When Do Rotator Cuff Tears Fail After Surgical Repair? | Arthroscopic Surgery, Physical Therapy: FPF Show Episode 31
In today's episode we go over, When Do Rotator Cuff Tears Fail After Surgical Repair? | Arthroscopic Surgery, Physical Therapy:
- 0:00 Intro
- 1:54 How often do rotator cuff tear repairs fail (re-tear) after surgery?
- 3:15 Which patients should have rotator cuff repair and which shouldn't?
- 4:02 Why care about when the rotator cuff may tear after surgical repair?
- 6:45 Why is the re-tear rate after rotator cuff repair so high?
- 7:15 Study population
- 8:53 How often was imaging performed after surgery to check for re-tears?
- 9:38 What percentage of patients re-tore their rotator cuff after surgery?
- 10:40 When did rotator cuff tears occur after surgery?
- 13:01 Did rotator cuff re-tears occur due to a surgical fixation issue or more from a biological healing perspective?
- 13:25 Clinical take-aways (who is most "at risk", when are patients safest? how does this influence physical therapy?)
- 14:35 Does early range of motion influence re-tear rates for rotator cuff repairs?
- 15;04 Does accelerated physical therapy rehab influence re-tear rates for rotator cuff repairs?
- 17:14 What can physical therapists do with this information to help patients?
Listen and Subscribe to the Podcast
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Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- The Ultimate Guide to Rotator Cuff Tears, Tendinopathy and Sub-acromial Impingement Syndrome
- The Ultimate Guide to Getting Out of Shoulder Pain and Back to Bench Press, Overhead Press and Olympic Lifts
- Physical Therapy Diagnosis and Treatment for Rotator Cuff Tendinitis / Impingement
- What Physical Therapists NEED to Know About Rotator Cuff Repair from an Orthopedic Surgeon
- Do I Need Surgery for My Torn Rotator Cuff?
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
- Chona DV, Lakomkin N, Lott A, Workman AD, Henry AC, Kuntz AF, Huffman GR, Glaser DL. The timing of retears after arthroscopic rotator cuff repair. J Shoulder Elbow Surg. 2017 Nov;26(11):2054-2059. doi: 10.1016/j.jse.2017.07.015. Epub 2017 Sep 13. PMID: 28918111.