Anterior shoulder reconstruction with arthroscopic bankart repair. Shoulder exercises for bankart rehabilitation protocol the exercises illustrated and described in this document should be performed only after instruction by your physical therapist or dr. Dr mcdonald dr nieman subscapularis repair bankart. The subscapularis is detached at the beginning of the procedure and then reattached at the end of the procedure. University of washington shoulder and elbow service general. Rehabilitation after arthroscopic posterior bankart repair. Return to sport is based on provider team physician, physician assistant, athletic trainer, therapist input and. Bankart lesion tests should be used if the patient describes a history of macrotrauma, recurrent subluxations, pain anteriorly or deep in the shoulder, clicking, clunking, or sensations of locking or pseudolocking. Bankart procedure is performed to increase anterior stability of the shoulder. Take care of your shoulder while its healing and follow all instructions you are given. Rehabilitation program following shoulder arthroscopyopen. Rehabilitation guidelines for anterior shoulder reconstruction with arthroscopic bankart repair. Shoulder rehabilitation western orthopaedic clinic.
Pdf physical therapy protocols for arthroscopic bankart repair. Rehabilitation protocol for bankart repair this protocol is intended to guide clinicians and patients through the postoperative course of a bankart repair. The capsule is a broad ligament that surrounds and stabilizes the joint. Strengthening the muscles that support your shoulder will help keep your shoulder joint stable. After shoulder surgery slap repair or bankart repair after repair of your shoulder joint, you may go home the same day of your surgery. Arthroscopic bankart repair rehab protocol orthoindy.
The goal of this rehabilitation program is to return the patientathlete to their activitysport as safely as possible while maintaining a stable shoulder. Postoperative rehabilitation protocol slap repair, bankart repair, or biceps tenodesis phase i. Phase 1 weeks 04 sling immobilization at all times except for showering and rehab under guidance of pt range of motion o prom aarom arom as tolerated. Take care of your shoulder while its healing and follow all instructions you are. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus ball and the glenoid portion of the scapula socket. Immediately postoperatively, exercises must be modified so as. Bankart repair protocol northeast orthopedics and sports. Madison, wi 53718 rehabilitation guidelines for anterior shoulder reconstruction with arthroscopic bankart repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball. The bankart procedure is performed to increase anterior stability of the shoulder. Arthroscopic bankart repair rehabilitation guidelines. Rehabilitation guidelines for anterior shoulder reconstruction with arthroscopic bankart repair 333 38th st.
General information there may be a loss of external rotation when compared to the other side, but the motion is. Pendulum exercise bend over at the waist and let the arm hang down. Pdf rehabilitation guidelines for anterior shoulder. The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. Summary table post op phasegoals range of motion therapeutic exercise precautions phase i 0 6 weeks after surgery. Gallandkirby bankart repair arthroscopic open postsurgical rehabilitation protocol postop days 1 7 sling x 6 weeks even while sleeping place pillow under shoulder arm while sleeping for comfort hand squeezing exercises elbow and wrist active motion arom with shoulder in neutral position at side. Ice should be applied to the shoulder for 1520 minutes following each exercise, therapy, or training session. Bankart repair rehabilitation protocol arthroscopicopen this protocol was developed for patients who have had a bankart repair. Postop rehabilitation protocol bankartinstability repair weeks 04. The following is a guideline for progression of postoperative treatment. After shoulder surgery slap repair or bankart repair. Madison, wi 53718 rehabilitation guidelines for anterior shoulder reconstruction with open bankart repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee figure 1. Electromyographic analysis of specific exercises for scapular control in early phases of shoulder. University of washington shoulder and elbow service.
Shoulder press overhead should be done carefully, avoiding heavy weights. Shoulder exercises for bankart rehabilitation protocol. Apply ice to the shoulder as tolerated to reduce pain and swelling. Shoulder bankart repair mammoth orthopedic institute. Arthroscopic bankart rehabilitation protocol 68 visits total over 12 weeks stage i 04 weeks a. It is an indication for surgery and often accompanied by a hillsachs lesion, damage to the posterior humeral head. Appointments rehabilitation appointments begin 410 days after surgery rehabilitation goals protect the postsurgical shoulder activate the stabilizing muscles of the glenohumeral and scapulathoracic joints full active and passive range of motion rom for shoulder flexion, abduction. Shoulder rehabilitation guidelines for open anterior capsulorhaphy or bankart repairpredominantly anterior instability shoulder repair of the loose glenohumeral joint was either performed open capsular shift or reattachmentbankart repair, or by combination. Rehabilitation after arthroscopic bankart repair and anterior stabilization procedures phase 3. General time frames are given for reference to the average, but individual patients will progress at. You can change the dressing to a smaller one to allow the cold therapy to reach the shoulder. Arthroscopic bankart repair center for sports medicine. The subscapularis is detached at the beginning of the procedure and then reattached at the end. Immediately postoperatively, exercises must be modified so as not to place unnecessary stress on.
Bankart repair protocol vanderbilt university medical center. The posterior bankart procedure is performed to increase posterior stability of the shoulder. Laith m jazrawi, md professor of orthopedic surgery chief, division of sports medicine t 6465017223 nyu langone orthopedic center 333 e 38th st, new york, ny 10016 t 6465017223 f 6467549505. During rehabilitation if there are any neurovascular findings please call the office. Considerations for the postoperative bankart repair rehabilitation program. This program is based on shoulder anatomy, biomechanics and the healing constraints of the surgical procedure. Arthroscopic bankart repair rehab protocol this rehabilitation protocol has been developed for the patient following an arthroscopic bankart surgical procedure. Maintain elbow wrist range of motion, decrease swelling, pain treatment plan. If doing shoulder presses, always start with the hand in front of the shoulder and end overhead where you can still see your hand. Rehabilitation protocol see capsulorraphy protocol for posterior bankart week 0 4 shoulder sling and swathe full time day and night. Bankart repairanterior capsulorrhaphy rehabilitation.
This program is based on shoulder anatomy, biomechanics and the healing constraints. Rehabilitation after arthroscopic bankart repair and anterior. Outcomes after arthroscopic bankart repair can be highly. Posterior capuslorraphy reverse bankart repair rehabilitation protocol this protocol was developed for patients who have had a reverse bankart repair.
The socket portion of the joint is not naturally deep. You will go to the recovery room and generally will be discharged after 12 hours. Each phase is adaptable based on the individual and special circumstances. Thus, the definition of a bankart lesion is an injury that occurs when the capsularlabral complex is torn from the glenoid rim fig. Begin early shoulder motion activities when you go home. This rehabilitation protocol has been developed for the patient following bankart surgical procedure for anterior shoulder instability. The shallow socket in the scapula is the glenoid cavity. The shoulder is a wonderfully complex joint that is made up of the ball and socket. Rehabilitation program following bankart repair 3 use of the ultrasling the ultrasling is designed to keep your operated shoulder in a comfortable position, away from your body, after your surgery. May have sling and swathe off four times daily for active hand, wrist, and elbow rom.
It is not intended to be a substitute for ones clinical decision making. For this reason the shoulder is the most mobile joint in the body. Shoulder rehabilitation guidelines for open anterior capsulorhaphy or bankart repairpredominantly anterior instability shoulder repair of the loose glenohumeral joint was either performed open capsular shift or reattachment bankart repair, or by combination. Reestablish range of motion rom without stressing anterior capsule or labral repair. Rehabilitation protocol postop days 1 7 sling x 6 weeks even while sleepingplace pillow under shoulder arm while sleeping for comfort hand squeezing exercises elbow and wrist active motion arom with shoulder in neutral position at side supported pendulum exercises.
South shore hospital orthopedic, spine and sports therapy in clinical collaboration. For persons using barbells, this is the military press. Return to intense activities following an arthroscopic bankart repair requires both a. When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it. Achieving the criteria of each phase should be emphasized more than the approximate duration. Avoid placing the joint capsule under stress by stretching into abduction or er during the early phases of rehabilitation, until dynamic joint stability is restored. During the clunk test the clinician takes the patients shoulder into full elevation and grasps the patients proximal humerus as close to the glenohumeral joint as possible. Bankartinstability rehabilitation protocol ethan m. Activation of the shoulder musculature during pendulum exercises and light activities.
The shoulder joint is a ball and socket joint that connects the bone of the upper arm humerus with the shoulder blade scapula. Rotator cuff and shoulder conditioning program introduction 1 additional notes. Arthroscopic bankart rehabilitation protocol 68 visits total over 12 weeks stage i 03 weeks for open repair 04 weeks for arthroscopic repair a. General time frames are given for reference to the average, but individual patients will progress at different rates depending on their age, associated injuries, preinjury health status, and. University of washington shoulder and elbow service general rehabilitation guidelines please note that these are general guidelines and the specifics of the management of a particular patient must be determined by the surgeon responsible. Bankart repair protocol bankart repair protocol this rehabilitation protocol has been developed for the patient following bankart surgical procedure for anterior shoulder instability. The rehabilitation guidelines are presented in a criterion based progression. Rehabilitation protocol for bankart repair massachusetts general.
During daytime when seated, loosen neck strap on sling and rest arm on lap, armchair, table etc. Protective phase day 1 to week 6 weeks 02 shoulder sling x 6 weeks sleep in sling x 3 weeks shoulder, elbow, and hand rom no resisted active isolated biceps activity elbow. The american society of shoulder and elbow therapists consensus rehabilitation guideline for arthroscopic anterior capsulolabral repair of the shoulder. Dr mcdonald dr nieman subscapularis repair bankart repair. The ultrasling is to be worn for 6 weeks, following bankart repair surgery. Patients with additional surgery will progress at different rates. A bankart lesion is an injury of the anterior glenoid labrum of the shoulder due to anterior shoulder dislocation. Avoid activities in extreme roms early in the rehabilitation process factors affecting recovery time.
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