Rotator Cuff Repair

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If you are experiencing shoulder pain or have been diagnosed with a rotator cuff tear, surgical repair may be the solution you need. Contact Dr. Boltuch’s office today to schedule a consultation and take the first step towards a pain-free life and restored shoulder function.

Rotator Cuff Tears: Diagnosis, Treatment, and Recovery

Understanding the Rotator Cuff

The rotator cuff is a group of four muscles and their tendons that play a critical role in shoulder movement and stability. These muscles are:

Supraspinatus
Infraspinatus
Teres Minor
Subscapularis

Originating on the scapula, these muscles insert as tendons around the shoulder joint. Rotator cuff tears can occur due to acute injuries or develop gradually from overuse. These tears are first classified by their thickness (partial or complete) and then evaluated based on their size and involvement of multiple tendons. Surgery is generally recommended for full-thickness tears and partial-thickness tears that do not respond well to non-surgical treatments.

When to Consider Surgery for Rotator Cuff Tears

Rotator cuff tears that significantly impair shoulder function or cause persistent pain often require surgical intervention. Surgery is typically advised for:

Full-Thickness Tears: Complete tears where the tendon is entirely detached from the bone.
Partial-Thickness Tears: Tears that do not heal with non-surgical treatments and continue to cause pain and functional limitations.

What is Rotator Cuff Repair Surgery?

Rotator cuff repair surgery is performed arthroscopically, using small skin incisions no bigger than the width of a finger. This minimally invasive approach allows for a detailed examination and repair of the torn tendons.

Surgical Procedure

Incision and Access: Small incisions are made in the shoulder, and an arthroscope (a small instrument with a camera) is inserted to visualize the tear from multiple viewpoints.
Assessment and Preparation: The size and extent of the tear are assessed. Adhesions surrounding the tear are released to allow for proper repair. All other aspects of the shoulder are inspected and treated as necessary.
Anchor Placement and Tendon Repair: Anchors are placed into the bone. These anchors have attached sutures, which are passed through the rotator cuff tendon. The sutures are tensioned to bring the tendon back into contact with the bone. The number of anchors used depends on the size of the tear.
Closure and Recovery: The incisions are closed, and the shoulder is immobilized to begin the healing process.

Post-Operative Recovery

Recovery from rotator cuff repair surgery involves several phases:

Phase 1 (0-6 Weeks): The shoulder is immobilized in a sling, and Phase 1 rehabilitation begins to prevent stiffness.
Phase 2 (6 Weeks – 3 Months): The sling is removed, and gentle range of motion exercises are initiated.
Phase 3 (3-6 Months): Strengthening exercises for the rotator cuff begin.
Long-Term Recovery: Full recovery generally takes 3-6 months, with continued improvements up to one year following surgery.

Why Choose Dr. Andrew Boltuch for Rotator Cuff Repair?

Expertise in Upper Extremity Surgery: Dr. Boltuch’s extensive experience and specialization in shoulder and elbow surgery make him a trusted choice for rotator cuff repair.
Personalized Treatment Plans: Dr. Boltuch develops customized treatment plans tailored to each patient’s unique needs and goals.
Advanced Surgical Techniques: Utilizing the latest advancements in orthopedic surgery, Dr. Boltuch ensures optimal outcomes for his patients.
Comprehensive Care: From initial consultation through post-operative rehabilitation, Dr. Boltuch and his dedicated team provide continuous support and guidance to ensure a smooth recovery process.

Common Conditions Treated with Rotator Cuff Repair

Full-Thickness Rotator Cuff Tears
Partial-Thickness Rotator Cuff Tears
Degenerative Rotator Cuff Tears
Acute Rotator Cuff Injuries