Description about the Surgery
Rotator cuff repair is a surgical procedure performed to repair a torn rotator cuff tendon in the shoulder joint. The rotator cuff is a group of four muscles and their tendons that help stabilize and move the shoulder joint. During the surgery, the torn tendon is reattached to the humerus (upper arm bone) using sutures or anchors.
Reasons for the Surgery
Rotator cuff tears can occur due to traumatic injury, repetitive overhead activities, or degenerative changes, causing symptoms such as shoulder pain, weakness, and limited range of motion. Rotator cuff repair is recommended for individuals with symptomatic rotator cuff tears that do not respond to conservative treatments. The surgery aims to restore shoulder function, alleviate pain, and prevent further damage to the rotator cuff.
Before Surgery
Before undergoing rotator cuff repair surgery, patients undergo a thorough evaluation to assess the extent of rotator cuff damage and determine the appropriate treatment approach. This evaluation includes physical exams, imaging studies (such as MRI), and sometimes diagnostic arthroscopy. Patients receive education about the procedure, its risks and benefits, and what to expect during recovery. Pre-operative instructions may include activity modifications, pain management strategies, and smoking cessation.
During Surgery
During rotator cuff repair surgery, the surgeon makes small incisions around the shoulder joint and uses arthroscopic techniques to access the torn rotator cuff tendon. The torn tendon is reattached to the humerus using sutures or anchors placed into the bone. The goal is to restore the integrity of the rotator cuff and stabilize the shoulder joint while preserving its range of motion.
After Surgery
After rotator cuff repair surgery, patients undergo a period of rehabilitation to promote tendon healing and restore shoulder function. Physical therapy focuses on improving range of motion, muscle strength, and proprioception while protecting the healing tendon. Patients may initially need to use a sling or brace to immobilize the shoulder and allow the tendon to heal properly. Post-operative care includes pain management, wound care, and monitoring for complications such as infection or stiffness.
Rehabilitation
Rehabilitation after rotator cuff repair is essential for promoting tendon healing and restoring shoulder function. Physical therapy sessions are tailored to the patient's specific needs and goals, focusing on protecting the healing tendon while gradually restoring mobility and strength. Rehabilitation aims to optimize shoulder function and minimize the risk of complications, such as re-tears or stiffness. Close communication between the patient, surgeon, and physical therapist is essential to ensure a successful recovery process.