SLAP labral repair.pdf - East Cheshire NHS Trust

Comments, compliments or complaintsWe welcome any suggestions you have about the quality of ourccare and our services.Contact us:Freephone: 0800 1613997Phone: 01625 661449Textphone: 01625 663723Customer Care, Reception,Macclesfield District General Hospital,Victoria Road, SK10 3BLEmail: Customercare.service@echeshire-tr.nwest.nhs.ukEast CheshireNHS TrustS.L.A.P. (labral)RepairFor large print, audio, braille version orttranslation contact Customer CareNHS Direct (part of NHS Choices) is a 24 hr phone adviceservice providing confidential health advice and information.Phone: 0845 4647 (Textphone 0845 606 46 47)www.nhs.ukEast Cheshire NHS Trust is committed to ensuring thatcpatients and staff will always be treated withcdignity and respect. There will be no age,cdisability, gender, race, sexual orientation orcreligious discrimination.SLAP labral repair 11095HIAG 09/2009Information for patientsOrthopaedic Physiotherapy Dept01625 663164Macclesfield District General HospitalRef: 11095 Review: 09/2012

• Driving – Is forbidden whilst you are immobilised in yoursling and it is requested that you do not drive until 6 weeksafter your operation. Check that you can manage all of thecontrols and it is advisable to start with short journeys. Theseat-belt may be uncomfortable initially, but your shoulderwill not be harmed by it. In addition, check your insurancepolicy as you may need to inform your insurance companyof your operation.• Dressing - Wear loose clothing, either with front fasteningor that you can slip over your head. For ease alsoremember to dress your operated arm first and undressyour operated arm last.• Household tasks/cooking - Do not use your operatedarm for activities involving weight (e.g. lifting kettle, iron,pans) for 8-12 weeks. Light tasks can be started once yourarm is out of the sling. You should avoid any heavy liftingfor at least six months post op.If you have any other questions about your surgery or yourrecovery after surgery please discuss these with your Consultantor Physiotherapist.You will be referred to your local out-patient Physiotherapist tocontinue with your rehabilitation on discharge.S.L.A.P. (labral) RepairKEYA Acromion C Clavicle D Humeral shaft G Glenoid L LabrumS S.L.A.P. lesion U Biceps long head tendonExercisesIn the first 3 weeks you are not to do any shoulder exercises unlessinstructed to do so by your Physiotherapist.You must not do any resisted biceps activity (bending the elbowagainst resistance) until instructed to do so by your Physiotherapist.It is important, whilst your shoulder isimmobilised, to keep your hand, wrist andelbow moving freely.Hand Exercises• Make a fist as tightly as you can andhold for 5 seconds then stretch your fingers out – repeatx104• Spread your fingers apart from each other as far as youcan, then squeeze them back together again repeat x101

Wrist Exercises• Place your hand on a table in front of you. Practice slowlyturning your hand over so that your palm faces the ceilingand then the table – repeat x10• Slowly bend your wrist forwards and backwards – repeat x10Elbow Exercises• Slowly, fully bend and straightenyour elbow repeat x10Guidelines to Return to SportUseful Advice• Pain - Although the operation is to relieve pain, it maytake several weeks until you begin to feel the benefit.However full recovery of your shoulder symptoms usuallytakes place within 6 months although there may beimprovements for up to 1 year. The use of pain reliefmodalities such as medication, heat and or ice isrecommended in the majority of cases by your Consultantand Physiotherapist.• Sling - Your arm will be in a polysling for up to 3 weeks.This is to protect the repair during the early phases ofhealing and to make your arm more comfortable. Thesling must be worn 24 hours per day but can be removedwashing, dressing and exercises, as taught by yourPhysiotherapist. You will be shown how to fit the slingwhilst on the Orthopedic Ward.SwimmingGolfContact SportBreaststrokeFreestyle3 weeks6 weeks6 weeksIncludes horse riding,rugby, foot-PhysiotherapistYour Consultant /ball, martial arts, will guide you onracquet sports returning to theseand climbing sports.• Stitches - An appointment will be made for you to haveyour stitches removed at approximately 2 weeks postsurgery. This may be at your GP surgery or at theOrthopaedic Clinic.• Work - You may be off work between 6-12 weeks,returning to work will depend on the type of work that youdo. A sedentary job with minimal arm involvement mayallow you to return to work after six weeks. Heavy manualworkers may require a longer period of rehabilitation; thiswill be discussed with your consultant.• Leisure - Your ability to start leisure activities will bedependent on the pain, range of movement and strengththat you have in your shoulder following the operation.Please discuss activities you may be interested in withyour Physiotherapist or Consultant.23