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Rotator Cuff Tear/Lesion
A rotator cuff tear may occur as a partial or complete tear of the group of muscles and tendons known as the rotator cuff. The tear may be caused by direct trauma (e.g. a fall), dislocation of the shoulder (luxation), or overuse and over-irritation (wear and tear) of the rotator cuff.
The symptoms of rotator cuff tears can vary greatly depending on the cause of the injury. They range from slightly limited motion and weakness of the affected arm to acute pain.
Diagnosis:
If a rotator cuff tear is suspected, an X-ray will be obtained to rule out bony injury, and MRI studies will be performed for assessment of the muscles and tendons.
Treatment:
There are two basic approaches to treatment of rotator cuff tears: conservative and surgical. With your input, we will determine which method is best for you in order to achieve optimal results in consideration of the extent and severity of your injury.
Conservative Treatment:
Rest
Medications to reduce pain and inflammation
Physiotherapy exercises
Surgical Treatment:
There are two basic ways to perform surgery for rotator cuff tears: open surgery and arthroscopic surgery.
Open Surgery:
Different procedures may be used depending on the extent and severity of the injury: simple suture, reattachment of the tendon to the bone using devices called anchors, and muscle and tendon plasty.
Arthroscopy of the Shoulder:
The tear is sutured using a camera and instruments inserted through two small incisions.
Postoperative Care:
After surgery, a phase of intensive postoperative physiotherapy will begin. In the initial postoperative period, the operated shoulder will be immobilised in a device called an abduction cushion. The abduction cushion holds the bent arm away from the body at a comfortable angle. This optimally protects the rotator cuff muscles to allow them to heal properly. The extent of the rotator cuff injury determines how long the abduction cushion must be worn, which can range from around 2 to 6 weeks.
Procedure:
At our practice, patients are examined and informed of the specific type of surgery in advance. With your input, we will determine which treatment approach is best for you (date and type of surgery, hospitalisation and physiotherapy). In most cases, you will check into the hospital in Münsingen on the day of surgery. The surgery will be performed during the course of the morning. On the day after surgery, mobilisation exercises will be started with the assistance of a physical therapist, and you can generally leave the hospital in about 3 to 4 days. Physiotherapy should be continued on an outpatient basis in order to re-establish shoulder strength and range of motion. Naturally, you will be requested to return to our practice for follow-up at regular intervals.