| Popis: |
As the incidence of retears after a rotator cuff repair remain high, a comprehensive treatment and rehabilitation protocol must be chosen depending on the circumstances of the injury. When choosing between an operative versus a nonoperative approach, surgeons must consider multiple factors including patient presentation and goals of the patient. Rotator cuff revision surgery should be explored in younger and active patients presenting with a traumatic tear. Whereas, in older patients, a nonoperative rehabilitation approach might be indicated, especially for atraumatic failed rotator cuff repairs. However, the surgeon must raise patients’ awareness that an operative approach has an increased risk of retear or that a nonoperative approach requires compliance with a long-term rehabilitation program. To this, nonoperative rehabilitation has been moderately successful in the treatment of initial rotator cuff ruptures, thus, might be translated in the rehabilitation of rotator cuff retears. The goals of rehabilitation are pain relief, improved shoulder range of motion, strengthening of rotator cuff, deltoid and periscapular musculature. |
