When it’s a slow tear that develops over time, patients often try to combat the discomfort using anti-inflammatory or pain medication. While these may help with pain, they won’t repair the tear in the tendons that is causing the pain. As blood flow to these tendons is poor, they repair themselves more slowly than other parts of the body. In the case of a full tear, the tendon is no longer able to repair itself and the rotator cuff repair procedure will become necessary.
What is rotator cuff repair?
Rotator cuff repair is a procedure that repairs ripped tendons in the shoulder. Using state-of-the-art techniques, your Board-Certified experts at one of the five Gotham City Orthopedics locations in NYC or New Jersey can turn your painful injury into a normal, functioning and pain-free shoulder.
The three most common methods of rotator cuff repair are the open repair, the all-arthroscopic repair and the mini-open repair. Understanding these and discussing them with your Orthopedic Surgeon during your consultation is the best way to establish which method is best for your needs.
Open repair was the first successful method of rotator cuff repair and is still widely used as a means to restore shoulder function. This method is generally used by older, less experienced surgeons who have not become familiar with the latest arthroscopic technology. The open procedure requires splitting the deltoid muscle which can cause more pain and prolong patient recovery. Gotham City Orthopedics surgeons routinely perform all arthroscopic rotator cuff repairs, which are all same day surgeries, and the patients go home in a sling later that day. During this procedure, an incision is made over the shoulder that can be several centimeters long, depending on the severity of the tear of the tendon. The shoulder muscle is then detached in order to better view the problem area. From there, the tendons are repaired and reattached to humerus arm bone, using implants to reinforce the connection.
This procedure is less invasive than the open repair, and is considered the least invasive rotator cuff repair technique. It’s performed using a tiny camera—called an arthroscope—that is inserted into your shoulder joint. With the camera as a guide, the surgeon then uses miniature instruments to repair the torn tendon.
Due to the minimally invasive nature of the all-arthroscopic repair, patients are usually able to go home the same day as their surgery.
The mini-open repair is a method that takes advantage of newer technologies and instruments to repair the rotator cuff through a smaller incision than the traditional open repair. Using arthroscopy to access and treat the damaged rotator cuff and structures, some repairs are done without the need to detach the shoulder muscle. Once those repairs are finished, the surgeon then completes the procedure through the mini-open incision, viewing the tear directly instead of through the camera and video monitor.
This method may be said to be a combination of traditional open repair and all-arthroscopic repair.
Schedule a consultation
To learn more about rotator cuff repair, your next step is to schedule a consultation at Gotham City Orthopedics. During this time, your physician will perform a number of examinations to determine if this procedure is right for you. As a leading Orthopedic destination, our surgeons are primarily focused on providing the most effective treatment while retaining minimally invasive techniques. Please call us today to learn more about how we can help.
Our main goal is for you to regain function of your painful or unusable shoulder. Our Board-Certified and expert rotator cuff surgeons are eager to help you move forward from shoulder pain. No matter the time or day of the week, we are available for your needs.