Arthroscopic Rotator Cuff Repair
The rotator cuff is the thick band of muscles and associated tendons that cover the top of the upper arm and hold in it place, providing support and stability to the shoulder joint. The rotator cuff also allows for a full range of motion while keeping the ball of the arm bone in the shoulder socket. These tendons can become partially or completely torn as a result of a rotator cuff tear or injury. A rotator cuff tear often occurs as a result of injury or overuse of the muscles over a long period of time. Rotator cuff tears typically involve pain when lifting or lowering the arm, muscle weakness and atrophy, and discomfort at rest, particularly if pressure is placed on the affected shoulder.
In most cases, surgery is recommended for tears that cause severe pain or that do not respond to more conservative treatments. Most rotator cuff repair procedures are performed through arthroscopy, which uses a few tiny incisions rather than one large incision. This technique offers patients minimal trauma, less scarring and less damage to the surrounding muscles and tissue. The smaller incisions also result in less pain in the shoulder joint after the surgery.
Arthroscopic Rotator Cuff Repair Procedure
The purpose of arthroscopic rotator cuff repair is to repair the rotator cuff tendon back to the bone that is pulled off from. Sometimes the tendon will split in two, but usually the tendon tears directly off the shoulder bone and must be reattached through arthroscopic surgery. Arthroscopy is a minimally invasive surgical technique that involves making several small incisions and inserting a fiber-optic device (arthroscope) and tiny surgical instruments to repair the torn tendons. Connected to a camera that displays images of the internal structure of the shoulder on a computer screen, the arthroscope allows the surgeon to see the damage and repair the tendons without having to make major incisions.
Risks of Arthroscopic Rotator Cuff Repair
As with any surgery, there are certain risks involved with arthroscopic rotator cuff repair, which may include:
- Infection
- Pain
- Stiffness
- Nerve damage
- Need for repeated surgery
These complications are rare and most people experience symptom relief with little to no complications after arthroscopic rotator cuff repair
Recovery from Arthroscopic Rotator Cuff Repair
After surgery, the arm is immobilized to promote proper healing. A sling may be recommended to keep the arm from moving for the first several weeks post-surgery. Physical therapy often begins shortly after surgery to help restore strength and movement and allow patients to gradually resume their regular activities. It is important for patients to commit to their physical therapy program in order to achieve the most effective surgical results.
Rotator cuff repair surgery is usually successful in relieving shoulder pain, although full strength cannot always be restored. It is important for patients to commit to their physical therapy program in order to achieve the most effective surgical results. After surgery, physical therapy may be necessary for up to 4 months and full recovery may take up to 6 months. Most patients experience effective pain relief, restoration of function and improved range of motion after their procedure.
