Shoulder Surgery

Rotator Cuff Injuries

The rotator cuff (rotator cuff) tears

Rotator cuff (rotator cuff), what is it?

The rotator cuff muscles that stabilize the shoulder joint and shoulder rotation movement who (supraspinatus, infraspinatus, subscapularis, teres minor) as sheath that surrounds the tendons of the structure formed by the head of the humerus.

The rotator cuff muscles of the scapula (shoulder blade) at the top of the arm bone (humeral head) stick.

Rotator cuff tears of the rotator cuff (rotator cuff) are called tears.

How is rotator cuff tears?

Rotator cuff tears, is often repetitive trauma. Employees holding arms up, tennis, baseball, such as those with sporting activity are common. Rotator cuff tears, may be caused by acute trauma. Shoulder pain patients can remember the event started. Rotator cuff tears, are common around the age of 40. We see the tears in younger patients with acute trauma.

What are the signs of rotator cuff tear?

As a lever to lift up the findings of the rotator cuff pain, difficulty, complete tears of patients to be able to remove his arms, lifting a weight felt pain and weakness, pain in the arm during the movement include rotation. Pain during movement, while initially only seen later at rest. Must not lie on the shoulders of the patients in advanced stages, especially on the side of the tear.

Another finding in these patients is that the sound from the shoulder during movement of the shoulder.

How to put the diagnosis of rotator cuff tears?

Physician in the diagnosis of rotator cuff tears, rotator cuff rupture of history and a physical examination and thinks. After that radiographs and ultrasound examination can be carried shoulder. To understand the exact width of the tear in the diagnosis and concomitant pathologies to reveal the potential for differential diagnosis of the MRI study is often required.

Rotator cuff (rotator sheath) is the treatment of tears?

Full thickness and the accompanying first-line treatment in patients with advanced shoulder impingement syndrome; Recreation, antiemflamatuar therapy, the use of a sling, exercise and physical therapy. Despite this treatment with a full-thickness tears of patients with symptoms lasting and / or surgical treatment in patients with shoulder impingement syndrome is associated with.

In rotator cuff (rotator sheath) how-surgical treatment of tears?

Today, surgical treatment of rotator cuff tears, shoulder arthroscopy is performed through the hole in the drop-down 3-4. Called debridement of partial tears torn ends of the clearing, planting of tendon ruptures within the sheath, the sheath close to the bone decomposition and tears are made with a special attachment to the bone anchor style with fixation material. All these actions are done arthroscopically. Another advantage of arthroscopy Shoulder arthroscopy in the shoulder joint interests with other pathologies that it allows for the recognition and treatment of shoulder arthroscopy.

How is this possible after shoulder arthroscopy for rotator cuff?

Patients can leave the hospital the next day after the arthroscopic treatment of rotator cuff. Depending on the treatment arm sling is used for a period of 2-6 weeks. Exercise and physical therapy, arthroscopic surgery of treatment, followed by the next day at the latest early in the first weeks after the head .








About the author

Prof.Dr. Seref Aktas