Rotator Cuff Care:

What is a Rotator Cuff?

Causes Of Shoulder Pain

Torn Rotator Cuff Injury Symptoms

Shoulder Pain At Night-Shoulder Pain Symptoms

Exercises For Rotator Cuff Injury

Torn Rotator Cuff Surgery

Rotator Cuff Physical Therapy

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Torn Rotator Cuff Surgery


Torn Rotator Cuff Surgery, Shoulder Surgery and information for repairing and treating shoulder tears.

If a Rotator Cuff tendon has torn completely, it usually will not heal totally without a surgical intervention.

What does this surgical intervention entail? Usually it takes only one to two hours to complete.

The patient is put in a half sitting position, while the head is supported.

Most operations are performed while the patient is put to sleep under general anasthesia.

Sometimes, the nerves leading to the arm may be blocked by a local anasthesia such that the patient is conscious but cannot feel pain.

In most cases, a sedative is given to put the patient in a conscious but dreaming state!



Procedures For Various Rotator Cuff Surgeries

Impingement Surgery (also called Acromioplasty or subacromia decompression): This surgery is used to reduce severe, chronic tendinitis(inflammation of the tendon) that does not respond to non-surgical treatments and also done as part of Rotator Cuff Repair Surgeries.

This surgery is needed if the acromium (space between the upper arm and the part of the shoulder blade) is too narrow as the Rotator Cuff cannot move freely. The Rotator Cuff tendons are pinched in between the two bones and are gradually being damaged in this condition.

As a way of solving this problem, the surgeon shaves a small portion of bone from the underside of the acromium, so as to allow more room for the tendons to move, and prevent their pinching. The surgeon also excises bone spurs and/or inflamed bursa (sac having a serous membrane that secretes synovial fluid for joint lubrication).

Rotator Cuff Repairs: In a torn Rotator Cuff, there is a need for the surgeon to reattach the damaged tendon{s} to the upper arm or humerus.

To gain access to the injured Rotator Cuff, the surgeon cuts 2 to 3-inch deep in the shoulder and then cuts through the deltoid muscle. The surgeon removes any scar tissue that has built up on the tendon.

He or she then carves a small trough at the top of the arm and drills small hole through the bone.

Finally, the surgeon sews the tendon to the bone with the sutures going through the tiny holes in the humerus. Sometimes a surgeon may use permanent anchors to link the tendon to bone.

He or she may remove bone spurs, inflamed bursa or any ligaments pressing on the tendon. To create enough room for the repaired Rotator Cuff to move, the surgeon may also excise a small portion of the acromium.

Afterwards, the arm is placed in a sling so as to allow healing with time as scar tissues connect the tendon to bone. The healing process is very slow as tendons receive poor blood supply.

Arthoscopic Surgery: This is an operation involving the use of cutting-edge pen-shaped instruments with a miniature video camera attached to the end. Here, the surgeon makes a small incision about the size of botton hole in the shoulder.

He or she inserts the thin tube containing the tiny video camera and surgical instruments.

The surgeon then carries out the operation, while watching on a video screen with these remotely-controlled instruments.

This kind of surgery is safer, limits surgical access since incision is smaller than all the other kinds of open surgeries explained above. The patient recovery time is also smaller.

However due to the complicated procedure of repairing a torn Rotator Cuffit is often performed as an open procedure.

Yet arthroscopic repairs are more famous, especially for small size tears!