EWH Surgeries Flashcards
UCL reconstruction
- Tommy John
- palmaris longus or gracilis graft
- hinged brace for first 6 weeks with ROM progressed during this time
what does early rehab look like with a UCL reconstruction
- 0-3wks focus on PROM
- protect the graft
- address issues proximal and distal
what do you avoid in early rehab with UCL reconstruction and why
- avoid active/passive shouler ER because it puts a valgus stress on reconstruction
intermediate phase of rehab for UCL reconstruction
- 4-12wks
- gradual increase to full ROM per protocol
- promote healing of graft
- regain and improve muscle strength-slow integration of exercises
advanced strengthening phase for UCL reconstruction
- 12+wks
- progress power/endurance
- introduce UE plyometrics
- interval throwing program typically beginning at 16 wks
cubital tunnel release indications
- failed conservative therapy
- severe compression
- muscle weakness or wasting
cubital tunnel release procedure
- ligament “roof” of cubital tunnel cut and divided
- may need to perform ulnar n. anterior transposition if compression severe enough
post-op recovery for cubital tunnel release
- ROM exercises, scar massage, edema control and use of elbow pad starting at 3-5 days post-op
- progressive strengthening exercises are initiated at 6wks post-op
when is return to normal permitted for cubital tunnel release
- 6-8 weeks following surgery
if a pt gets cubital tunnel release and is a manual laborer, strengthening may take up to how many weeks
12 weeks
distal bicep repair initial immobilization
posterior splint immobilizes elbow at 90 degrees flexion for 5-7 days with forearm in neutral
what kind of brace is typically used for a distal bicep repair
- hinged elbow brace
- 45 degrees to full flexion
how do you know if a pt follows an accelerated protocol or traditional protocol for distal bicep repair
- call doctor
- follow traditional until you know
during first 6-8wks for distal bicep repair,
- ROM focus
strengthening typically takes how long for a distal bicep repair
8 wks
