Rotator Cuff Repair Surgery
Rotator Cuff Repair Surgery - Diagnosis & Procedure
Get a detailed diagnosis and suitable treatment for rotator cuff repair in India at SurgiKure. Consult the highly experienced surgeons to undergo Rotator Cuff Repair Surgery.
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What is Rotator Cuff Repair?
Rotator cuff surgery is usually performed in patients with a torn rotator cuff. The rotator cuff is a group of muscles and tendons surrounding the shoulder joint that keeps the upper arm firmly in the shoulder joint socket. The surgery can be performed traditionally (with an open incision) or minimally invasively (arthroscopically).
Rotator cuff injuries are very common, mostly in older people or people who frequently perform overhead motions, like painters, carpenters, etc. Normally, rotator cuff injuries happen over time and can be treated conservatively if caught in time. However, severe tears or tears that occur due to a single trauma are normally treated surgically.


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Diagnosing Rotator Cuff Injuries
Before treatment of rotator cudd injuries doctor usually suggests a few diagnostic tests to understand the severity of the condition. Some of the common diagnostic tests are as follows:
- X-rays: This test is usually performed to visualize bone abnormalities such as bone spurs, joint dislocation, and arthritis, helping identify the underlying source of pain.
- Ultrasound: This imaging technique enables visualization of soft tissues like muscles and tendons, allowing the surgeon to assess for tears, sprains, or other abnormalities.
- Magnetic Resonance Imaging (MRI): MRI employs radio waves to produce detailed images of the shoulder’s internal structures, aiding in accurate diagnosis and treatment planning.
Once the diagnosis is confirmed, the surgeon discusses the appropriate treatment options with the patient. Mild to moderate tears are typically managed conservatively through approaches such as medications, steroid injections, and physical therapy. However, in cases of severe rotator cuff tears, surgery is often recommended.
Rotator Cuff Treatments Options- Surgical and Non-Surgical
Rotator Cuff Surgery: Surgical Options
Different surgery options for rotator cuff surgery are as follows:
- Traditional open surgery: In this surgical procedure, a large incision is made on the shoulder to access the injured tendon. The surgeon then stitches the torn tendon back into the bone using conventional surgical tools. This surgical procedure helps in direct visualization and thorough repair but often entails a longer recovery period and increased postoperative discomfort compared to minimally invasive alternatives.
- Arthroscopic surgery: In arthroscopic rotator cuff repair surgery, the surgeon uses a small camera and specialized instruments through small incisions to address the injured tendon. This minimally invasive procedure provides a clear view of the shoulder joint on a monitor, enabling precise repairs. Arthroscopic surgery often leads to faster recovery, minimal postoperative pain, and smaller scars when compared to traditional open repair methods.
- Mini-open repair: Mini-open repair surgery for rotator cuff entails a smaller incision, typically ranging from 3 to 5 cm in length. The surgeon utilizes arthroscopic guidance to assess the damaged tendon and then makes the necessary repairs through the mini-incision. This approach combines the benefits of both arthroscopic and open techniques, providing improved visualization and more extensive repairs than arthroscopy alone while still resulting in less postoperative pain and a shorter recovery period than traditional open surgery.
How to prepare for rotator cuff surgery?
Before the rotator cuff repair surgery, you should follow the given preparatory steps to ensure treatment success and comfort during the treatment journey:
- Discuss your health condition with your surgery provider. Tell them about all medicines, supplements, or medical herbs you are currently taking. If you are taking any blood thinners or medicines that may cause anesthesia-related complications, you may need to stop them before the surgery.
- If you have any pre-existing conditions like diabetes, heart disease, hypertension, etc., you may need approval from your regular care provider before getting the surgery.
- Stop tobacco and alcohol consumption, especially smoking, a few days before the surgery as they can interfere with the patient’s healing ability.
- If you have a fever, cold, or other infection before the surgery, inform your surgery provider, so they can prepare accordingly.
- Prepare an overnight bag as you may be hospitalized for 1-2 days after the surgery. Do not eat anything after midnight on the day of the surgery, especially if your surgery is to be performed under general anesthesia.
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Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.
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We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.
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Frequently Asked Questions
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How should I manage the surgical site after hospital release?
Change your dressing once every 2 days, or as suggested by your physician. Do not disturb the sutures or incisions. Wrap a watertight bandage around the wound to keep the incision dry while showering or taking a bath.
When will the physical therapy begin after the surgery?
Physical therapy typically begins within the first 6 weeks following the surgery, depending on the type of surgery, surgeon and patient preference, etc. Shoulder strengthening generally begins about 12 weeks after the surgery.
When can I return to sports and recreational activities after the surgery?
You should wait at least 4-6 weeks before playing sports or putting pressure on your shoulder joint. Before resuming sports or any other activity, you must consult your healthcare provider.
Which activities should be avoided during the recovery period?
You must avoid performing active range of motion (AROM) and aggressive and painful passive range of motion (PROM) movements of your shoulder. Avoid activities like pushing yourself up from a lying or seated position with the affected arm and movements that provoke muscle guarding or spasms.
How long does the surgery take?
The surgery usually takes about 60-90 minutes, depending on the complexity of the injury and the type of surgery. Arthroscopic tendon repair surgery usually takes 2-3 hours, while a simple flexor tendon repair surgery usually takes 45-60 minutes
What are the different rotator cuff muscles?
There are 4 rotator cuff muscles:
- Subscapularis
- Infraspinatus
- Teres minor
- Supraspinatus
How to prevent rotator cuff tears?
There are some steps that you can take to reduce the risk of rotator cuff tears, including
- Practice regular shoulder conditioning
- Work the upper body into your exercise routine
- Maintain good posture
- Stay at a healthy weight
- Avoid lifting, catching heavy objects, or raising your arms repeatedly
- Prevent falls and collisions
What are the different types of rotator cuff tears?
Types of torn rotator cuffs repair include:
- Partial: In an incomplete or partial tear, the tendon still somewhat attaches to the arm bone.
- Complete: In a full-thickness or complete tear, the tendon separates completely from the bone. There’s a hole or rip in the tendon.
What are the risk factors for rotator cuff repairs?
The following factors may increase the risk of rotator cuff repair:
- Family history of shoulder problems or rotator cuff injuries
- Poor posture
- Smoking
- Being age 40 or older
What are the symptoms of rotator cuff tear?
The common symptoms of rotator cuff tear are as follows:
- Difficulty and pain caused by raising your arm
- Popping or clicking sounds or sensations when moving your arm
- Shoulder pain that worsens at night or when resting your arm
- Shoulder weakness and struggling to lift items