Shoulder Surgery

Question 1

Rotator cuff pathology if multifactorial. List some factors leading to Pathologies

Answer 1

Trauma, degeneration, congenital abnormalities, Scapulothoracic dysfunction, Glenohumeral (GH) instability, Degernerative changes (tear) of the rotator cuff

Question 2

What are the indications for surgery for the ratator cuff?

Answer 2

Failure of conservative treatment
Acute traumatic tear in an active patient younger than 50
PAIN +/- Loss of function

Question 3

WHat are the types of sugery for rotator cuff repai

Answer 3

Arthroscopic - for impingment issues,
Arthroscopic or mini open
Open for full thickness tears of rotator cuff

Question 4

Tranoseous rpair of rotator cuff tendon is?

Answer 4

Open surgery where a trough is created in prox. humerus just lateral to articular surface. Sutures are tied over the bone bridge to greater tuberosity

Question 5

WHat are the phases of Acromioplasty rehab for the shoulder

Answer 5

Phase 1 - first 2-3 weeks after surgery
Phase II - 3-6 weeks after surgery. Strengthing, ROtator cuff musculature and scap stabiliser strengthing
Phase iii - 9-12 weeks. Goals: enhancing kinesthesia and joint position sense, building endurance, strengthing scap stabilisers and perform work specific and sport specific tasks