Rotator Cuff Repair

A good candidate for arthroscopic rotator cuff repair typically includes individuals who have sustained a rotator cuff tear and are experiencing persistent shoulder pain, weakness, and limited range of motion despite non-surgical treatments like physical therapy, rest, and medications. This surgery is often recommended for active individuals or those who require full shoulder strength and mobility for their daily activities or occupations.

As an expert shoulder surgeon, Dr. Ben Mayo performs rotator cuff repair using the latest techniques. The procedure is performed under general anesthesia, meaning you’ll be asleep throughout the procedure. Dr. Mayo will then make small incisions around your shoulder and insert an arthroscope to view the inside of the shoulder joint and the rotator cuff. Small instruments are then used to remove any loose fragments of tendon, bursa, or bone. Then, the torn edges of the rotator cuff are attached to the bone using suture and plastic anchors. In some cases, biologic augmentation will be used to enhance the healing potential.

Recovery from arthroscopic rotator cuff repair varies depending on the individual and the extent of the repair but can typically take several months. Patients can often return to desk work or light activities within a few weeks. Full recovery and return to heavy lifting or sports can take four to six months, and sometimes longer. Regular follow-up visits and adherence to a physical therapy program are essential for a successful recovery.

Immediately after surgery, your shoulder will be bandaged and immobilized with a sling. Pain medications will be provided to manage post-operative pain. It’s normal to experience some discomfort and swelling in the shoulder. Ice packs can help manage the swelling.

Physical therapy is crucial to regain shoulder function after surgery. The therapy program typically involves:

• Early Stage (Weeks 1-6): The focus is on gentle range-of-motion exercises to improve flexibility while protecting the repaired tendon. You’ll likely continue wearing the sling during this phase.
• Middle Stage (Weeks 6-12): As the tendon heals, you’ll progress to active motion exercises and start gentle strengthening exercises.
• Late Stage (3 months and beyond): The final phase involves more advanced strengthening exercises and return to activity training.

All surgeries come with risks. For arthroscopic rotator cuff repair, these can include:

• Infection: Occurs in less than 1% of patients. Antibiotics are given during surgery to minimize this risk.
• Stiffness: Some patients may experience stiffness in the shoulder after surgery, but this usually improves with physical therapy. In rare cases, an additional surgery may be needed to release the scar tissue.
• Re-tear: There’s a chance the repaired tendon could tear again, with rates varying depending on the initial size of the tear, patient age, and other factors. For smaller tears, the re-tear rate is around 10-15%. Larger tears have a higher re-tear rate, up to 40% in some studies.
• Nerve damage: While rare, it’s possible for nerves around the shoulder to be injured during the procedure.

If shoulder surgeon Dr. Ben Mayo recommends arthroscopic rotator cuff repair and you choose not to undergo surgery, there are potential risks:

• Persistent pain and weakness: Without surgical intervention, your shoulder pain and weakness may continue or even worsen over time.
• Limited shoulder function: A torn rotator cuff can significantly limit your shoulder movement, affecting your ability to perform everyday activities and sports.
• Progressive tear: Over time, the tear may enlarge, leading to increased damage and making future repair more difficult.
• Joint changes: Chronic rotator cuff tears can lead to degenerative changes in the shoulder joint, a condition known as rotator cuff arthropathy.