I need some advice. I have a patient that is 7 week post op Acromioplasty, subacromial decompression and bicep tenodesis. MD wanted him to be PROM for elbow flexion and supination secondary to repair. At 2-3 week after surgery patient without thinking grabbed for object that was falling and had severe pain and heared a pop. He returned to MD and MD thought tore bicep loose but pt./MD declined surgery. MD put him on PROM after this incident x 6 weeks. I have been performing PROM on the shoulder at 130 degrees flexion pt pain and abduction approximately 115, ER 45 degrees. Recently when performing PROM he had a snap with ER causing pain in shoulder. Also with flexion at times his shoulder will perform a strong jerk that will roll his shoulder into IR and extension. He has severe pain when it initially happens and 30-60 min after. Contacted MD office and Nurse called back to hold PT x 1 week (I was unable to speak with nurse so I am not sure what MDs thoughts are on the snap and jerk)Has anyone experienced this happening to a patient? Any tips on how to resolve. I thought it might be spasm in bicep or mechanics of AC jt but unclear secondary to MD thought possible tear of bicep repair. Pt also has had mod/severe tenderness to bicep belly since the incident 2-3 week following reinjury. Any suggestion would be helpful.

Similar Threads: