SLAP tears and return to sport and work: current concepts.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Competing interests: AAR provides research support for Arthrex, Inc. and Northwell Health. AAR is a paid consultant for Arthrex, Inc. and Paragen Technologies. AAR receives royalties from Saunders/Mosby-Elsevier. N.N.V. and Arthrex, Inc. AAR is a stockholder in Healthpoint Capital, DuPage Medical Group and Paragen Technologies. AAR provides publisher support for Slack, Inc., Orthopedics Today and Saunders/Mosby-Elsevier. N.N.V. and is on the editorial boards of Techniques in Shoulder and Elbow, Techniques in Sports Medicine, Sports Health and Orthopedics and is the chief medical editor of Orthopedics Today. EC is a paid presenter or speaker for DePuy, Smith & Nephew and Stryker as well as a paid consultant for Johnson & Johnson and research support for Smith & Nephew. EC is a board or committee member for the European Society for Surgery of the Shoulder and Elbow as well as the International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine. EC is also a member of the editorial or governing board of the Journal of Shoulder and Elbow Surgery. ADM is a research support and consultant for Arthrex, Inc. 2. Phys Sportsmed. 2016;44(1):85-92. doi: 10.1080/00913847.2016.1108883. Epub 2015 Nov 7. Rotator cuff rehabilitation: current theories and practice. Osborne JD(1), Gowda AL(1), Wiater B(1), Wiater JM(1). Author information: (1)a Department of Orthopaedic Surgery , Beaumont Hospital , Royal Oak , MI , USA. A fully functioning, painless shoulder joint is essential to maintain a healthy, normal quality of life. Disease of the rotator cuff tendons (RCTs) is a common issue that affects the population, increasing with age, and can lead to significant disability and social and health costs. RCT injuries can affect younger, healthy patients and the elderly alike, and may be the result of trauma or occur as a result of chronic degeneration. They can be acutely painful, limited to certain activities or completely asymptomatic and incidental findings. A wide variety of treatment options exists ranging from conservative local and systemic pain modalities, to surgical fixation. Regardless of management ultimately chosen, physiotherapy of the RCT, rotator cuff muscles and surrounding shoulder girdle plays an essential role in proper treatment. Length of treatment, types of therapy and timing may vary if therapy is definitive care or part of a postoperative protocol. Allowing time for adequate RCT healing must always be considered when implementing ROM and strengthening after surgery. With current rehabilitation methods, patients with all spectrums of RCT pathology can improve their function, pain and quality of life. This manuscript reviews current theories and practice involving rehabilitation for RCT injuries. DOI: 10.1080/00913847.2016.1108883