Our specialized shoulder surgeon has created a full setup for diagnosis and treatment of shoulder rotator cuff tear and repair using the advanced arthroscopic technique with no post-operative pain and early return to function.
The term rotator cuff is used to describe four muscles originating from the shoulder blade and form a cuff-like structure on top of the ball of the shoulder joint to control movement and maintain stability. The Supraspinatus tendon is the main part of the rotator cuff which gets injured as it lies directly underneath the anterior part of the acromion where most of the friction occurred.
Rotator cuff injury is one of the most encountered shoulder injuries. It is either related to acute fall when a large tear can happen, or related to repetitive friction causing fraying in the tendons before it ruptures. Rotator cuff tear can be either partial or complete depending on the thickness of the tear and can also vary in terms of location on either surface of the rotator cuff.
The patient complains usually of ongoing pain for several months, deterioration of shoulder function, and weakness and can complain of sudden immediate pain after a fall or particular movement in acute tears.
is made clinically and confirmed with a shoulder MRI scan, which details the thickness and location of the tear before deciding about future management.
Minor rotator cuff tears can be treated conservatively with non-steroidal anti-inflammatory and physiotherapy with caution to avoid any further progression of the existing tear if tears persist. Large tears are advised to be repaired surgically due to the risk of developing progressive arthritis in the shoulder and as the function of the shoulder will be deteriorated significantly.
There are many surgical methods for the rotator cuff repair:
The most used technique is the arthroscopic technique: During the arthroscopic technique, the surgeon will insert a small camera via a little cut on the skin to visualize the shoulder joint and inspect the tear and then insert mini instruments using another cut to clean the area before using Anchor sutures to repair the tendon.
The other surgical technique that is often used is the open technique when a 5 to 7 cm incision can be used to repair the tendon. This method is used in large and complex tears as soft tissue releases is some times essential for successful surgery which cannot be done completely using the arthroscopy technique.
The mini-open technique is a combined technique using the arthroscope to perform the acromioplasty before using a 2 to 3 cm incision to effectively repair the ruptured tendon.
Rotator cuff repair does not require hospital admission and in most cases is done in an outpatient setting considering the age of the patient and the minimal access to surgery utilized. Post-operatively the patient is required to use an arm sling for approximately three weeks before active rehabilitation can start to regain the muscle strength and the range of motion of the shoulder joint which can take up to 6 to 8 weeks before returning to almost full activities.
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Dubai Shoulder Clinic at DRHC provides the best orthopedic surgeons in Dubai for shoulder arthroscopy, shoulder surgery, and treatment for shoulder pain, frozen shoulder, dislocated shoulder, shoulder impingement, and so on.Call +97142798200 to Schedule Your Appointment Today.
