Shoulder Common Surgeries Flashcards

1
Q

what is a reconstruction

A

tissue that was not original tissue to fix site of injury

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2
Q

what are typical restrictions for ROM and strengthening for a reconstruction

A

less restrictive

done early during post-op rehab

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3
Q

repair

A

original tissue used in attempt to fix site of injury

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4
Q

what are typical restrictions for ROM and strengthening for a repair

A

more restrictive and slow progressing but still done early in rehab

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5
Q

arthroplasty

A

replacement of joint with prosthetic one

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6
Q

which protocol do you follow if a pt had 2 separate surgeries done at the same time

A

the slowest progressing protocol

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7
Q

arthroscopic

A

small incision made and scope surgical tools inserted through these portals for the surgery

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8
Q

open surgery

A

done if surgery can not be completed arthroscopically, larger incision so can see everything

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9
Q

for a rotator cuff repair what other ROM concerns outside of at the shoulder do you have with being in a sling so long

A

elbow and wrist

take off sling to straighten arm and bend wrist

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10
Q

why would PT be delayed with a rotator cuff repair

A

with larger tears to promote more healing

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11
Q

what does recovery look like for a rotator cuff tear

A

about 6 months but can take about a year

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12
Q

what factors will influence speed of recovery

A

size of tear
tissue quality
health of pt

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13
Q

total shoulder arthroplasty(TSA)

A
  • arthritic head of humerus is replaced by a smooth metal ball fixed to the humerus by a stem that fits within it
  • arthritis glenoid fossa is resurfaced with a high-density polyethylene prosthesis
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14
Q

TSA is done when you have…

A

RA
osteoarthritis
traumatic fx of humeral head
avascular necrosis

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15
Q

with a TSA, what part of the joint capsule should you avoid stressing? which means while lying supine, what should the pt see?

A
  • anterior

- should see elbow at all times to prevent dislocation

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16
Q

why are ROM restrictions common in early rehab for a TSA

A

avoid loosening of components or dislocation

17
Q

reverse TSA

A

ball and socket switch sides

role of deltoid changes

18
Q

what does the rTSA rely on the deltoid for

A

stability and mobility instead of rotator cuff

19
Q

what pt would benefit from a rTSA

A

someone who would also benefit from a TSA but who also have irreparable RTC damage

20
Q

what is there a higher risk for with rTSA than with TSA

A

shoulder dislocations

21
Q

avoid what with a rTSA

A

shoulder ext past neutral and combo of shoulder add and IR for 10-12wks

22
Q

what is the typical position for dislocation with rTSA

A

combo of IR, adduction and ext

- tucking in shirt, going to bathroom

23
Q

during a labral repair how is the labrum reattached

A

to the glenoid fossa using screws with attached sutures

24
Q

subacromial decompression

A

arthroscopic debridement of end of acromion and any inflamed tissue such as rotator cuff tendons or subacromial bursa

may or may not include distal clavical excision

25
what are abduction pillows
- commonly seen in rotator cuff repairs, especially if they repaired the supraspinatus - reduces tension on the repaired tendons of the supraspinatus
26
small abduction pillow
- abducts 13 degrees | - reduces tension on supraspinatus tendon anteriorly (27) and more posteriorly (56)
27
large abduction pillow
- abducts 25 degrees | - reduces tension on supraspinatus a little more anteriorly (42) than the small but more posterioly (56)