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The rotator cuff muscles serve to further stabilize the glenohumeral joint.
Mechanism of Injury:
Athlete was leading off 2nd base when she dove head first back to tag up. When she did this her shoulder forcefully came into contact with the 2nd baseman's leg.
The athlete stated it felt as though her arm "came out of socket". However, she continued to play the game.
During her initial doctor's appointment she was diagnosed with biceps tendinitis.
Upon coming to Troy, she was re-evaluated and recieved an MRI that revealed she had a large SLAP lesion of her labrum that she had been playing with all summer.
Later, there was also an underside supraspinatus tendon tear that was found...more on that soon.
Beginning in the Fall of 2013 the athlete started a conservative "prehabilitation" program that was designed to strengthen the rotator cuff muscles so that labrum repair surgery could be delayed until the offseason.
The athlete would begin the session by warming up on the UBE and would then stretch her shoulder by using a T-bar and sleeper stretch. Then she would begin her exercises.
Exercises in this program include:
Therapuetic Modalities that were used were:
After a few weeks, the athlete saw Dr. Dugas during a Monday Clinic because the pain in her shoulder was increasing. Dr. Dugas ordered additional tests and it was determined she had developed an underside supraspinatus tendon tear.
Following her surgery, the athlete followed a rehab program for a full 360° labrum tear.
Phase I (Immediate Postoperative Phase [Restricted Motion] ) Day 1- wk 6
Phase II (Intermediate Phase [Moderate Protection] )
wk 7-14
Phase III (Minimal Protection Phase)
wk 14-20
Phase IV (wk 20-26) and Phase V (Month 6-9) continue to progress the rehab.
The athlete is progressing well within her rehabilitation, she is currently in Phase III. She is advancing quickly and experiences no pain and very little soreness when new exercises are presented to her.
Exercises in her rehab include:
The athlete is currently in week 21 of her rehabilitation
Abrams, G. D., Safran, M. R. (2009). Diagnosis and management of superior labrum anterior posterior lesions in overhead athletes. The American Journal of Sports Medicine, 44, 311-318.
Baumgarten, K. M., Vidal, A. F., Wright, R. W. (2009). Rotator Cuff Repair Rehabilitation: A Level I and II Systematic Review. The American Journal of Sports Medicine, 1.2, 125-129.
Manske, R., Prohaska, D. (2010). Superior labrum anterior to posterior (SLAP) rehabilitation in the overhead athlete. The American Journal of Sports Medicine, 11.4, 1-23.
Nakagawa, S., Yoneda, M., Hayashida, K., Wakitani, S., Okamura, K. (2001). Greater Tuberosity Notch: An Important Indicator of Articular-Side Partial Rotator Cuff Tears in the Shoulders of Throwing Athletes*. The American Journal of Sports Medicine, 29.6, 762-770.
Nam, E. K., Snyder, S. J. (2003). The Diagnosis and Treatment of Superior Labrum, Anterior and Posterior (SLAP) Lesions. The American Journal of Sports Medicine, 31.5, 798-810.
Siskosky, M. J., ElAttrache, N. S. (2007). Management of Internal Impingement and Partial Rotator Cuff Tears in the Throwing Athlete. Operative Techniques in Sports Medicine, 15, 132-143.
Voos, J. E., Pearle, A. D., Mattern, C. J., Cordasco, F. A., Allen, A.A., Warren, R. F. (2007). Outcomes of Combined Arthroscopic Rotator Cuff and Labral Repair. The American Journal of Sports Medicine, 35.2, 1174-1179.
Wang, S. S., Trudelle-Jackson, E. J. (2006). Comparison of customized versus standard exercises in rehabilitation of shoulder disorders. Clinical Rehabilitation, 20, 675-685.
Carolyn Howard
270° SLAP lesion and underside supraspinatus tendon tear.