Rotator Cuff Repair
What Are The Surgical Treatments for Rotator Cuff Tears?
For cases of rotator cuff tears that are severe or fail to respond to conservative treatments, surgical intervention may be necessary to restore function and alleviate symptoms. Rotator cuff repair surgery is a common procedure aimed at reattaching the torn tendon to its original position on the humerus bone and promoting healing.
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During the surgical procedure, the orthopedic surgeon typically performs an arthroscopic approach, utilizing small incisions and specialized instruments to access the shoulder joint. Through these tiny incisions, the surgeon inserts an arthroscope, a small camera, to visualize the structures inside the joint. This allows for a detailed assessment of the tear's size, location, and the condition of surrounding tissues.
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Once the tear is identified, the surgeon will use specialized tools to clean and prepare the torn edges of the tendon and the bone. Sutures or anchors are then used to reattach the tendon to its original insertion point on the humerus. Depending on the tear's characteristics and severity, different techniques may be employed, including single-row or double-row fixation methods.
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After the repair is completed, the incisions are closed, and a sterile dressing is applied. Patients are typically monitored in the recovery room before being discharged home on the same day of surgery.
Rehabilitation and recovery after rotator cuff repair surgery?
Following rotator cuff repair surgery, a structured rehabilitation program is essential for optimizing outcomes and preventing complications. Physical therapy plays a crucial role in the recovery process, focusing on restoring range of motion, strengthening the shoulder muscles, and improving functional abilities gradually.
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Are All Rotator Cuff Tears Repairable?
While most rotator cuff tears are amenable to surgical repair, certain cases may be deemed irreparable due to factors such as chronicity, tissue quality, and tear size. In such instances, alternative surgical options like tendon transfers or shoulder joint replacement may be considered to alleviate symptoms and restore shoulder function. Your orthopaedic surgeons will evaluate each case individually, weighing the risks and benefits of various treatment approaches.
​Conclusion
Rotator cuff tears are a common source of shoulder pain and dysfunction, affecting individuals of all ages and activity levels. By understanding the underlying causes, recognizing typical symptoms, and exploring available treatment options, individuals can take proactive steps towards managing this condition effectively. Whether opting for conservative measures or undergoing surgical intervention, seeking timely medical evaluation and guidance is paramount for achieving optimal outcomes and reclaiming an active, pain-free lifestyle.
MRI showing a retracted torn rotator cuff tendons. Patient subsequently underwent arthroscopic rotator cuff repair.
Arthroscopic picture showing retracted torn rotator cuff tendons.
Arthroscopic picture showing tendons repaired to its footprint.
MRI showing a retracted torn rotator cuff tendons. Patient subsequently underwent arthroscopic rotator cuff repair.