shoulder Archives | Mathew Mazoch, MD

Bone & Joint Clinic of Baton Rouge | Sports Medicine


  Contact : (225) 766-0050

All Posts Tagged: shoulder

Rotator Cuff Tear Repair Surgery

Overview of Rotator Cuff Tear Repair Surgery

The rotator cuff is a common source of pain in the shoulder. It refers to a group of four muscles and tendons that attach to the head of the humerus and stabilizes the shoulder as it moves in space. The most commonly affected tendon is the supraspinatus tendon.  Issues with the rotator cuff commonly cause problems with overhead activity, pain with sleeping on the shoulder, and moving the shoulder in certain motions.  If torn, the rotator cuff can cause progressive pain and disability in the shoulder.  Unfortunately, the rotator cuff has poor healing potential on its own and often requires surgical repair in many cases.

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The image shows a stylized view of the shoulder with a small anterior supraspinatus tear.

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SLAP Repair Protocol (Types II & IV)

*Adapted from James Bradley, MD

WEEKS 0-4 (Patient Responsibility):

Range of motion exercises should be performed starting the day after shoulder surgery; exercises are to be done 3 – 4 times a day, 15 repetitions each. The sling may or may not

need to be removed to exercise (depending on the brand). A portion of the exercise program requires the assistance of a friend or a family member.  This period of limited activity is critical for the healing of the soft tissues and promoting a shoulder without instability.

WEEKS 4-10 (Formal Physical Therapy Initiated):

  • Progressive passive range-of-motion to full, as tolerated in all planes
  • Begin passive posterior capsular and internal rotation stretching
  • Begin passive and manual scapulothoracic mobility program
  • Begin external rotation in abduction exercises
  • Begin protected biceps, rotator cuff and scapular stabilizer strengthening
  • Allow use of operative extremity for light activities of daily living
  • Discontinue sling and abductor pillow at 6 weeks

WEEKS 10-16:

  • Begin biceps, rotator cuff and scapular stabilizer resistance exercises
  • Begin sport-specific exercise program

WEEKS 16-24:

  • Continue stretching and strengthening programs with special emphasis on posterior capsular stretching

WEEKS 24-36:

  • Continue and complete Interval Throwing Program (Phase I, II, & III for pitchers; Phase I & II for infielders, outfielders and catchers)
  • Continue strengthening and posterior capsular stretching indefinitely. Occult posterior capsular tightness had a significant role in the original SLAP lesion; stretching this area will limit the chances of recurrence.
  • Return to sport at nine months if cleared by Dr. Burnham.

Complete Throwing Program booklet provided through this office.

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Shoulder

Dr. Mazoch treats a variety of shoulder injuries.  Each patient’s situation and circumstances are unique and an individualized approach to management of each condition is paramount to success. Below is an abbreviated list of the conditions he treats.  Some have a unique page dedicated to them.  Click on the links for more information or call the Bone and Joint Clinic of Baton Rouge at 225-766-0050 to make an appointment.  Additionally you can request an appointment online.  We strive to make same day or next day appointments whenever possible.

  • Rotator Cuff Tears
    • Non-operative management of Rotator Cuff Pain
    • Acute Tears
    • Chronic Tears
    • Tendinitis
    • Strains
  • Shoulder Arthritis
    • Non-operative management of Shoulder Arthritis
    • Total Shoulder Replacement / Arthroplasty
    • Reversed Total Shoulder Replacement
    • Hemiarthroplasty
  • Shoulder Dislocations and Instability
    • Acute First Time Dislocations
    • Chonic Dislocations
    • Recurrent Instability
    • Repeat Dislocators
  • SLAP tear and Overhead Athletes
    • Throwers Shoulder
    • Little League Shoulder
    • Internal Impingement
    • Glenohumeral Internal Rotation Deficit (GIRD)
    • Biceps Issues
    • Partial Thickness Cuff Tears
  • Shoulder Labral Tear
    • Bankhart Lesions
    • Anterior Labral Tears
    • Posterior Labral Tears
    • Superior Labral Anterior to Posterior tears (SLAP tears)
    • Combined or Multi-directional Instability
  • Shoulder Impingement, Bursitis, Tendinitis
    • Subacromial Spurring and Impingement
    • Rotator Cuff Tendinitis
    • Subacromial Bursitis
  • Frozen Shoulder
    • Adhesive Capsulitis
    • Arthrofibrosis
    • Shoulder Pain
  • Acromioclaviclar Joint Disease (AC joint disease)
    • AC joint seperations (Shoulder Separations)
    • AC joint arthritis
    • Distal clavicle injuries or fractures
    • Coracoclaviclar Injuries
  • Fractures about the Shoulder
    • Proximal Humerus Fractures
    • Humeral Shaft Fractures
    • Fracture of the Acromiom
    • Glenoid Fractures
    • Scapula Fractures

Please note the above list is not comprehensive.  If you have a question about your unique problem or condition don’t hesitate to call 225-766-0050 or make an appointment online to get more information.

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Schedule your sports medicine evaluation today.

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