clinical question-schreiner

of 6
15 views
PDF
All materials on our website are shared by users. If you have any questions about copyright issues, please report us to resolve them. We are always happy to assist you.
Document Description
Secondary Injuries after SLAP Tear Repairs Cole Schreiner ATS Cole Ross ATC Brianne Fariss Kilbourne, EdD, ATC, PES Table of Contents CLINICAL SCENARIO ........................................................... ERROR! BOOKMARK NOT DEFINED. FOCUSED CLINICAL QUESTION:....................................................... ERROR! BOOKMARK NOT DEFINED. KEYWORDS: ................................
Document Share
Document Tags
Document Transcript
    Secondary Injuries after SLAP Tear Repairs Cole Schreiner ATS Cole Ross ATC Brianne Fariss Kilbourne, EdD, ATC, PES    Table of Contents CLINICAL SCENARIO ........................................................... ERROR! BOOKMARK NOT DEFINED. F OCUSED C LINICAL Q UESTION : ....................................................... E RROR !   B OOKMARK NOT DEFINED .  K  EYWORDS : ..................................................................................... E RROR !   B OOKMARK NOT DEFINED .   SUMMARY OF SEARCH METHODOLOGY ....................................................................................... 4  S EARCH S TRATEGY : ................................................................................................................................. 4 S OURCES OF E VIDENCE S EARCHED : ......................................................................................................... 4 B EST E VIDENCE R  EVIEWED : ..................................................................................................................... 4 CLINICAL BOTTOM LINE ..................................................................................................................... 5  I MPLICATIONS FOR C LINICAL P RACTICE  .................................................................................................. 5 R  ECOMMENDATIONS FOR F UTURE R  ESEARCH  ......................................................................................... 5 REFERENCES: .......................................................................................................................................... 6    Clinical Scenario I created this clinical question because I just had a Bankart repair for a SLAP tear. I was interested in the rehab process from this injury and the problems that may occur. I wanted to know what secondary injuries that I could possibly run into in my rehab process. The fact that I had a personal connection to this injury and surgery is the main reason that I chose this topic for my clinical question. Development of Clinical Question I wanted to look at a certain process of the injury process for SLAP tears. I wanted to either look at the initial treatment and diagnosis of the injury, the surgical repair of the injury, or the rehabilitation of the injury. Since I had already had my surgery I wanted to look at a part of the injury process that I had not already been through. So that is what led me to the rehabilitation of the injury after the surgery. I then had to pick a part of the rehab process like time back to return to play, amount of people that return to play, or secondary injuries that arise in the rehab  process. I chose secondary injuries because I wanted to know what could go wrong in my rehab  process and the frequency that these injuries come up in peoples’ rehabs. Clinical Question Committee I chose athletic trainer Cole Ross and Athletic Training professor Brianne Kilbourne as my clinical question committee. I chose Dr. Kilbourne because she is my Evaluations of Upper Extremities professor and this being an upper extremity injury I thought that she could help me answer any questions that I had about SLAP tears or the secondary injuries that I found in my research. I chose Cole Ross because he was also interested in this topic and wanted to know what I found in my reasearch. With both of my committee members I have a good relationship and trust both of them. This was a big reason in picking my clinical committee. Clinical Question In post-surgical athletes following a SLAP repair what contributing pathologies and/or secondary injuries cause complications in the rehab process? Keywords SLAP tear Bankart repair Secondary Injuries Shoulder Instability  Summary of Search Methodology I started by trying to find the most common secondary injuries during rehab process and then research the different injuries individually after that. I also had to distinguish the types of surgeries that studies used and the people that they studied. The study population didn’t need to  be athletes but I wanted the study to have a mean age between 20 and 30. I wanted to know about people around college age or just out. So that I was looking at people around my age. I then compared research articles to each other to see if they had the same data or conclusions or if they had completely different data and conclusions. Search Strategy My main keywords that I used were SLAP tears, secondary injuries, Bankart surgery, and anterior shoulder instability. I used to google scholar, research gate, Emory and henry data bases, and NATA position statements. All these search engines helped me find credible, academic  journals that I could use. This helped me not waste time rummaging through articles that I would not be able to use to answer my question. Once I found the articles I then chose what parts of the articles that I wanted to use and what parts that I didn’t want to use. Sources of Evidence  NATA Position Statement Journal of Arthroscopic and Related Surgery Research Gate The American Journal of Sports Medicine The Journal of Bone and Joint Surgeries Best Evidence Reviewed All my articles either came from a sports medicine journal or a surgery journal. This allowed me to get wide range of information. The first article talked about results after arthroscopic repair of a slap tear. Out of the 47 patients, 87% of the group rated their outcome as good or excellent. 74% of the group returned to their preinjury level of competition and there were only five complications during the rehab process. The next article talked about risk factors after a Bankart repair. The major risk factors are dislocations and subluxations or shoulder instability. They also found that the amount of suture anchors was important in limiting the amount of secondary injuries. Three or fewer suture anchors patients are at a higher risk for secondary injuries. The next article looks at Bankart repair of a traumatic anterior shoulder instability. Even though it doesn’t deal specifically with slap tears it was useful because it is the same surgery that surgeons use to repair slap tears and shoulder instability is a common secondary injury after a SLAP tear repair. 91.5% of patients in the study showed good or
Search Related
We Need Your Support
Thank you for visiting our website and your interest in our free products and services. We are nonprofit website to share and download documents. To the running of this website, we need your help to support us.

Thanks to everyone for your continued support.

No, Thanks
SAVE OUR EARTH

We need your sign to support Project to invent "SMART AND CONTROLLABLE REFLECTIVE BALLOONS" to cover the Sun and Save Our Earth.

More details...

Sign Now!

We are very appreciated for your Prompt Action!

x