subscapularis tear

[anagha]

hi
I have a case of 60 yr old female pt with complete tear of suprspinatus and partial tear of subscapularis.She had under gone arthroscopic surgery 2 weeks before.so advice me which/ any movement is contra indicated at this stage.Please...

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[Canuck Physio]

hi
I have a case of 60 yr old female pt with complete tear of suprspinatus and partial tear of subscapularis.She had under gone arthroscopic surgery 2 weeks before.so advice me which/ any movement is contra indicated at this stage.Please...

Surely this information has been provided by the surgeon (re: what he has advised and a time frame), or is available in the surgeons notes? Advice can vary based on the variability or tissue damage, potential to heal, prevalent that the surgeon has personally observed. I would double check this first before making a decision towards a course of treatment.

If this is not possible, take a ground up approach. Check passive movement, before considering active movements, and consider equally the different phases within each (ie. passive stretch, or joint ROM, active isometric, tonic?)

Regards

[anagha]

thank u very much canuck.
I will get in to the surgeon note ok
thanks