Rotator Cuff Repair

Overview

Rotator Cuff Repair is a surgical procedure performed to repair a torn rotator cuff tendon in the shoulder. The rotator cuff is a group of muscles and tendons that stabilize the shoulder joint and allow smooth arm movement.

Rotator cuff tears commonly occur due to:

• Sports injuries

• Heavy lifting

• Repetitive overhead activity

• Age-related degeneration

When the tendon is completely torn, it does not heal on its own and may require surgical repair to restore strength and function.

What Is Rotator Cuff Repair?

Rotator cuff repair is typically performed using minimally invasive arthroscopic surgery. Through small keyhole incisions:

• The torn tendon is identified

• The damaged edges are prepared

• Special anchors are inserted into the bone

• The tendon is reattached securely

This restores normal shoulder mechanics and stability.

Symptoms of Rotator Cuff Tear

• Shoulder pain, especially at night

• Weakness while lifting the arm

• Difficulty reaching overhead

• Pain during sleep on affected side

• Clicking or catching sensation

Early treatment prevents worsening tear and muscle atrophy.

When Is Surgery Recommended?

Surgery is advised if:

• Full-thickness tear on MRI

• Persistent pain > 3 months

• Failed physiotherapy

• Progressive weakness

• Active lifestyle or sports demand

Benefits of Rotator Cuff Repair

✅ Restores shoulder strength
✅ Reduces pain
✅ Improves range of motion
✅ Prevents further tendon retraction
✅ Minimally invasive technique
✅ Faster rehabilitation

Procedure – Step by Step

1. Clinical exam and MRI confirmation

2. Arthroscopic keyhole surgery

3. Removal of damaged tissue

4. Anchor placement in bone

5. Tendon reattachment

6. Stability testing

Duration: 60–120 minutes.

Recovery & Rehabilitation

• Arm sling for 3–6 weeks

• Passive exercises initially

• Gradual strengthening after 6 weeks

• Return to desk work: 2–3 weeks

• Return to sports: 4–6 months

Rehabilitation is crucial for full recovery.