Surgery is often considered the first treatment option for rotator cuff tears that limit a person's ability to function, turn the arm outwardly against resistance, or raise the arm. Surgery is considered the second treatment option for partial tears when other types of treatment have not worked. It is also considered when a person experiences increased loss of function or continued pain, spasms and limited motion. The goal of surgery is to get the tendon to heal to the bone. Several types of surgery can be used for rotator cuff repair. Surgeons choose the type of surgery depending on their experience and knowledge. They also consider a person's anatomy, specific needs and the quality of the tendon and bone.
Three common types of surgery include open repair, mini-open repair, and all types of arthroscopic repair. Open repair involves an incision over the shoulder. A mini-open repair involves the insertion of an instrument called an arthroscope, which allows the surgeon to see the area and the tear, and makes it easier to remove bone spurs if necessary. A mini incision is then made to repair the rotator cuff. Arthroscopic repair involves smaller incisions and the insertion of an arthroscope to look at and repair the rotator cuff. After surgery the doctor will provide an exercise program to help strengthen and move the shoulder.
Talk with your doctor to determine the best treatment option for you. If surgery is recommended discuss which is the best type for you.
Will I live longer if I have this procedure?
No, there is no scientific evidence that you will live longer if you have surgery for a rotator cuff tear. A rotator cuff tear is not considered a life threatening condition.
Will the surgical treatment of a rotator cuff tear improve my quality of life?
Yes, treatment of a rotator cuff tear should improve the quality of your life. You should be able to participate in your normal daily activities. The degree of improvement you experience will depend on various factors, such as the extent of the injury, your age and the effort used to rehabilitate and follow activity restrictions.
Does the surgical treatment of a rotator cuff tear make my symptoms better?
Yes, the majority of people who have surgery to repair a rotator cuff tear experience pain relief, improved function and movement. However, full strength may not return. For most people, a significant rehabilitation effort is necessary. The results of rehabilitation depend on your active participation. People unhappy with the results of surgery often had large or massive tears, had poor quality of tissue, failed to comply with prescribed rehabilitation and activity restrictions, and were typically older.
Each type of surgery provides similar pain relief, improved strength and satisfaction. About 90 percent of surgical rotator cuff repairs result in no complications. However, the open repair leads to more pain, stiffness, loss of blood, and longer recovery than the less invasive procedures.
Minor reported complications:
Major reported complications:
Alternative treatment (behavioral modification) includes:
The cost of surgical repair for a rotator cuff tears varies depending on a number of factors including the type of surgery, type of facility, type of care you need, and the region of the country in which the surgery is performed. The costs can vary from approximately $300 to $15,000 for the hospital costs plus $225 to $ 4,750 for the physician costs.
The cost may or may not be covered by your health benefits plan.
The following are off-site links :
American Academy of Orthopaedic Surgeons. (2011, May). Rotator cuff tears. Retrieved August 23, 2012 from http://orthoinfo.aaos.org/topic.cfm?topic=A00064&return_link=0.
American Academy of Orthopaedic Surgeons. (2011, May). Rotator cuff tears: Surgical treatment options. Retrieved August 23, 2012 from http://orthoinfo.aaos.org/topic.cfm?topic=A00406&return_link=0.
Mayo Clinic. (2010, August). Rotator cuff injury. Retrieved August 23, 2012 from http://www.mayoclinic.com/health/rotator-cuff-injury/DS00192.
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