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Flail Chest-II

Flail Chest-II

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Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears

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Post-operative Rehabilitation for Scapular Muscle Reattachment: A Case Report.

Wendy Burke¹, W Ben Kibler², Tim L Uhl³

¹University of Southern California.

International Journal of Sports Physical Therapy

|April 12, 2021

Summary

This case report details the rehabilitation of scapular muscle reattachment surgery, highlighting a physical therapist

Keywords:

movement system rehabilitation scapular dyskinesis shoulder pain therapeutic exercise

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Area of Science:

Orthopedic Surgery
Rehabilitation Medicine
Musculoskeletal Disorders

Background:

Scapular muscle detachment is a rare orthopedic condition often resulting from significant trauma.
Limited literature exists on post-operative rehabilitation protocols for scapular muscle reattachment surgery.

Observation:

A physical therapist with 25 years of experience sustained bilateral rhomboid and lower trapezius muscle detachment from the medial scapular border due to traction injury.
Surgical repair was performed sequentially, with the left shoulder repaired 5.5 years post-injury and the right shoulder one year later.

Findings:

A one-year rehabilitation program for each arm resulted in improved American Shoulder and Elbow Surgeons (ASES) scores, from 68/72 pre-operatively to 82/90 post-operatively.
Pain-free range of motion was restored within one year for both shoulders.
Full recovery of overhead functional strength was not achieved by the one-year post-operative mark.

Implications:

This case report provides a unique patient-centered perspective on scapular muscle reattachment recovery.
It offers a sample pre- and post-operative rehabilitation protocol for clinicians and patients undergoing this complex procedure.
Understanding the prolonged recovery, muscle atrophy, and need for protected healing is crucial for managing patient expectations and outcomes.