CAUSES
- Shape of acromion bone (extrinsic compression and impingement)
- Aging
- Trauma
SYMPTOMS
- Pain
- Weakness
- Lack of Mobility
- Night Pain
PREOP
- X-ray
- MRI Scan - Evaluate Rotator Cuff
- PMD for medical clearance
RECOVERY
- 10 days suture removal
- 4 weeks sling; duration of sling use is often based on size of tear and quality of tissue.
- 4-6 months physical therapy 2 x per week.
- Expectation is excellent range of motion and minimal to no pain with return to full activity
TECHNIQUE
The rotator cuff is reattached with small dissolvable screws and sutures using arthroscopic techiques (camera assisted surgery through small incisions). Bone spurs are removed as well.
DAY OF SURGERY
- Nerve block anesthesia
- 1-2 hour surgery
- Outpatient
WHEN TO HAVE SURGERY?
- Significant pain
- Loss of motion
- Poor shoulder function
- Failed conservative treatment (PT and injection)
-
Suture Anchor
-
Tear Before
-
Sutures Passed
-
Final Repair
Questions?
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