Egészségügy | Sebészet » Your Arthroscopic Shoulder Surgery, A Helpful Guide

Source: http://www.doksinet Your Arthroscopic Shoulder Surgery, A Helpful Guide Albert G. Volk, MD, FAAOS One Orthopaedic Place St. Augustine, Florida 32086 904.8250540 Ext 221 Fax 904.8250517 info@oastaug.com ABOUT THE SURGEON DR. VOLK attended college at The Johns Hopkins University and received his Medical Degree from Indiana University School of Medicine He completed his internship and residency program with the University of Southern California Orthopedic Department in Los Angeles, California. While at USC he had the opportunity to learn from and operate with shoulder surgeon Dr Frank Jobe at the esteemed Kerlan-Jobe Clinic in Centinela Hospital in Los Angeles, California. Following his residency, Dr Volk completed a sports medicine shoulder and knee arthroscopy fellowship at the Matthews Orthopedic Clinic, Orlando Regional Medical Center in Orlando, Florida. There Dr Volk received an additional one year of intensive training in shoulder and knee arthroscopy. He treated

professional athletes including professional football, baseball, and basketball players for various sports injuries. Following his one year fellowship, Dr Volk entered into private practice in St Augustine where he currently resides and practices He has extensive experience in treating conditions of the shoulder, mostly through arthroscopic procedures. He currently is the Chief Medical Advisor for the Professional Women’s Tennis Association and continues to evaluate and treat professional players with sports related injuries He has two board certifications with the American Board of Orthopaedic Surgeons, one in Orthopaedic Surgery and the other in Sports Medicine. Source: http://www.doksinet WELCOME Thank you for choosing to have your arthroscopic shoulder surgery with Albert G. Volk, MD at Orthopaedic Associates of St Augustine Our Team of experienced and compassionate professionals is dedicated to helping you achieve an improved level of activity and a higher quality of life.

Each year over 250,000 people in the United States undergo shoulder surgery. Candidates for the surgery include those individuals with acute shoulder pain or injury that has severely diminished their ability to perform normal daily activities without pain. Shoulder surgery can make a big difference in your ability to return to work, sports, or other activities that you enjoy. Most arthroscopic shoulder surgery patients recover quickly. New minimally invasive arthroscopic techniques and improved instrumentation have allowed us to quick- en the recovery process. Most surgeries are performed on an outpatient surgery basis through three or four tiny ˆ˜VˆÃˆœ˜ÃÊV>i`Ê>ÀÌ ÀœÃVœ«ˆVÊ«œÀÌÊ œiðÊÊ/ ˆÃÊÈ}˜ˆwV>˜ÌÞÊ lessens postoperative pain and facilitates postoperative rehabilitation with minimal scarring. At Orthopaedic Associates, Dr. Volk has designed a postœ«iÀ>̈ÛiÊ Ài >LˆˆÌ>̈œ˜Ê «Àœ}À>“Ê Ì

>ÌÊ ˆÃÊ Ã«iVˆwV>ÞÊ Ì>ˆlored to the type of shoulder surgery that you have un`iÀ}œ˜i°Ê Ê 7 i˜Ê Ì iÀiÊ ˆÃÊ >Ê Ài«>ˆÀÊ œvÊ >Ê ÀœÌ>̜ÀÊ VÕvvÊ œÀÊ >Ê labrum, this usually entails wearing a postoperative sling for a period of four to six weeks. The amount of time that you will need to recover is highly dependent on the procedure you had and on your preoperative physical conditioning. The better your physical condition prior to surgery, the quicker and more successful your recovery will be. MISSION STATEMENT / iÊ}œ>ÊœvÊÌ iÊ« ÞÈVˆ>˜ÃÊ>˜`ÊÃÌ>vvÊ>ÌÊ"ÀÌ œ«>i`ˆVÊ
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Õ}ÕÃ̈˜iʈÃÊ>Ü>ÞÃÊÌ iÊÃ>“iÊ̜ʓ>݈“ˆâiÊ your total movement and performance so you can return to the quality of life you deserve as soon as possible. THE INTENDED PURPOSE OF THIS GUIDE UÊ ÌʈÃʜÕÀÊLiˆivÊÌ

>ÌÊ>ÊÜi‡«Ài«>Ài`Ê«>̈i˜ÌÊ>V ˆiÛiÃÊÌ iÊLiÃÌÊÃÕÀ}ˆV>ÊÀiÃՏÌðÊÊ* ÞÈV>Ê«Ài«>À>̈œ˜]Êi`ÕV>̈œ˜]Ê continuity of care, and pre-planned postoperative activities and rehabilitation are important to creating the best results. This guidebook will give you and your caregivers everything you need to know for a rapid return to a healthy and active lifestyle. UÊ / ˆÃÊ}Ո`iʈÃʓi>˜ÌÊ̜Êi`ÕV>Ìi]Êi˜VœÕÀ>}i]Ê>˜`Êi“«œÜiÀÊÊޜÕÊÌ iÊ«>̈i˜Ì]ÊÌ iÊv>“ˆÞʜÀÊV>Ài}ˆÛiÀ°ÊÌÃÊ«ÕÀ«œÃiʈÃÊ ÌœÊÀiˆiÛiÊvi>ÀÊ>˜`ÊÃÌÀiÃÃÊÌ ÀœÕ} ʜÀ}>˜ˆâ>̈œ˜°ÊÌÊ܈ÊÃiÀÛiÊ>ÃÊ>ÊÃÌi«‡LއÃÌi«Ê}Ո`iÊ̜ÊޜÕÀÊ«Ài«>À>̈œ˜ÊvœÀÊÃÕÀ}iÀÞ°Ê Furthermore, it will outline what will be expected of you before and after the surgery. DECISION FOR SURGERY

You and Dr. Volk have decided that the best treatment for your shoulder problem is shoulder arthroscopy. Depending on the exact procedure and extent of the surgery will dictate: UÊ œÜʏœ˜}ÊޜÕÊ܈Ê˜ii`Ê̜ÊÜi>ÀÊÌ iÊà œÕ`iÀʈ““œLˆˆâiÀ° UÊ œÜʓ>˜ÞÊÜiiŽÃÊޜÕÊ܈Ê˜ii`Ê̜Ê>ÌÌi˜`ʜÀÌ œ«>i`ˆVÊÀi >LˆˆÌ>̈œ˜° UÊ 7 >ÌÊëiVˆwVÊiÝiÀVˆÃiÃÊ̜Ê`œÊ>˜`ÊÜ i˜Ê̜ÊÃÌ>ÀÌ° UÊ 7 >ÌÊÀiÃÌÀˆV̈œ˜ÃÊޜÕÊ܈Ê >Ûiʈ˜ÊÀ>˜}iʜvʓœÌˆœ˜Ê>˜`ÊÃÌÀi˜}Ì i˜ˆ˜}Ê>V̈ۈÌÞ° "ÀÌ œ«>i`ˆVÊ,i >LˆˆÌ>̈œ˜Êà œÕ`ÊLi}ˆ˜Êœ˜iÊ̜ÊvœÕÀÊ`>ÞÃÊ>vÌiÀÊÃÕÀ}iÀÞ°Ê/ iÊwÀÃÌÊ session is to change your operative dressing and to come up with a plan for your treatment. If your orthopaedic rehabilitation is to be done at a location outside of our facility or

through a home health care agency, your physical therapist should call œÕÀʜvwViÊÌœÊ >ÛiÊÌ iʜ«iÀ>̈ÛiÊÀi«œÀÌÊv>Ýi`Ê̜ÊÌ i“°Ê/ ˆÃÊ܈Êˆ˜vœÀ“ÊޜÕÀÊ« ÞÈV>Ê therapist regarding which procedure was performed and what kind of rehabilitation to initiate. 2 Your Arthroscopic Shoulder Surgery Source: http://www.doksinet WHAT IS A SHOULDER ARTHROSCOPY Arthro means joint and scope means to view inside that joint. An arthroscope is a small ˜>ÀÀœÜÊÌÕLiÊÌ >ÌʈÃʈ˜ÃiÀÌi`ʈ˜ÌœÊÌ iÊà œÕ`iÀʍœˆ˜ÌÊÌ ÀœÕ} Ê>Ê«i˜Vˆ‡Ãˆâi`Ê œiÊÌ ÀœÕ} Ê Ü ˆV Ê>ÊwLiÀʜ«ÌˆVÊV>“iÀ>]ʏˆ} ÌÊÜÕÀVi]Ê>˜`ÊÜ>ÌiÀÊyœÜÊ>ÀiÊ«>ÃÃi`°ÊÊ/ iÊV>“iÀ>ʈÃÊVœ˜˜iVÌi`Ê̜Ê>ÊLˆ}ÊÃVÀii˜]Ê ˆ} ‡`iw˜ˆÌˆœ˜ÊÌiiۈȜ˜Ê“œ˜ˆÌœÀ°ÊÊ À°Ê6œŽÊ܈ÊLiÊ>LiÊ̜ÊۈiÜÊ the

inside of your shoulder joint and identify frayed, torn, or degenerative tissue. Impingement 1 One or more small incisions are made in the joint for insertion of special instruments used to: Torn Labrum 2 UÊ iLÀˆ`iÊÌ iÊ`i}i˜iÀ>̈ÛiÊ̈ÃÃÕiÊÜʜ˜ÞÊ i>Ì ÞÊ̈ÃÃÕiÊ remains. UʘVÀi>ÃiÊÌ iÊë>ViʜvÊÌ iÊÀœÌ>̜ÀÊVÕvvÊLÞÊÀi“œÛˆ˜}ÊLœ˜iÊ Ã«ÕÀÃÊ>˜`ʈ˜y>“i`ʜÀÊÌ ˆVŽi˜i`ÊLÕÀÃ>ʜÀÊÃV>ÀÊ̈ÃÃÕi° UÊ,i“œÛiÊ>ÀÌ ÀˆÌˆÃÊvÀœ“ÊÌ iÊ
Ê­>VÀœ“ˆœV>ۈVՏ>À®Êœˆ˜ÌqqՓvœÀ`Ê«ÀœVi`ÕÀi° UÊ,i«>ˆÀʜÀÊÀi>ÌÌ>V ʏˆ}>“i˜ÌÃ]ʏ>LÀՓ]ʜÀʍœˆ˜ÌÊV>«ÃՏiÊvœÀÊÊà œÕ`iÀʈ˜ÃÌ>LˆˆÌÞ° UÊ,i«>ˆÀÊ>Ê̜À˜ÊÀœÌ>̜ÀÊVÕvv° New and improved shoulder arthroscopic inventions have led to quicker recovery times, less pain, and faster

rehabilitation. REASONS FOR SHOULDER ARTHROSCOPY Torn Rotator Cuff 3 The reasons for shoulder arthroscopy might include: UÊRotator cuff tear - This is the tendon structure of the shoulder that is responsible vœÀʏˆv̈˜}ÊޜÕÀÊ>À“ÊœÛiÀÊޜÕÀÊ i>`°Ê­ˆ}ÕÀiÊή UÊAdhesive capsulitisʇÊvÀœâi˜Êà œÕ`iÀ° UÊBicipital tendonitis - frayed or inflamed biceps tendon. UÊCalcific tendonitis - calcium deposits in the rotator cuff tendon. UÊHistory of dislocations or subluxation of the shoulder - shoulder instability. U Labral tears - This is a structure in the shoulder that helps to keep the shoulder in place. The labrum can become frayed, torn, or detached and may need debridement œÀÊÀi«>ˆÀ°Ê­ˆ}ÕÀiÊÓ® U Acromioclavicular joint arthritis - The joint between the collar bone and the acro“ˆœ˜ÊLiVœ“iÃʈ˜v>“i`ʜÀÊ>ÀÌ ÀˆÌˆV°Ê­ˆ}ÕÀiÊ{® Arthritis and Loose Bodies 4 U Synovitis and

bursitis - The lining of the joint covering of the tendon becomes ˆ˜v>“i`ʜÀÊÌ ˆVŽi˜i`°Ê­ˆ}ÕÀiÊ£® U Loose bodies - A piece of cartilage can break off the covering of the joint and float vÀiiʈ˜ÊÌ iʍœˆ˜ÌÊV>ÕȘ}ÊV>ÌV ˆ˜}Ê>˜`Ê«>ˆ˜°Ê­ˆ}ÕÀiÊ{® U Impingement - Usually caused by weakness or narrowing of the space between Ì iÊ Õ“iÀ>Ê i>`Ê>˜`ÊÌ iÊ>VÀœ“ˆœ˜°ÊÊ*>ˆ˜ÊˆÃÊV>ÕÃi`ÊÜ i˜ÊÌ iÊ>À“ʈÃÊÀ>ˆÃi`ʜÛiÀÊ Ì iÊ i>`°Ê­ˆ}ÕÀiÊ£® U
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"6 ° A Helpful Guide 3 Source: http://www.doksinet HOW TO PREPARE FOR ARTHROSCOPIC SHOULDER SURGERY UÊ*Ài«>À>̈œ˜ÊvœÀÊÃÕÀ}iÀÞÊLi}ˆ˜ÃÊ>ÃÊܜ˜Ê>ÃÊޜÕÀÊ`œV̜ÀÊÀiVœ“mends surgery. UÊ
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ÌÊ is very important that we, as your healthcare providers, know what medications you are taking. Your list should include the name of the medication, the dosage of the medication, how many times a day you take the medication, and at what time you take the medication. UÊ*Àiœ«iÀ>̈ÛiÊVi>À>˜ViʇÊ9œÕÊà œÕ`ʘœÌˆvÞÊޜÕÀÊv>“ˆÞÊ`œV̜ÀÊ of your decision to have surgery. You may need to have an EKG to check the condition of your heart, schedule lab work, or possibly a chest x-ray. UÊ ÕÀÀi˜Ìʓi`ˆV>̈œ˜ÃʇÊvÊޜÕÊ>ÀiÊVÕÀÀi˜ÌÞÊÌ>Žˆ˜}ÊLœœ`ÊÌ ˆ˜˜iÀÃÊÃÕV Ê>ÃÊ>ëˆÀˆ˜]Ê œÕ“>`ˆ˜]Ê*>ۈÝ]ÊۈÌ>“ˆ˜Ê ]Ê>˜Ìˆ‡ˆ˜y>““>̜ÀÞÊ`ÀÕ}ÃÊÃÕV Ê>ÃÊ
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iÛi]ÊޜÕÊ܈Ê˜ii`Ê̜Ê`ˆÃcuss with your family doctor when it is safe to stop taking these medications. In most cases, these medications should

LiÊÃ̜««i`ÊwÛiÊ̜ÊÃiÛi˜Ê`>ÞÃÊ«ÀˆœÀÊ̜ÊÃÕÀ}iÀÞ°ÊÊiÌÊޜÕÀÊv>“ˆÞÊ`œV̜ÀÊ`iVˆ`iÊiÝ>V̏ÞÊÜ i˜Ê>˜`Ê œÜÊ̜ÊÃ̜«ÊÌ i“° THE WEEK OF SURGERY U 9œÕÊ ÜˆÊ LiÊ ÃV i`Տi`Ê >Ê «Àiœ«iÀ>̈ÛiÊ ÛˆÃˆÌÊ >ÌÊ "ÀÌ œ«>i`ˆVÊ
ÃÜVˆ>ÌiÃÊ LivœÀiÊ ÞœÕÀÊÃÕÀ}iÀÞ°ÊÊvÊޜÕÊ >ÛiʘœÌÊ>Ài>`ÞÊ}ˆÛi˜ÊœÕÀʜvwViÊ>ʏˆÃÌʜvÊ>ÊœvÊޜÕÀÊVÕÀÀi˜ÌÊ medications, please bring that with you for this visit. Your medical clearance, if needed, should be completed at this time. A note from your family doctor or heart doctor, any lab work, and a recent copy of your EKG should be brought ÜˆÌ ÊޜÕʜÀÊv>Ýi`Ê̜ÊÕÃÊ«ÀˆœÀÊ̜ÊޜÕÀʜvwViÊۈḚ̀ÊÊ U

vÊޜÕÊ`œÊ˜œÌÊ}œÊ̜ÊޜÕÀÊ«Àiœ«iÀ>̈ÛiÊVi>À>˜ViÊ>««œˆ˜Ì“i˜ÌʜÀÊv>ˆÊޜÕÀÊVi>Àance test, the surgery will be postponed until proper clearance has been obÌ>ˆ˜i`°ÊÊ7iÊ܈Ê˜œÌÊ«ÀœVii`Ê>}>ˆ˜ÃÌÊÌ iÊ>`ۈViʜvÊ>˜œÌ iÀÊ`œV̜À°ÊÊ U vÊ ˜iViÃÃ>ÀÞ]Ê ÞœÕÊ Ã œÕ`Ê >ÛiÊ >Ài>`ÞÊ ÀiViˆÛi`Ê ˆ˜ÃÌÀÕV̈œ˜ÃÊ vÀœ“Ê ޜÕÀÊ «Àˆ“>ÀÞÊ care doctor when to take your heart medication, blood pressure medication, or diabetes medication . If applicable, you will also have received instructions when ̜ÊÃ̜«ÊޜÕÀÊ œÕ“>`ˆ˜]Ê*>ۈÝ]Ê>˜Ìˆ‡ˆ˜y>““>̜ÀˆiÃ]ʜÀÊ>ëˆÀˆ˜°ÊÊ U ÌʈÃʘiViÃÃ>ÀÞÊÌ >ÌÊޜÕʘœÌˆvÞÊÕÃʈvÊޜÕÊ>ÀiÊ>iÀ}ˆVÊ̜Ê>˜Þʓi`ˆV>̈œ˜Ã°ÊÊ >ÕÃi>ʈÃÊ not a true

allergy. A true allergy can cause a rash, shortness of breath, swelling of your tongue, or convulsions. U ÌʈÃÊ>ÃœÊˆ“«œÀÌ>˜ÌÊ̜ʘœÌˆvÞÊÕÃʈvÊޜÕÊ >ÛiÊ >`Ê>˜ÞÊ ˆÃ̜ÀÞʜvÊ>˜iÃÌ iÈ>ÊVœ“«ˆcations from previous surgeries. UÊ *i>ÃiʘœÌˆvÞÊÕÃʈvÊޜÕÊ >ÛiÊ >`Ê>ÊLœœ`ÊVœÌʈ˜ÊޜÕÀʏi}ÃʜÀʏ՘}Ê>˜`Ê >`Ê̜ÊÌ>ŽiÊ>ÊLœœ`ÊÌ ˆ˜˜iÀÊvœÀÊÌ ˆÃÊVœ˜`ˆÌˆœ˜° UÊ Àˆ˜ŽÊ«i˜ÌÞʜvÊÜ>ÌiÀÊ>˜`ʍՈViÃÊÌ iÊÜiiŽÊLivœÀiÊޜÕÀÊÃÕÀ}iÀÞ°ÊÊ UÊ ,i“i“LiÀÊ̜Ê`œÊ>ÊœvÊޜÕÀʏ>ÃÌʓˆ˜ÕÌiÊÀ՘˜ˆ˜}Ê>ÀœÕ˜`Ê̜ܘÊLivœÀiÊÃÕÀ}iÀÞ°ÊÊ9œÕÊ܈Ê˜œÌÊLiÊ>LiÊ̜Ê`ÀˆÛiÊÃ>viÞÊvœÀÊ several weeks after surgery. You will not be able to lift anything after surgery until told by your doctor or physical

therapist. Do all of your grocery shopping and important errands the week before surgery 4 Your Arthroscopic Shoulder Surgery Source: http://www.doksinet YOUR PREOPERATIVE VISIT WITH US U 9œÕÊ܈ÊLiÊV iVŽi`ÊvœÀÊΈ˜ÊVœ˜`ˆÌˆœ˜Ãʘi>ÀÊޜÕÀÊà œÕ`iÀ]ÊVœ`Ã]ÊVœÕ} Ã]ÊÊ and fevers. U 9œÕÊ܈ÊLiÊ}ˆÛi˜Ê̈“iÊvœÀÊ>˜Þʏ>ÃÌʓˆ˜ÕÌiʵÕiÃ̈œ˜ÃʜÀÊV>ÀˆwV>̈œ˜Ã° U *>ˆ˜Ê>˜`Ê>˜ÌˆLˆœÌˆVÊ«ÀiÃVÀˆ«Ìˆœ˜ÃÊ܈ÊLiÊ}ˆÛi˜Ê>ÌÊÌ ˆÃÊ̈“i°Ê9œÕÊ܈ÊÜ>˜ÌÊ̜ÊwÊ these prescriptions prior to surgery. You do not want to be waiting for your pain medications when you are in pain. Please be sure to get all of your postoperative medications prior to your surgery. U 9œÕÊ܈ÊÌ>ŽÊ̜ÊÌ iÊ«Àiœ«iÀ>̈ÛiʘÕÀÃiÊÀi}>À`ˆ˜}Ê>˜iÃÌ iÈ>°Ê- iÊ܈Ê}ˆÛiÊ you the

approximate time your surgery will be and when to arrive for prepaÀ>̈œ˜°Ê*i>ÃiʘœÌi]Ê`ÕiÊ̜ʏ>ÃÌʓˆ˜ÕÌiÊÃV i`ՏiÊV >˜}iÃÊޜÕÀÊÃÕÀ}iÀÞʓ>ÞÊ be earlier or later than anticipated. U
ÌÊÌ ˆÃÊ̈“i]ÊޜÕÊ܈Ê>ÃœÊLiÊ}ˆÛi˜Ê>˜Ê>««œˆ˜Ì“i˜ÌÊ̈“iÊ>˜`Ê`>ÌiÊvœÀÊޜÕÀÊ orthopaedic rehabilitation and postoperative visit with Dr. Volk WHAT KIND OF ANESTHESIA WILL I HAVE U 9œÕÊ܈Ê >ÛiÊ>ÊVœ“Lˆ˜>̈œ˜ÊœvÊ>ÊÀi}ˆœ˜>Êà œÕ`iÀÊLœVŽÊ>˜`Ê}i˜iÀ>Ê>˜iÃÌ iÈ>°ÊœÃÌÊÃÕÀ}iœ˜Ã]Ê>˜iÃÌ iȜœ}ˆÃÌÃ]Ê and patients prefer this. A regional block is called the interscalene block It will cause everything from your neck to ޜÕÀÊw˜}iÀ̈«ÃÊ̜ÊLiVœ“iʘՓL° U

/i“«œÀ>ÀÞʘՓL˜iÃÃÊvÀœ“ÊÃÕÀ}iÀÞʈÃÊ}œœ`Ê>˜`ʓi>˜ÃÊޜÕÊ܈Ê >ÛiʏiÃÃÊ«>ˆ˜ÊœÀʘœÊ«>ˆ˜Ê՘̈ÊÌ iÊLœVŽÊÜi>ÀÃʜvv°Ê/ iÊ wÀÃÌÊviÜÊ œÕÀÃÊ>vÌiÀÊÃÕÀ}iÀÞÊ>ÀiÊÕÃÕ>ÞÊÌ iʓœÃÌÊ«>ˆ˜vՏ°Ê ÞÊÕȘ}ÊÌ iÊLœVŽÊÜiÊV>˜Ê}iÌÊÌ ÀœÕ} ÊÌ >ÌÊ̈“iÊÜˆÌ ÊˆÌ̏iÊ or no pain. THE INTERSCALENE BLOCK The anesthesiologist will clean your neck area with surgical preparation soap. Next they will insert a small thin needle into the side of your neck. A small amount of electricity is used to locate the proper nerve to your shoulder Once the appropriate nerve is found, the anesthesiologist will inject a local anesthetic into this area. Other medications may be >``i`Ê̜ʈ˜VÀi>ÃiÊÌ iʏi˜}Ì ÊœvÊ̈“iÊÌ >ÌÊÌ iÊLœVŽÊ܈Ê>ÃÌ°ÊÊ7 i˜ÊÌ

iÊLœVŽÊˆÃÊVœ“«iÌi`]ÊޜÕÊ܈ÊLiÊÌÀ>˜ÃviÀÀi`ÊÌœÊ the operating room and put into a light sleep for surgery. A Helpful Guide 5 Source: http://www.doksinet PREPARE YOUR HOUSE BEFORE SURGERY UÊ
ÀÀ>˜}iÊvœÀÊܓiœ˜iÊ̜Ê`ÀˆÛiÊޜÕÊ̜Ê>˜`ÊvÀœ“ÊޜÕÀÊÃÕÀ}iÀÞ°ÊÊ9œÕʓ>ÞʘœÌÊLiÊ>LiÊ̜Ê`ÀˆÛiÊÃ>viÞÊvœÀÊÃiÛiÀ>ÊÜiiŽÃÊ after surgery because you will be on pain medication that might affect your judgment. Also, your arm will be in a à œÕ`iÀʈ““œLˆˆâiÀÊ>˜`ÊޜÕʓ>ÞʘœÌÊ >ÛiÊi˜œÕ} ÊÃÌÀi˜}Ì Ê̜Ê`ÀˆÛiÊÜˆÌ Êœ˜iÊ >˜`° UÊ ,i“œÛiÊ>ÊÌ ÀœÜÊÀÕ}ÃÊÌ >ÌÊVœÕ`ÊV>ÕÃiÊޜÕÊ̜ÊÌÀˆ«° UÊ ii«Ê >Ü>ÞÃ]ÊLi`Àœœ“Ã]Ê>˜`ÊL>Ì Àœœ“ÃÊvÀiiʜvÊVÕÌÌiÀ° UÊ ii«Ê>Ê«œÀÌ>LiÊ« œ˜iʘi>ÀÊޜհ UÊ

ii«Ê>ʏˆÃÌʜvÊi“iÀ}i˜VÞʘՓLiÀÃÊVœÃiÊLÞ° UÊ 7iÊÃÌÀœ˜}ÞÊÀiVœ““i˜`ÊÏii«ˆ˜}ʈ˜Ê>ʓœÀiÊÕ«Àˆ} ÌÊ«œÃˆÌˆœ˜Ê̜ÊLiÊVœ“vœÀÌ>LiÊ>vÌiÀÊÃÕÀ}iÀÞ°ÊÊ-œ“iÊ«iœ«iÊ«ÀiviÀÊÌœÊ sleep in a recliner, purchase a pillow wedge or use extra pillows to sleep in more of an upright position. UÊ "LÌ>ˆ˜Ê>ÊviÜʏ>À}iÊLÕÌ̜˜Ê`œÜ˜Êà ˆÀÌðÊ9œÕÊ܈Ê˜œÌÊLiÊ>LiÊ̜ÊÀ>ˆÃiÊޜÕÀÊ>À“ÊœÛiÀÊޜÕÀÊ i>`ÊvœÀÊÃiÛiÀ>ÊÜiiŽÃ° UÊ *ÕÀV >ÃiʓˆVÀœÜ>Û>LiÊ`ˆ˜˜iÀÃʜÀÊwÝÊޜÕÀÊv>ۜÀˆÌiʓi>ÃÊ>˜`ÊvÀiiâiÊÌ i“ÊvœÀÊvÕÌÕÀiÊÕÃi°Ê UÊ *Ài«>ÀiÊ i>Ì ÞÊØ>VŽÃÊÌ >ÌÊV>˜ÊLiÊwÝi`ÊÜˆÌ Êœ˜iÊ >˜`ÊÃÕV Ê>ÃÊ>««iÃ]Ê«i>ÀÃ]Ê}À>«iÃ]ÊiÌV° THE DAY OF YOUR SURGERY UÊ / iÊ`>ÞÊ

>ÃÊw˜>ÞÊ>ÀÀˆÛi`ÊvœÀÊޜÕÀÊÃÕÀ}iÀÞ°ÊÊ/ iÊÃÌ>vvʈÃÊ ˆ} ÞÊÌÀ>ˆ˜i`ÊvœÀÊ your procedure and for your comfort and safety. Remember, do not eat or drink anything after midnight. UÊ 9œÕʓ>ÞÊÌ>ŽiÊޜÕÀÊ i>ÀÌʜÀÊLœœ`Ê«ÀiÃÃÕÀiʓi`ˆV>̈œ˜ÃÊÜˆÌ ÊÌ iÊÓ>iÃÌÊ >“œÕ˜ÌʜvÊÜ>ÌiÀʘiViÃÃ>ÀÞÊ̜ÊÃÜ>œÜÊޜÕÀÊ«ˆÃ°ÊÊ*i>ÃiÊ`œÊÌ ˆÃÊ>ÌÊÌ iÊ earliest part of the day prior to your surgery. UÊ />ŽiÊ>Êà œÜiÀÊLivœÀiÊVœ“ˆ˜}Ê̜ÊÌ iÊÃÕÀ}iÀÞ° UÊ œÊ˜œÌÊÜi>ÀÊ>˜Þʓ>Ži‡Õ«Ê>˜`ÊÀi“œÛiÊ>Ê˜>ˆÊ«œˆÃ ° UÊ *i>ÃiÊLÀˆ˜}ʏœœÃiÊwÌ̈˜}ÊVœÌ ˆ˜}]ÊiëiVˆ>ÞÊLÕÌ̜˜Ê`œÜ˜Êà ˆÀÌð UÊ vÊޜÕÀÊÃÕÀ}iÀÞʈÃʏ>ÌiÀʈ˜ÊÌ iÊ`>Þ]ÊÃÌ>ÞÊ

œ“iʜÀʘi>ÀÊ>Ê« œ˜iʈ˜ÊV>ÃiÊÌ iÀiÊ is a cancellation and we can call you in earlier. UÊ i>ÛiÊ>ÊœvÊޜÕÀʍiÜiÀÞ]ÊÜ>ÌV iÃ]ÊLœ`ÞÊ«ˆiÀVˆ˜}Ã]ÊÜ>iÌ]Ê>˜`Ê«ÕÀÃiÃÊ>ÌÊ home. UÊ ,i“œÛiÊ>Ê«ˆiÀVˆ˜}ðÊiÌ>ÊLœ`ÞÊ«ˆiÀVˆ˜}ÃÊV>˜ÊV>ÕÃiÊLÕÀ˜ÃʈvʏivÌʈ˜° UÊ *i>ÃiÊ>ÀÀˆÛiʜ˜ÊœÀÊLivœÀiÊÌ iʈ˜ÃÌÀÕVÌi`Ê̈“i° UÊ ,i“œÛiÊ>Ê`i˜ÌÕÀiÃʜÀÊ«>À̈>Ã°ÊÊ UÊ œÊ˜œÌÊÜi>ÀÊޜÕÀÊVœ˜Ì>VÌʏi˜ÃiÃʜ˜ÊÌ iÊ`>ÞʜvÊޜÕÀÊÃÕÀ}iÀÞ°ÊÊ*i>ÃiÊLÀˆ˜}ÊޜÕÀÊ}>ÃÃið UÊ 9œÕÊ܈ÊLiÊ>Îi`Ê̜Ê}iÌʈ˜ÌœÊ>Ê}œÜ˜ÊvœÀÊÃÕÀ}iÀÞ° UÊ 9œÕÀÊ6Ê܈ÊLiÊÃÌ>ÀÌi`Ê>˜`Ê܈ÊLiÊÕÃi`Ê̜ÊÌÀ>˜Ã«œÀÌÊyՈ`Ê̜ÊޜÕÀÊÛiˆ˜Ã°ÊÊ/

iÃiÊyՈ`ÃÊ܈ÊLiÊÕÃi`ÊvœÀÊÀi>Ý>̈œ˜]Ê̜ʫÕÌÊ you to sleep, to wake you up, to give you pain medications, and to give you antibiotics. UÊ
vÌiÀÊÌ iÊ6Ê >ÃÊLii˜ÊÃÌ>ÀÌi`ÊÌ iÊ>˜iÃÌ iȜœ}ˆÃÌÊ܈Ê>`“ˆ˜ˆÃÌiÀÊޜÕÀÊà œÕ`iÀÊLœVŽ°ÊÊ9œÕÀÊLœVŽÊà œÕ`ÊܜÀŽÊvœÀÊ£ÓÊ ÌœÊÓäÊ œÕÀðÊÊ­-iiÊÃiV̈œ˜Êœ˜Êˆ˜ÌiÀÃV>i˜iÊLœVŽ®Ê 6 Your Arthroscopic Shoulder Surgery Source: http://www.doksinet PAIN CONTROL AFTER SURGERY UÊ 9œÕÀÊà œÕ`iÀÊLœVŽÊà œÕ`ʎii«ÊޜÕÊVœ“vœÀÌ>LiÊvœÀÊ£ÓÊ̜ÊÓäÊ œÕÀÃÊ>vÌiÀÊÃÕÀ}iÀÞ°ÊÊ9œÕʓ>ÞʘœÌˆViÊ>ÊviÜÊÌ ˆ˜}ÃÊ>vÌiÀÊ surgery such as: o The inability to move your shoulder and hand. o Swelling may feel different. o Your hand and shoulder will be numb. o Your eyelid may droop. o Your voice may be hoarse.

UÊ / iÃiÊÃޓ«Ìœ“ÃÊ>ÀiʘœÀ“>Ê>˜`Êà œÕ`ÊÜi>À œvvʈ˜ÊÌ iʘiÝÌÊ£ÓÊ̜ÊÓäÊ œÕÀðÊ9œÕʓ>ÞÊviiÊˆŽiÊޜÕÊV>˜˜œÌÊÌ>ŽiÊ>Ê`ii«Ê LÀi>Ì ]ÊÌ ˆÃʈÃÊ>ÊVœ““œ˜ÊœVVÕÀÀi˜Vi°ÊœÜiÛiÀ]ʈvÊޜÕÊ >ÛiÊà œÀ̘iÃÃʜvÊLÀi>Ì ÊÌ >Ìʏi>`ÃÊ̜ÊÈ}˜ˆwV>˜Ìʏ>LœÀi`ʜÀÊ`ˆvwVՏÌÞʈ˜ÊLÀi>Ì ˆ˜}]ÊÌ i˜ÊޜÕÊà œÕ`ÊV>ÊÌ iÊ« ÞÈVˆ>˜Êœ˜ÊV>°ÊÊvÊÌ iÊLÀi>Ì ˆ˜}ʈÃÊiÝÌÀi“iÞÊ`ˆvwVՏÌ]ÊޜÕÊà œÕ`ÊV>Ê ™££ÊœÀÊ«ÀœVii`Ê̜ÊÌ iʘi>ÀiÃÌÊi“iÀ}i˜VÞÊÀœœ“°ÊÊ UÊ 7iÊÀiVœ““i˜`ÊÌ >ÌÊޜÕÊÀiÃÌÊ>vÌiÀÊÃÕÀ}iÀÞ°ÊÊvÊޜÕÀÊLœVŽÊÃÌ>ÀÌÃÊ̜ÊÜi>ÀʜvvÊ>ÌÊÓÊ>°“°]ÊÌ i˜ÊޜÕÊ >ÛiÊ>Ài>`ÞÊ >`Êiˆ} ÌÊ hours of sleep. UÊ 7

i˜ÊÌ iÊLœVŽÊÃÌ>ÀÌÃÊ̜ÊÜi>ÀʜvvÊ>˜`ÊޜÕÊ>ÀiÊLi}ˆ˜˜ˆ˜}Ê̜ÊviiÊ>ʏˆÌ̏iÊ՘Vœ“vœÀÌ>Li]ÊޜÕʓ>ÞÊLi}ˆ˜Ê̜ÊÌ>ŽiÊޜÕÀÊ pain medication that has been prescribed for your surgery. Do not wait for your block to completely wear off because Ì iÊ«>ˆ˜ÊVœ˜ÌÀœÊV>˜ÊLiʓœÀiÊ`ˆvwVՏ̰ AFTER SURGERY UÊ 9œÕÊ܈ÊÜ>ŽiÊիʈ˜ÊÌ iÊÀiVœÛiÀÞÊÀœœ“ÊÜˆÌ ÊޜÕÀÊ`ÀiÃȘ}Ê>˜`Êà œÕ`iÀʈ““œLˆˆâiÀʈ˜Ê«>Vi°ÊÊ*i>Ãiʏi>ÛiÊÌ iÊ`ÀiÃȘ}Ê>˜`Êà œÕ`iÀʈ““œLˆˆâiÀʜ˜Ê՘̈ÊޜÕÀÊ wÀÃÌʜÀÌ œ«>i`ˆVÊÀi >LˆˆÌ>̈œ˜Ê“iï˜}Ê­ÕÃÕ>Þʈ˜Êœ˜iÊ̜ÊÌ ÀiiÊ`>Þî°ÊÊ UÊ

9œÕÀÊwÀÃÌʜvwViÊ>««œˆ˜Ì“i˜ÌÊ܈ÊLiÊ>««ÀœÝˆ“>ÌiÞÊ£ÓÊ`>ÞÃÊvœœÜˆ˜}ÊޜÕÀÊÃÕÀ}iÀÞ°ÊÊ At that time we will take out your sutures, explain your surgery and show you the operative pictures. Your exact procedure and restrictions will be given to you ORTHOPAEDIC REHABILITATION UÊ 9œÕÀÊwÀÃÌʜÀÌ œ«>i`ˆVÊÀi >LˆˆÌ>̈œ˜ÊÃiÃȜ˜Ê܈ÊLiʜ˜iÊ̜ÊÌ ÀiiÊ`>ÞÃÊ>vÌiÀÊޜÕÀÊ surgery. UÊ ivœÀiÊÃÕÀ}iÀÞʓ>ŽiÊÃÕÀiÊÌ >ÌÊޜÕÀʈ˜ÃÕÀ>˜ViÊVœ“«>˜ÞʜÀÊ7œÀŽiÀÃ½Ê œ“«i˜Ã>tion carrier approves the payment for your rehabilitation at the facility where you will be having it. UÊ 9œÕÀÊiÝ>VÌÊiÝiÀVˆÃiÃÊ>˜`ÊÀiÃÌÀˆV̈œ˜ÃÊ܈ÊLiÊ>VVœÀ`ˆ˜}Ê̜ÊÌ iÊëiVˆwVÊÃÕÀ}iÀÞÊÌ >ÌÊޜÕÊ >`Ê«iÀvœÀ“i`° WHAT TYPE OF ORTHOPAEDIC REHABILITATION WILL I

NEED? Shoulder Arthroscopy Without Repair If you have had any of the following surgeries without any type of repair: UÊ iLÀˆ`i“i˜ÌʜvÊ>Ê«>À̈>ÊÀœÌ>̜ÀÊVÕvvÊÌi>ÀʇÊV>VˆwVÊÌi˜`œ˜ˆÌˆÃ]ʏ>LÀÕ“Ê or biceps tendon. UÊՓvœÀ`ÊÊ«ÀœVi`ÕÀiʇÊÀiÃiV̈œ˜ÊœvÊÌ iÊ`ˆÃÌ>ÊV>ۈVi° UÊ-ÕL>VÀœ“ˆ>Ê`iVœ“«ÀiÃȜ˜Ê‡Ê}ˆÛˆ˜}ÊޜÕʓœÀiÊë>ViÊLiÌÜii˜ÊÌ iÊ top of the humeral head and the undersurface of the acromion. UÊ-ޘœÛiV̜“ÞʜÀÊLÕÀÃiV̜“ÞʇÊÀi“œÛˆ˜}ʈ˜y>“i`Ê̈ÃÃÕiÊvÀœ“ʈ˜Ãˆ`iÊ the shoulder. A Helpful Guide 7 Source: http://www.doksinet 1 First six weeks œÀÊ>˜ÞÊÌ iÃiÊ«ÀœVi`ÕÀiÃ]ÊޜÕÊ܈ÊÕÃiÊޜÕÀÊà œÕ`iÀʈ““œLˆˆâiÀÊvœÀÊVœ“vœÀÌÊ and can discontinue it whenever you feel comfortable. This is typically anywhere from seven to ten days

after the surgery Early pendulum exercises and passive range of motion will be performed `ÕÀˆ˜}ÊÌ iÊwÀÃÌÊÜiiŽ°ÊÊ/ ˆÃÊ܈ÊiÛi˜ÌÕ>ÞÊ«Àœ}ÀiÃÃÊ̜Ê>V̈ÛiÊÀ>˜}iʜvʓœÌˆœ˜Ê and active strengthening exercises when comfortable, which usually takes two to three weeks from the date of your surgery. Arthroscopic Rotator Cuff Repair If an arthroscopic rotator cuff repair was performed then your postoperative activity and restrictions will be as follows: 2 Week 7 - 12 U / iÊ wÀÃÌÊ ÃˆÝÊ ÜiiŽÃÊ ÞœÕÊ ÜˆÊ LiÊ ÀiµÕˆÀi`Ê ÌœÊ Üi>ÀÊ >Ê Ãˆ˜}Ê >˜`Ê `œÊ «>ÃÈÛiÊ external rotation stretches as tolerated, with your elbow at your side to >V ˆiÛiÊ>Ìʏi>ÃÌÊ{xcʜvÊiÝÌiÀ˜>ÊÀœÌ>̈œ˜°ÊÊ­-iiʈ}ÕÀiÊ£® U 9œÕÊ܈ÊLiÊÀiµÕˆÀi`Ê̜ÊÜi>ÀÊÌ iÊψ˜}Ê`>ÞÊ>˜`ʘˆ}

Ì]ʈ˜VÕ`ˆ˜}ÊÏii«ˆ˜}ÊvœÀÊ Ì iÊwÀÃÌÊÌ ÀiiÊÜiiŽÃ°Ê U / iÊÃiVœ˜`ÊÌ ÀiiÊÜiiŽÃÊÜiÊ܈ÊÀiµÕˆÀiÊÌ >ÌÊޜÕÊÜi>ÀÊÌ iÊψ˜}Ê`ÕÀˆ˜}ÊÌ iÊ `>ÞÊ̈“iÊ>˜`ʓœÃÌÊ`iw˜ˆÌiÞʈvÊޜÕÊ>ÀiÊÜ>Žˆ˜}Ê>ÀœÕ˜`ÊÌ iÊ œÕÃiʜÀʈvÊޜÕÊ go outside of your house. If you are sitting inactive, you may take off the sling keeping your elbow at your side. You may discontinue the pillow por̈œ˜ÊœvÊÌ iÊψ˜}Ê>vÌiÀÊÎÊÜiiŽÃ° U 7iiŽÃÊÇÊÌ ÀœÕ} Ê£ÓÊޜÕʓ>ÞÊLi}ˆ˜Ê«>ÃÈÛiÊiiÛ>̈œ˜ÊœvÊޜÕÀÊà œÕ`iÀÊ>ÃÊ ÌœiÀ>Ìi`°ÊÊ/ iÊÌ iÀ>«ˆÃÌÊ܈Ê>ÃÈÃÌÊޜÕÊÜˆÌ ÊÛ>ÀˆœÕÃÊiÝiÀVˆÃiðʭ-iiʈ}ÕÀiÊ Ó® 3 Week 13 & Thereafter U 7iiŽÊ£ÎÊ>˜`ÊÌ iÀi>vÌiÀÊޜÕÊ܈ÊLi}ˆ˜Ê>ÊÃÌÀi˜}Ì

i˜ˆ˜}Ê«Àœ}À>“ʈ˜ÊœÀÌ œpaedic rehabilitation using a / iÀ>‡ >˜`Á and weights. ­-iiʈ}ÕÀiÃÊÎÊEÊ{® UʘÊV>ÃiʜvÊ>ÊÀiۈȜ˜ÊÀœÌ>̜ÀÊVÕvvÊÀi«>ˆÀʜÀʓ>ÃÈÛiÊÀœÌ>̜ÀÊVÕvvÊÀi«>ˆÀÊ­}Ài>ÌiÀÊÌ >˜ÊxÊV“ʈ˜Ê`ˆ>“iÌiÀ®]ÊÜiÊÌÞ«ˆV>ÞÊ`œÊ˜œÌÊ>œÜÊޜÕÊ̜Ê`ˆÃVœ˜Ìˆ˜ÕiÊÌ iÊ sling until eight weeks after your surgery and do not begin strengthening ՘̈Ê£ÇÊÜiiŽÃÊ­vœÕÀʓœ˜Ì îÊ>vÌiÀÊÌ iÊÃÕÀ}iÀÞ°ÊÊ UÊœ˜Ì ÊÈÝÊ>˜`ÊÌ iÀi>vÌiÀÊޜÕʓ>ÞÊÀiÃՓiÊvՏÊ՘ÀiÃÌÀˆVÌi`Ê>V̈ۈÌÞʈvÊÌ ˆÃʈÃÊ a primary repair and is less than 5 cm in diameter. If it is a revision repair or >ÃÊ>Ê`ˆ>“iÌiÀʜvÊ}Ài>ÌiÀÊÌ >˜ÊxÊV“]ÊÜiÊ܈Ê >ÛiÊޜÕÊÜ>ˆÌÊ՘̈Ê£Óʓœ˜Ì ÃÊ

postoperative to resume full unrestricted activity, which could include golf or overhead sports. 4 Week 13 & Thereafter Arthroscopic Biceps Tenodesis If this is performed without a repair of the rotator cuff, then the same protoVœÊvœÀÊÌ iÊ-
*ʏiȜ˜ÊÀi«>ˆÀʈÃÊvœœÜi`Ê­ÃiiÊ-
ʏiȜ˜ÊÀi«>ˆÀÊ«ÀœÌœVœ®°Ê If this is performed with a rotator cuff repair, then the same protocol is used vœÀÊ>ÊÀœÌ>̜ÀÊVÕvvÊÀi«>ˆÀÊ­ÃiiÊÀœÌ>̜ÀÊVÕvvÊÀi«>ˆÀÊ«ÀœÌœVœ®° Arthroscopic Repair of Subscapularis Tendon vÊÜiÊÀi«>ˆÀÊÌ ˆÃÊëiVˆwVÊ«>ÀÌʜvÊޜÕÀÊÀœÌ>̜ÀÊVÕvvʈ˜ÊÌ iÊvÀœ˜ÌʜvÊޜÕÀÊà œÕ`iÀÊ called the subscapularis muscle, certain exceptions to the rotator cuff protoVœÊ܈Ê>««Þ°Ê/ ˆÃʈ˜VÕ`iÃÊiÝÌiÀ˜>ÊÀœÌ>̈œ˜ÊÀiÃÌÀˆVÌi`Ê̜ÊäcÊvœÀÊÌ iÊwÀÃÌÊÈÝÊ

weeks and then increased as tolerated. 8 Your Arthroscopic Shoulder Surgery Source: http://www.doksinet Arthroscopic Anterior Instability Repair If we perform surgery to correct a dislocating shoulder, the following restrictions and activities apply: U 7iiŽÊœ˜iÊÌ ÀœÕ} ÊvœÕÀÊޜÕÊ>ÀiÊ̜ÊÜi>ÀÊ>Êψ˜}ÊvՏÊ̈“iÊ>˜`Ê܈ÊLiÊi˜VœÕÀ>}i`Ê̜ÊiÝÌiÀ˜>ÞÊÀœÌ>ÌiÊÌ iÊ>À“Êœ˜ÞÊäcÊ ­Ì iÊÃÌÀ>ˆ} ÌÊ> i>`Ê«œÃˆÌˆœ˜®° U
vÌiÀÊvœÕÀÊÜiiŽÃÊÌ iÊψ˜}ʈÃÊ`ˆÃVœ˜Ìˆ˜Õi`Ê>˜`ÊޜÕÊ܈ÊLiÊ>œÜi`ʜÛiÀ i>`ÊÃÌÀiÌV ˆ˜}Ê>V̈ۈÌÞÊÕȘ}Ê>ÊÀœ«iÊ>˜`ʫՏiÞÊ in orthopaedic rehabilitation. U
vÌiÀÊÈÝÊÜiiŽÃÊޜÕÊ܈ÊLi}ˆ˜Ê«>ÃÈÛiÊiÝÌiÀ˜>ÊÀœÌ>̈œ˜ÊÃÌÀiÌV iÃÊÜˆÌ Ê>Ê}œ>ÊœvÊ >ۈ˜}ʜ˜i‡ >vÊÌ

iÊ>“œÕ˜ÌʜvÊiÝÌiÀ˜>Ê ÀœÌ>̈œ˜ÊÌ >ÌʈÃÊ«ÀiÃi˜Ìʜ˜ÊÌ iʜ««œÃˆÌiÊÈ`iÊ­˜œÀ“>ÊÈ`i®ÊLÞÊ£ÓÊÜiiŽÃÊ«œÃ̜«iÀ>̈Ûi° U / iÀ>‡ >˜`ÁÊÃÌÀi˜}Ì i˜ˆ˜}ʈÃÊLi}՘Ê>ÌÊÈÝÊ̜Êiˆ} ÌÊÜiiŽÃ° U
vÌiÀÊÌ Àiiʓœ˜Ì ÃÊޜÕÊV>˜ÊLi}ˆ˜ÊܜÀŽˆ˜}ʜÕÌÊÜˆÌ ÊÜiˆ} ÌÃʈ˜Ê>Ê}ޓ° U
vÌiÀÊÈÝʓœ˜Ì ÃÊޜÕÊ܈ÊLiÊÀii>Ãi`Ê̜ÊvՏÊ>V̈ۈÌÞʈ˜VÕ`ˆ˜}ÊVœ˜Ì>VÌÊëœÀÌð Arthroscopic Superior Labrum Anterior-Posterior (SLAP) Repair vÊޜÕÊ >`Ê>ÊÀi«>ˆÀʜvÊ>Ê-
*ʏiȜ˜]ÊÌ iÊvœœÜˆ˜}Ê>V̈ۈ̈iÃÊ>˜`ÊÀiÃÌÀˆV̈œ˜ÃÊ܈Ê>««Þ U œÀÊÌ iÊwÀÃÌÊvœÕÀÊÜiiŽÃ]ÊޜÕÊ܈ÊLiÊÀiµÕˆÀi`Ê̜ÊÜi>ÀÊÌ iÊψ˜}Ê>ÌÊ>Ê̈“ið U ÕÀˆ˜}ÊÌ

œÃiÊvœÕÀÊÜiiŽÃ]ÊޜÕÊ܈ÊLiÊÕÀ}i`Ê̜ʫiÀvœÀ“ÊiÝÌiÀ˜>ÊÀœÌ>̈œ˜ÊÃÌÀiÌV iÃÊ>ÃÊv>ÀÊ>ÃÊ«œÃÈLiÆÊÜˆÌ ÊޜÕÀÊ}œ>Ê being to try and match the external rotation of the side that was not operated on by the end of four weeks. U
vÌiÀÊvœÕÀÊÜiiŽÃÊÌ iÊψ˜}Ê܈ÊLiÊ`ˆÃVœ˜Ìˆ˜Õi`°ÊÊ
ÌÊÌ ˆÃÊ«œˆ˜Ì]ÊޜÕÊV>˜ÊLi}ˆ˜ÊœÛiÀ i>`ÊÃÌÀiÌV ˆ˜}Ê>˜`ÊVœ˜Ìˆ˜ÕiÊÜˆÌ Ê passive external rotation stretches. U
vÌiÀÊÈÝÊÜiiŽÃÊ«œÃ̜«iÀ>̈ÛiÞÊ/ iÀ>‡ >˜`ÁÊÃÌÀi˜}Ì i˜ˆ˜}ʈÃÊLi}՘°ÊÊ U vÊޜÕÊiÝ«iÀˆi˜ViÊ«>ˆ˜ÊÜˆÌ ÊÀiÈÃÌi`ÊvœÀÜ>À`Êyi݈œ˜ÊœvÊÌ iÊ>À“Ê>ÌÊÈÝÊÜiiŽÃÊ«œÃ̜«iÀ>̈ÛiÞ]ÊÜiÊ܈Ê`i>ÞÊLˆVi«ÃÊVÕÀÃÊ until eight weeks postoperatively. U
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ÌÊ ÃiÛi˜Ê “œ˜Ì ÃÊ «œÃ̜«iÀ>̈ÛiÞÊ ÞœÕÊ V>˜Ê Li}ˆ˜Ê ÌœÊ ÀiÌÕÀ˜Ê ÌœÊ vՏÊ >˜`Ê Õ˜ÀiÃÌÀˆVÌi`Ê >V̈ۈÌÞ]Ê ˆ˜VÕ`ˆ˜}Ê >Ê œÛiÀ i>`Ê sports. SOME POSTOPERATIVE EXCEPTIONS Calcific Tendonitis *>̈i˜ÌÃÊÜ œÊ >ÛiÊ>ÀÌ ÀœÃVœ«ˆVÊÃÕÀ}iÀÞÊ̜ÊÀi“œÛiÊV>VˆÕ“Ê`i«œÃˆÌÃʈ˜ÊÌ iÊÀœÌ>̜ÀÊVÕvvÊÌi˜`Ê̜ÊLiVœ“iʓœÀiʈ˜y>“i`Ê and stiff after surgery.

Therefore we start immediate postoperative stretching, including passive elevation with a rope and pulley and passive external and internal rotation. SLAP Lesion Repair in Association with Small Rotator Cuff Tear 7iÊ >ÛiÊvœÕ˜`ÊÌ >Ìʈ˜Ê}i˜iÀ>]Ê«iœ«iÊÜ œÊ >ÛiÊÌ iÃiÊÌܜʫÀœVi`ÕÀiÃÊÌi˜`Ê̜Ê`iÛiœ«Ê“œÀiÊ«œÃ̜«iÀ>̈ÛiÊÃ̈vv˜iÃÃÊ and therefore we now start immediate passive forward elevation as well as passive internal and external rotation. A Helpful Guide 9 Source: http://www.doksinet POSSIBLE COMPLICATIONS U
Ì œÕ} ÊÌ iÊ«œÃÈLˆˆÌÞʜvÊVœ“«ˆV>̈œ˜ÃʈÃʏœÜ]ʈvÊÌ iÞʜVVÕÀÊÌ iÞÊV>˜ÊLiÊÛiÀÞÊÃiÀˆœÕðÊÊ*i>ÃiÊVœ˜Ì>VÌÊÕÃÊ>ÌÊ>˜ÞÊ̈“iÊ >ÌÊ­™ä{®ÊnÓ5‡äx{ä°Ê,i“i“LiÀ]ʜÕÀÊAfter Hours Injury ClinicʈÃʜ«i˜Ê՘̈Ê£äääÊ«°“°Êœ˜ÊÜiiŽ˜ˆ}

ÌÃÊ>˜`ʜ˜Ê->ÌÕÀ`>ÞÃÊ vÀœ“Ê™ääÊ>°“°Ê՘̈ÊÇääÊ«°“°Ê7iÊ>ÀiÊVœÃi`ʜ˜Ê-՘`>Þ°Ê U œ“«ˆV>̈œ˜Ãʓ>Þʈ˜VÕ`iÊiÝViÃÈÛiÊLii`ˆ˜}]ʘiÀÛiʈ˜ÕÀÞ]ʈ˜viV̈œ˜]ÊÃÜiˆ˜}ʈ˜ÊÌ iʘiVŽÊœÀÊv>Vi]Ê«iÀÈÃÌi˜ÌÊ >˜`Ê numbness, bruising of the arm, stiffness and recurrent tears of repaired structures. U vÊޜÕÊviiÊÌ >ÌÊޜÕÊ>ÀiÊ >ۈ˜}Ê>ʓi`ˆV>Êi“iÀ}i˜VÞʜÀÊ>ÀiÊ՘>LiÊ̜ÊVœ˜Ì>VÌÊÕÃÊ>ÌÊ>˜ÞÊ̈“iÊ«i>ÃiÊV>Ê™££° REASONS TO CALL THE DOCTOR UÊ ˆvwVՏÌÞÊLÀi>Ì ˆ˜}° UÊ iÛiœ«Ê>ÊÌi“«iÀ>ÌÕÀiÊ}Ài>ÌiÀÊÌ >˜Ê£ä£°xc° UÊ ÝViÃÈÛiÊLii`ˆ˜}ÊvÀœ“ÊÌ iÊܜ՘`°ÊÌʈÃʘœÀ“>ÊvœÀÊÌ iÊܜ՘`ÊÌœÊ >ÛiÊ>ÊVi>ÀʜÀÊ«ˆ˜ŽÊ`ˆÃV

>À}iÊvœÀÊ>ÊviÜÊ`>ÞÃÊ>vÌiÀÊ surgery. If there is a large amount of dark red drainage, apply pressure and contact the doctor UÊ vÊޜÕÀÊ >˜`ʜÀÊ>À“ÊÀi“>ˆ˜ÃʘՓLʏœ˜}iÀÊÌ >˜ÊÓ{Ê œÕÀð UÊ vÊޜÕÀÊ >˜`ÊÌÕÀ˜ÃÊLÕiʜÀÊ«ÕÀ«iÊ>˜`ʈÌÊviiÃʓÕV ÊVœ`iÀÊÌ >˜ÊޜÕÀÊœÌ iÀÊ >˜`° UÊ
˜ÞÊÃiÛiÀiÊÀi`˜iÃÃʜÀÊ`À>ˆ˜>}iÊ>ÌÊÌ iʈ˜VˆÃˆœ˜ÊœÀÊÌ iʈ˜VˆÃˆœ˜Ê`œiÃʘœÌÊÃi>ÊÕ«Ê>vÌiÀÊÌ iÊÃÕÌÕÀiÃÊ >ÛiÊLii˜ÊÀi“œÛi`° UÊ vÊÌ iÀiʈÃÊ>ÊÜ ˆÌiʜÀÊÞiœÜˆÃ Ê`À>ˆ˜>}iÊVœ“ˆ˜}ÊvÀœ“Ê>˜ÞʜvÊÌ iʈ˜VˆÃˆœ˜Ã° SUMMARY This preoperative brochure is meant to: UÊ `ÕV>Ìi° UÊ ˜VœÕÀ>}i° UÊ “«œÜiÀʜÕÀÊ«>̈i˜ÌÃÊ̜ÊÃ>viÞÊÀi>V ÊÌ

iˆÀÊ}œ>ÃÊ>ÃʵՈVŽÞÊ>ÃÊ«œÃÈLi° GOALS UÊ/œÊLiÊ>ÃÊ«>ˆ˜ÊvÀiiÊ>˜`ÊÃÌÀœ˜}Ê>ÃÊ«œÃÈLiÊÜÊÌ >ÌÊޜÕÊV>˜ÊÀiÌÕÀ˜Ê̜ o Your sport. o Your activities of daily living. o The quality of life you deserve. THANK YOU / >˜ŽÊޜÕÊvœÀÊi˜ÌÀÕÃ̈˜}ÊÕÃÊÜˆÌ ÊޜÕÀÊV>Ài°ÊÊ7iÊ܈Ê`œÊiÛiÀÞÌ ˆ˜}Ê«œÃÈLiÊ̜ʓ>ˆ˜Ì>ˆ˜ÊޜÕÀÊÌÀÕÃÌÊ>˜`ÊVœ˜w`i˜Vi°Ê vÊޜÕÊ >ÛiÊ>˜ÞʵÕiÃ̈œ˜ÃÊ«i>ÃiÊV>ÊÕÃÊ­™ä{®ÊnÓx‡äx{ä° 10 Y Your A Arthroscopic th i Sh Shoulder ld S Surgery Source: http://www.doksinet FREQUENTLY ASKED QUESTIONS HOW SUCCESSFUL IS THE SURGERY? If a repair is performed, expect: ˜Ê }i˜iÀ>]Ê >ÀÌ ÀœÃVœ«ˆVÊ ÃÕÀ}iÀÞÊ œvÊ Ì iÊ Ã œÕ`iÀÊ ˆÃÊ nxÊ -95% successful, depending on the complexity of the operation and adherence to the

postoperative rehabilitation «ÀœÌœVœ°Ê*œœÀʜÕÌVœ“iÃÊ >ÛiÊLii˜Ê>ÃÜVˆ>Ìi`ÊÜˆÌ Ê UÊ-ˆÌ̈˜}Ê`iÎʍœLÊqÊÓÊ̜ÊÎÊÜiiŽÃ UÊ"˜ÊޜÕÊviiÌʍœLÊqÊÎÊ̜ÊÈÊÜiiŽÃ Uʈ} Ê`i“>˜`ʍœLÊqÊÓÊ̜Ê{ʓœ˜Ì ÃÊ WHEN CAN I DRIVE? U *œœÀÊ̈ÃÃÕiʵÕ>ˆÌÞ° U >À}iʜÀʓ>ÃÈÛiÊÌi>ÀÃ°Ê U *œœÀÊVœ“«ˆ>˜ViÊÜˆÌ Ê«œÃ̜«iÀ>̈ÛiÊÀi >LˆˆÌ>̈œ˜Ê>˜`Ê restriction. U *>̈i˜ÌÊ>}iÊ­œ`iÀÊÌ >˜ÊÈxÊÞi>Àî°Ê WHAT ARE THE COMPLICATIONS AND FREQUENCY? Fortunately, complications from shoulder surgery are infrequent, and those from arthroscopic surgery are even iÃÃÊ Vœ““œ˜°Ê / iÃiÊ ˆ˜VÕ`iÊ ­ÜˆÌ Ê vÀiµÕi˜VÞÊ œvÊ œVVÕÀÀi˜Vi®Ê £°Ê iÀÛiÊ ˆ˜ÕÀÞÊ ­£Ê «iÀVi˜Ì®Ê / ˆÃÊ À>ÀiÞÊ œVVÕÀÃÊ vœÀÊ Ài«>ˆÀÊ of massive

rotator cuff tears, where soft-tissue releases are necessary and there is a potential for stretching the nerves. ӰʘviV̈œ˜Ê­iÃÃÊÌ >˜Ê£Ê«iÀVi˜Ì®Ê1ÃiʜvÊ>˜ÌˆLˆœÌˆVÃÊ`ÕÀˆ˜}Ê the procedure and sterile surgical technique limit the risk of infection. ΰÊ-̈vv˜iÃÃÊ­iÃÃÊÌ >˜Ê£Ê«iÀVi˜Ì®Ê >ÀÞÊÀi >LˆˆÌ>̈œ˜Ê«Àœtocols decrease the likelihood of permanent stiffness or loss of motion following a rotator cuff repair. This also less frequent with arthroscopic procedures. {°Ê/i˜`œ˜ÊÀi‡Ìi>ÀÊ­ÈÊ«iÀVi˜Ì®Ê-iÛiÀ>ÊÃÌÕ`ˆiÃÊ >ÛiÊ`œVÕmented tearing of the rotator cuff following all types of repairs. It appears that tendon re-tear does not guarantee a poor result, return of pain, or poor function
}>ˆ˜]Ê Ì ˆÃÊ `i«i˜`ÃÊ œ˜Ê >Ê Ài«>ˆÀÊ ÛiÀÃÕÃÊ ˜œÊ Ài«>ˆÀ°Ê 7ˆÌ Ê

˜œÊÀi«>ˆÀ]ÊޜÕÊ܈ÊLiÊ>LiÊ̜Ê`ÀˆÛiʈ˜Ê£‡ÓÊÜiiŽÃ°Ê7ˆÌ Ê>Ê Ài«>ˆÀ]ÊޜÕÊV>˜ÊiÝ«iVÌÊ̜ÊÀiÌÕÀ˜Ê̜Ê`ÀˆÛˆ˜}ÊvÀœ“ÊӇÈÊÜiiŽÃÊ following your surgery. This will depend on the extent of the repair and the frequency and distance you need to `ÀˆÛi]Ê>ÃÊÜiÊ>ÃÊޜÕÀÊVœ˜w`i˜ViʏiÛi° HOW LONG DO I HAVE TO WEAR THE SLING? 7ˆÌ œÕÌÊ>˜ÞÊÌÞ«iʜvÊÀi«>ˆÀÊޜÕÊV>˜Ê`ˆÃVœ˜Ìˆ˜ÕiÊÌ iÊψ˜}Ê as soon as you are comfortable without it. This can be >˜ÞÜ iÀiÊ vÀœ“Ê xÊ `>ÞÃÊ ÌœÊ ÓÊ ÜiiŽÃ°Ê Ê 7ˆÌ Ê >Ê Ài«>ˆÀ]Ê ÜiÊ }i˜iÀ>ÞÊ >ÛiÊޜÕÊÜi>ÀÊÌ iÊψ˜}Ê>ÊœvÊÌ iÊ̈“iÊ­iÝVi«ÌÊ Ã œÜiÀˆ˜}®ÊvœÀÊÌ iÊwÀÃÌÊÎÊÜiiŽÃ°Ê/ i˜ÊvÀœ“ÊÜiiŽÊÎʇÈÊޜÕÊ only need to wear the sling if you are up walking around the house or you

go outside of the house. Those with massive rotator cuff repairs need to wear the sling up to nÊÜiiŽÃÊ>vÌiÀÊÃÕÀ}iÀÞ° DO I HAVE TO WEAR THE SLING AT NIGHT? 7ˆÌ œÕÌÊ>˜ÞÊÀi«>ˆÀ]ÊޜÕÊ`œÊ˜œÌʘii`Ê̜ÊÜi>ÀÊÌ iÊψ˜}Ê>ÌÊ ˜ˆ} Ì°Ê7ˆÌ Ê>ÊÀi«>ˆÀ]ÊÜiÊÜ>˜ÌÊޜÕÊ̜ÊÜi>ÀÊÌ iÊψ˜}ÊÜˆÌ Ê Ì iÊ«ˆœÜÊvœÀÊÌ iÊwÀÃÌÊÎÊÜiiŽÃÊ>vÌiÀÊÃÕÀ}iÀÞ°Ê
vÌiÀÊÌ >Ì]Ê ˆÌ½ÃÊÕ«Ê̜ÊޜհÊ-œ“iÊ«iœ«iÊw˜`ʈÌʓœÀiÊVœ“vœÀÌ>LiÊÌœÊ Üi>ÀÊÌ iÊψ˜}Ê>Ìʘˆ} ÌÊLiޜ˜`ÊÌ iÊÎÊÜiiŽÃ]ÊiëiVˆ>ÞʈvÊ Ì iÞÊ>ÀiÊÀiÃ̏iÃÃÊÏii«iÀðÊ
Ãœ]ÊvœÀÊÌ iÊwÀÃÌÊÃiÛiÀ>Ê˜ˆ} ÌÃÊ >vÌiÀÊÌ iÊÃÕÀ}iÀÞ]ÊܓiÊ«iœ«iÊw˜`ʈÌʓœÀiÊVœ“vœÀÌ>LiÊ to sleep in an upright position or in a recliner chair. WHERE CAN I GET MORE

INFORMATION? WHEN CAN I SHOWER? i˜iÀ>ÞʓœÃÌÊ«iœ«iÊ>ÀiÊ>LiÊ̜Êà œÜiÀÊӇÎÊ`>ÞÃÊ>vÌiÀÊ Ì iÊÃÕÀ}iÀÞ°Ê/ ˆÃʈÃÊÕÃÕ>ÞÊ>vÌiÀÊÌ iÊwÀÃÌÊ`ÀiÃȘ}ÊV >˜}iÊ >ÌÊ œÀÌ œ«>i`ˆVÊ Ài >LˆˆÌ>̈œ˜°Ê 7iÊ >ÃŽÊ ÞœÕÊ ÌœÊ Žii«Ê Ì iÊ incisions dry with waterproof adhesive bandages and or plastic wrap and tape. Also, it is important that you do ˜œÌÊÃÕL“iÀ}iÊÌ iʈ˜VˆÃˆœ˜Ãʈ˜ÊÜ>ÌiÀÊ­ÌÕLʜÀÊ«œœ®Ê՘̈Ê>ÌÊ i>ÃÌÊ {nÊ œÕÀÃÊ >vÌiÀÊ Ì iÊ ÃÕÌÕÀiÃÊ >ÀiÊ Ì>Ži˜Ê œÕÌÊ ­ÓÊ ÜiiŽÃÊ >vÌiÀÊÃÕÀ}iÀÞ®° *i>ÃiÊviiÊvÀiiÊ̜ÊV>Ê>˜`Ê>ÎʵÕiÃ̈œ˜ÃÊ>ÌÊ>˜ÞÊ̈“i°Ê9œÕÊ V>˜Êw˜`ʓœÀiʈ˜vœÀ“>̈œ˜Êœ˜Êˆ˜iÊ>ÌÊÊÜÜÜ°œ>ÃÌ>Õ}°Vœ“ or www.orthoinfoaaosorg WHEN CAN I

GO BACK TO WORK? This of course depends on what type of work you do and what type of surgery you have. In general, for arthroscopic surgery without any type of repair: UÊ-ˆÌ̈˜}Ê`iÎʍœLÊqÊ£Ê̜ÊÓÊÜiiŽÃ UÊ"˜ÊޜÕÀÊviiÌʍœLÊqÊÓÊ̜Ê{ÊÜiiŽÃ Uʈ} Ê`i“>˜`ʍœLÊÀiµÕˆÀˆ˜}ʜÛiÀ i>`Ê>V̈ۈÌÞÊqÊÈÊ̜ÊnÊ weeks (L-R) Albert Volk, MD; Patrick Thompson, PA-C, MPAS; Arlow Bailey, OPA-C A Helpful H l f l Guide G id 11 Source: http://www.doksinet IT TAKES A JOINT TO PROVIDE TASK FORCE QUALITY POST-OP CARE Count Welcome Homecare’s award-winning staff to Count onon Welcome Homecare’s award-winning staff to continue the expert continue the expert care you require to recuperate at home. Our programs care you require to recuperate at home. Our programs help prevent infections, help prevent infection, enhance healing, and restore maximum mobility – all in the enhance healing, and restore maximum

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