Hayward Orthopedic Surgeon on Understanding Rotator Cuff Surgery
Shoulder surgery may be the only feasible option for those patients who have sustained a rotator cuff tear that fails to show progress after non-surgical efforts have been exhausted.
Shoulder surgery may be the only feasible option for those patients who have sustained a rotator cuff tear that fails to show progress after non-surgical efforts have been exhausted. This may be denoted by increased weakness, loss of function, and limited motion in the joint. Most surgeons consider a course of non-surgical treatments to be advisable. For those tears that are associated with extreme loss of strength, the result of acute trauma, and/or are larger than average (exceeding 3 centimeters in length) at the time of the primary evaluation, early surgery may be considered a viable option. The procedure for repairing a torn rotator involves reattaching the tendon back to the ball of the shoulder joint (humeral head) from where it was separated. There are several methods for doing this. Each approach has its own pluses and minuses; all have the same end result in mind – encourage the tendon to adhere to the bone. Selecting the appropriate surgical technique is dependent upon a variety of factors. These include the familiarity and experience of Hayward area orthopedic surgeons with any given procedure, the extent of the injury, the patient’s healthy body type, and the condition of the tendon and bone. Regardless of which approach is selected, medical studies have shown similar degrees of pain relief, strength progression, and patient satisfaction.
There are three most commonly performed techniques for rotator cuff surgery:
Any orthopedic surgeon’s ability to repair a torn rotator cuff and accomplish a suitable result will vary by technique depending on their experience with each technique. Whereas a certain surgeon may achieve acceptable results using only arthroscopy, another may do better with a mini-open method. Before orthopedic surgery, patients should discuss their available options with their orthopedic surgeon.
There are some factors that may reduce the probability a desirable
Rotator cuff surgery has become less invasive with the passing of time. As advances in techniques are made, surgeons will experience a learning curve in its mastery. At one time, larger tears were deemed untreatable using less invasive techniques but this is changing as surgeons become more adept with progressing technology. Be sure to contact my office for more specific information regarding the limitations of physical activity after recovering fully from rotator cuff surgery.
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ABOUT THE AUTHOR
"Dr. K" has been specializing in hip replacement surgery, knee replacement surgery, and rotator cuff surgery in the greater East Bay area for over thirty years.
Michael B. Krinsky, M.D., M.C.