Surgeries

Question 1

After THA, which movements are avoided in the short term?

Answer 1

• extension
• ER
• resisted internal rotation

Question 2

Which muscle is typically compromised with TSA?

Answer 2

Subscapularis

Question 3

Which procedure is used for shoulder stabilization?

Answer 3

Capsular shift: tightening the joint capsule by cutting and overlapping ends to reduce excess tissue

Question 4

Immobilization for posterior capsule repair

Answer 4

Neutral “handshake” position

Avoid IR, flexion, horizontal adduction

Question 5

Immobilization for anterior capsule repair

Answer 5

Typical sling position

Avoid ER, extension, horizontal abduction

Question 6

If a patient has had a SLAP repair, what movement should be avoided?

Answer 6

Contraction or stretching the biceps (bc it’s attached to the superior labrum)

Question 7

Femoral neck fractures

Answer 7

• intracapsular

- may lead to disruption of blood supply

Question 8

Intertrochanteric hip fx

Answer 8

• extracapsular

- don’t affect blood supply

Question 9

Hip rehab considerations: signs of fixation failure

Answer 9

• persistent thigh/groin pain
• leg length discrepancy which wasn’t initially present
• positioning the limb in ER
• trendelenburg sign that doesn’t improve with strengthening

Question 10

For surgeries that fix cartilage defects in the knee, what position will the patient likely be braced in?

Answer 10

Knee extension

ROM progression varies depending on size and location of lesion

Question 11

ACL-R: when is tissue most vulnerable?

Answer 11

6-8 weeks

Question 12

ACL-R: use of open chain exercises

Answer 12

OKC exercise between 0-45˚ should be avoided due to excess stress on the graft site

Question 13

ACL-R: criteria for return to sport

Answer 13

• no pain or effusion
• full ROM
• no instability
• quad strength 85-90% of uninvolved side
• functional testing 85-90% of uninvolved side

Question 14

Rehab for post PCL-R

Answer 14

• Same as with ACL-R
• progression with WB and exercise is more gradual
• limit posterior shear forces within the knee

Question 15

PCL-R

These movements should be avoided early on

Answer 15

Repetitive knee flexion

Question 16

Rehab following meniscus REPAIR

Answer 16

• restricted WB
• bracing
• limitations on ROM progression, especially flexion

Question 17

Rehab following partial meniscectomy

Answer 17

FWB without brace
No rehab restrictions
Recovery is quicker

Question 18

For lateral ankle reconstruction, what may serve as the donor tissue?

Answer 18

Peroneus bee is

Question 19

Lateral ankle reconstruction:

Early rehab

Answer 19

Focus on increasing ROM while protecting repaired tissues

Use caution with inversion

Question 20

Lateral ankle reconstruction: early post-op period

Answer 20

• NWB cast
• PWB walking boot
• brace

Question 21

Common autograft tissue for Achilles’ tendon repair

Answer 21

• peroneus brevis

- plantaris