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A SLAP tear or SLAP lesion is an injury to the superior glenoid labrum (fibrocartilaginous rim attached around the margin of the glenoid cavity in the shoulder blade) that initiates in the back of the labrum and stretches toward the front into the attachment point of the long head of the biceps tendon.
However, early surgical treatment may be considered in significant (>1 cm – 1.5 cm) acute tears, in young individuals with full-thickness tears who have a significant risk for the development of irreparable rotator cuff damage, or the patient is very active and/or uses their arms for overhead work or sports.
Over time, with enough force, a tear may develop in the labrum. The labrum is a rim of cartilage around the shoulder socket to help hold the head of the humerus (upper arm) in the joint. This condition is called a superior labrum anterior posterior (SLAP) lesion. The outcome in all these steps is the dead arm phenomenon.
A Bankart lesion is a type of shoulder injury that occurs following a dislocated shoulder. [3] It is an injury of the anterior glenoid labrum of the shoulder. [4] When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.
RICE is a mnemonic acronym for the four elements of a treatment regimen that was once recommended for soft tissue injuries: rest, ice, compression, and elevation. [1] It was considered a first-aid treatment rather than a cure and aimed to control inflammation. [2]
Conservative treatment includes rest, cessation of painful activity, and physical therapy. Physical therapy treatments would typically focus at maintaining range of movement, improving posture, strengthening shoulder muscles, and reduction of pain. NSAIDs and ice packs may be used for pain relief. [4] [20]
The initial treatment for both traumatic and degenerative TFCC lesions, with a stable DRUJ, is conservative (nonsurgical) therapy. Patients may be advised to wear a temporary splint or cast to immobilize the wrist and forearm for four to six weeks. [10] The immobilization allows scar tissue to develop which can help heal the TFCC.
The major goal of physical medicine and rehabilitation treatment is to help a person function optimally within the limitations placed upon them by a disabling impairment or disease process for which there is no known cure. The emphasis is not on the full restoration to the premorbid level of function, but rather the optimization of the quality ...