The group of muscles and tendons form a cuff over the shoulder joint which is called as a rotator cuff. The rotator cuff holds the arm in the joint that aids in the movement. When one or more tendon muscle becomes damaged, stiffness, rotator cuff pain and soreness is developed along with decrease in the mobility. Rotator cuff repair is procedure that is used to repair the torn tendon and muscles in the shoulder which can be torn due to injury or overuse. The main goal of the rotator cuff repair is to restore the flexibility and movement of the joint and to decrease the pain.
Injuries – Athletics and construction workers are mostly involved in the rotator cuff injury. Repetitive movement and overuse may cause tendon tear.
Partial rotator cuff injury tears can be treated non-surgically by taking rest, non-steroidal anti-inflammatory drugs, steroidal injections, and exercises. Severe rotator cuff injury tears require surgical treatment. The surgical techniques that are used to treat severe tears of rotator cuff include:
Arthroscopy involves a small incision through which a narrow tube with a fiber-optic video camera is inserted that is connected to a television monitor. The arthroscope is inserted allowing the surgeon to visualize the internal structure of the joint. Small additional incisions are made to insert the surgical tools those are used to repair the joint.
This surgery is done for complex tears. During open repair surgery, a large muscle called deltoid muscle is slowly moved away to perform the surgery.
The mini-open repair surgery is done by using an arthroscope. The damaged tissue or bone spurs are removed through arthroscopy. Mini-open repair surgery is a combination of both arthroscopy and open repair surgery.
Failure of the non-surgical treatment may cause the need for surgery.
Rotator cuff surgery can be performed on an out-patient basis depending upon the surgical procedure.
Arthroscopic surgery involves the use of an arthroscope, which is a narrow tube with a fiber-optic video camera. An anesthetic will be administered which may be a regional anesthetic or a local anesthetic that causes numbness in the shoulder.
Anti-septic solution will be used to clean the surgical site. Depending on the type of surgery, your doctor makes an incision on the surgical site. The arthroscope will be inserted into the surgical site. Then other surgical tools will be inserted through the other incision.
The damaged tendon is then repaired by grafting the tendon from another part of the body. If bone spurs are present, then they are removed. The incision will be closed and a sterile bandage will be applied.
Open repair surgeries are performed for complex tears. Torn rotator cuff is the condition that may require this procedure. After administering anesthesia, an incision is made to open the shoulder joint and the deltoid muscle is then slowly removed or detached to perform the required surgical procedure.
This procedure involves 3-5 cm incision and involves advanced technology surgical tools to perform the surgery. The arthroscope is used to perform the surgery. After the completion of the arthroscopic surgery, the surgeon makes a mini incision to repair and view the joint directly.
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