Rotator Cuff Tears

What is the Rotator Cuff?

Four muscles around the ball of the shoulder that serve to help keep the ball centered in the socket as it moves, as well as help raise the arm.

Who gets Rotator Cuff tears?

Usually people in their late 40's and older but occasionally younger patients, such as athletes or individuals in high demand occupations.

What are the symptoms of a rotator cuff tear?

Pain in the shoulder extending down the arm and aggravated with attempts to raise the arms overhead. Weakness is also common with inability to keep the affected arm from dropping as it is lowered from overhead being very common.

How do you treat Rotator Cuff tears?

In most cases surgery is necessary to repair the tear and restore normal function to the shoulder.

How is Rotator Cuff surgery performed?

Most cases can be done arthroscopically in an outpatient setting (Southern Surgery Center) eliminating the need for hospital stays or large incision. Surgery usually takes about an hour.

How long is the recovery period?

On average 3 months of physical therapy is required to regain shoulder motion and strength. More time is required to return to manual labor occupations. A sling is required for 6 weeks after surgery and only motion supervised by a therapist is allowed during this time. After 6 weeks, gentle motion out of the sling is permitted until full function is achieved.

What are the risks of surgery?

Infection, bleeding, nerve and vascular injury, and complications from anesthesia inherent to all surgeries are present. Risks particular to Rotator Cuff surgery include post-op stiffness, overhead weakness, failure of the repair to heal necessitating repeat surgery. This is uncommon, usually less than 2 percent of cases. Soreness in the operated shoulder can be expected up to a year post-op.

What is the long term prognosis?

Assuming the Rotator Cuff heals, most patients become pain free and able to resume most activities of daily living. Recurrences are relatively uncommon.

Lance Line, M.D.
Southern Bone & Joint Specialists