Rotator Cuff Tear

MY BUTTON
South Wales Shoulder and Elbow Clinic, Rotator Cuff Tear

What is it?

 

The rotator cuff is a group of tendons (the structures which attach muscles to bone) which envelope the humeral head (Ball part of the joint), rather like an unbuttoned shirt cuff.

 

Essentially it is a continuous sheet of tough tissue from the front, over the top and behind the humeral head, but absent underneath.

 

It is prone to wearing out as we get older, and can do so in a gradual manner, but also more rapidly if an injury to the shoulder occurs.

Symptoms and Treatment

 

Common symptoms include pain, night pain and weakness in shoulder movement. They can also present with symptoms of impingement.

 

Scientific studies have demonstrated that the likelihood of having a tear increases, as we get older, however people can be without symptoms, not realising that a tear is present. As a result treatment is aimed at those tears that are symptomatic.

 

Often a scan (MRI or Ultrasound) is needed to assess the extent of the tear and to help guide treatment.

 

A physiotherapy programme facilitated by a cortisone injection into the shoulder can be enough to improve or resolve the symptoms, but it is important to remember that the tear will not heal back into place, just that the symptoms will get better.

Surgery

 

For larger symptomatic tears, surgery is often needed, and this is usually performed by either a keyhole or mini-open repair.

 

Sometimes the tear is so large and so degenerate it is not possible to repair it, despite that, other treatments are available for this scenario.

 

Usually rotator cuff repair is performed as a day case and is done through 2-3 very small incisions in the shoulder, that don’t even require stitches. The aim of the surgery is to repair the torn tendon.

 

You will require a sling/immobilization of the shoulder for several weeks, to protect the repair from excessive movement. As a result of that, post-operative rehabilitation, under the direction of a physiotherapist, cannot fully commence until the sling is removed.

 

It is likely that your full recovery will take several months, to regain the strength and movement of your shoulder.

Private Practices

Spire Cardiff Hospital

Croescadarn Road

Pentwyn

Cardiff

CF23 8XL

Appointments: 02920 731112

View website

Spire Cowbridge Clinic

The Health Centre

Broadshoard

Cowbridge

CF71 7DA

Appointments: 02920 731112

View website

 

Impartial, Independent Expertise for Justice
Tim Matthews, The Elbow Club
Tim Matthews, member of the British Orthopaedic Association
Tim Matthews member of British Elbow and Shoulder Society
Tim Matthews, RCS Advanced Surgical Standards