Surgeries Flashcards
After THA, which movements are avoided in the short term?
- extension
- ER
- resisted internal rotation
Which muscle is typically compromised with TSA?
Subscapularis
Which procedure is used for shoulder stabilization?
Capsular shift: tightening the joint capsule by cutting and overlapping ends to reduce excess tissue
Immobilization for posterior capsule repair
Neutral “handshake” position
Avoid IR, flexion, horizontal adduction
Immobilization for anterior capsule repair
Typical sling position
Avoid ER, extension, horizontal abduction
If a patient has had a SLAP repair, what movement should be avoided?
Contraction or stretching the biceps (bc it’s attached to the superior labrum)
Femoral neck fractures
- intracapsular
- may lead to disruption of blood supply
Intertrochanteric hip fx
- extracapsular
- don’t affect blood supply
Hip rehab considerations: signs of fixation failure
- persistent thigh/groin pain
- leg length discrepancy which wasn’t initially present
- positioning the limb in ER
- trendelenburg sign that doesn’t improve with strengthening
For surgeries that fix cartilage defects in the knee, what position will the patient likely be braced in?
Knee extension
ROM progression varies depending on size and location of lesion
ACL-R: when is tissue most vulnerable?
6-8 weeks
ACL-R: use of open chain exercises
OKC exercise between 0-45˚ should be avoided due to excess stress on the graft site
ACL-R: criteria for return to sport
- no pain or effusion
- full ROM
- no instability
- quad strength 85-90% of uninvolved side
- functional testing 85-90% of uninvolved side
Rehab for post PCL-R
- Same as with ACL-R
- progression with WB and exercise is more gradual
- limit posterior shear forces within the knee
PCL-R
These movements should be avoided early on
Repetitive knee flexion
