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SCS > Post Surgery > Flashcards

Post Surgery Flashcards

1
Q

Post op SLAP repair:

  • when can athlete return to athletic play?
A

12 months post op

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2
Q

What nerve is at risk after a SLAP repair?

A

Suprascapular Nerve

- atrophy of the intraspinatus & supraspinatus

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3
Q

What are the EBP exercises to decrease imbalances btwn the mid, lower and upper trap?

A
  • sidelying ER
  • sidelying forward flexion
  • prone horizontal ABD w/ ER
  • prone extension
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4
Q

Post UCL repair:

- when can a baseball pitcher return to throwing?

A
  • plyometric exercise can begin btwn 3-4 months
  • begin return to throwing program at 4 months
  • hitting program at 5 months
  • long toss
  • throwing off the mound 9 months
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5
Q

Putti-Putti Shoulder Surgery

A

This procedure divides the subscapularis tendon, overlaps it, and repositions it to achieve anterior capsular stability.

*This is not performed in throwers due to the risk for range of motion loss

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6
Q

5 weeks post op ACL w/ BTB: what would be an inappropriate exercise?

A

OKC extension btwn 60 and 30 deg

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7
Q

Post op ACL w/ a significant loss of ROM - most likely due to?

A

Surgical error

- anterior placement of the femoral tunnel

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8
Q

ACL allografts use have been?

A

Decreased:

  • b/c of high re-injury rate
  • especially in young patients & females
  • more expensive
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9
Q

A double bundle ACL repair has been shown to be?

A

Theoretically better than single bundle in rotational control via cadaver studies

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10
Q

6 months post ACL rehab:

- what % of the quads typically show a deficit

A

15-25% compared to non-surgical leg

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11
Q

What timeframe of returning to sport do ACL’s habe the highest graft re-rupture rate?

A

Returning to sport during the first 12 months following ACL-R have the highest re-rupture rate

  • very high > 30% early re-injury or contralateral injuries with allografts
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12
Q

After a partial meniscectomy - what is the increase in articular cartilage contact pressure?

A

removal of 20% of medial meniscus, creates 350% increase in articular cartilage pressure

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13
Q

In a mensical repair: what is the most common suture?

A

Stacked suture

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14
Q

ACL-R: What is the safe range of OKC exercises in post op ACL?

A

90-70 degrees

  • anything greater than 70 degrees increases stress through the patella, can lead to increase anterior shear of the patella
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15
Q

3 weeks post op microfracture - what is the recommended WB status?

A

toe touch weight bearing

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16
Q

Should OKC exercises be used in post op ACL-R?

A

yes!

Using OKC exercises in combination with CKC exercises because it is shown that they can be incorporate safely and result in an improved outcome

Safe range: 90-70 deg

17
Q

What % of post op isolated mensical repairs return to sport?

A

80% of elite athletes were able to return to sport

18
Q

What is the rational of using a contra-lateral PT graft in ALC-R?

A

Shelbourne popularized this approach.

This process may allow greater equality R to L during rehabilitation

The use of contra-lateral PT for graft allows a dual rehabilitation program. You work a donor site program on the graft limb and then ACL protocol on the reconstructed limb, along with additional attention to ROM in this case.

19
Q

What characteristics are associated with improved patient reported outcomes following a surgical cartilage procedure?

A
  1. Less than 2 cm defect size
  2. Preoperative duration of sx less than 18 months
  3. No prior surgical treatment
  4. Younger patient age
  5. Higher levels of activity (pre and post surgery)
20
Q

What kind of shoes would you recommend to a golfer 20 weeks s/p TKA?

A

Spikeless shoes

Golf spikes create torque about the knee

21
Q

What kind of tennis is recommended after a THA?

A

Doubles tennis

22
Q

What kind of sports are not recommended after a THA or TKA?

A

High-impact aerobics
Jogging
Singles tennis

23
Q

What grade Lisfranc injury requires surgery?

A

Grade III

Diastasis greater than 2 mm seen on AP radiographs

24
Q

Most important risk factor in developing OA after a meniscal repair?

A

BMI classified as overweight >25

25
Q

Revascularization of the bone patellar tendon bone ACL autograft occurs most rapidly at which portion of the graft?

A

Mid-substance

26
Q

What position is contraindicated s/p PCL surgery?

A

Gravity assisted extension

ie. propping heel up on towel rolls for quad sets

SCS (36 decks)

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