categories of education for daily life after a TSA
- hygiene
- toilet
- dressing
TSA and sweaty pits
- must wash/dry at least 1x per day
- don’t use powder: just holds in moisture
- high risk of infection from fromunda cheese
TSA and toilet stuff
may have to wipe with nondominant hand
Is there a benefit to getting a TSA?
- decent results
- better than if nothing was done
Why would a reverse TSA be performed?
- if the RTC is totally jacked up
- can use the delts to take the place of RTC muscles and create movements
How do the delts work with a normal TSA?
- delts fire to produce humeral elevation before there’s any rotation
- lots of glide before it gets stuck and rolls
