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Shoulder surgery (rotator cuff)

Rotator CuffWhat is the rotator cuff?

The rotator cuff is formed from four muscles and tendons that attach your arm to the top of your shoulder blade (see figure 1). Impingement or a tear are the usual types of damage that can happen to the rotator cuff.

What are the benefits of surgery?

You should have less pain and be able to use your shoulder more easily.

Are there any alternatives to surgery?

Most people with impingement or a small tear can get back good function by changing their activities, and with the help of physiotherapy.

Simple painkillers such as paracetamol and anti-inflammatory painkillers such as ibuprofen can also help.

A steroid and local-anaesthetic injection into your shoulder can sometimes reduce pain.

If you have a large tear, it is likely that surgery is your only option to get back some strength in your shoulder.

What does the operation involve?

Shoulder surgery is usually performed under a general anaesthetic. However, a variety of anaesthetic techniques is possible. The operation usually takes between three-quarters of an hour and an hour.

Impingement is usually treated by arthroscopy (keyhole surgery). Your surgeon will use instruments to remove any thickened tissue, release any tight tissue and to shave off some bone.

Your surgeon may also be able to repair rotator-cuff tears using the keyhole technique. However, they may need to use open surgery. They will use stitches that anchor into the bone.

What complications can happen?

General complications

  • Pain
  • Bleeding
  • Infection of the surgical site (wound)
  • Unsightly scarring

Specific complications

  • Bleeding into the shoulder
  • Restricted shoulder movement
  • Infection in the shoulder
  • Blood clot
  • Severe pain, stiffness and loss of use of the arm and hand (complex regional pain syndrome)
  • Damage to nerves
  • The rotator cuff tearing again or the tear failing to heal

How soon will I recover?

You should be able to go home the same day. Any stitches or clips are usually removed about one to two weeks after the operation.

It can take up to a year to get back enough strength in your shoulder to return to normal activities.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, you should ask a member of the healthcare team or your GP for advice.

You may not get back the same strength that you had before you damaged your shoulder. Often symptoms come back with time.

Summary

Rotator-cuff problems can cause pain and weakness in your shoulder. An operation can help to reduce any pain and to get back some strength in your shoulder.

Acknowledgements

Author: Prof. Lennard Funk MSc FRCS (Tr. & Orth.)

Illustrations: Medical illustration Copyright ©medical-artist.com

Copyright © 2017 EIDO Healthcare Limited - The operation and treatment information on this webpage is produced using information from EIDO Healthcare Ltd and is licensed by the Horder Centre.

The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited. You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use. The information should not replace any advice that your relevant health professional would give you.

Issued June 2017 | Expires end of May 2018

 

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