Rotator Cuff Repair
What Is the Rotator Cuff?
The rotator cuff is a group of four muscles and tendons that surround the shoulder joint. They help stabilize the shoulder and allow you to lift and rotate your arm. When the rotator cuff is torn, patients often experience pain, weakness, and difficulty with overhead movements.
What Is Arthroscopic Rotator Cuff Repair?
Arthroscopic rotator cuff repair is a minimally invasive surgery performed through small incisions using a tiny camera (arthroscope) and specialized instruments. The torn tendon is reattached to the bone, restoring shoulder strength and function. Compared to open surgery, arthroscopy causes less tissue damage, smaller scars, and faster recovery.
When Is It Needed?
Your doctor may recommend this procedure if:
- You have a rotator cuff tear causing persistent pain or weakness.
- Non-surgical treatments (medications, physiotherapy, injections) have not worked.
- You struggle with daily activities like reaching overhead, lifting, or dressing.
- You want to return to sports or physically demanding work.
The Procedure Step-by-Step
- Evaluation – MRI and physical exam confirm the tear.
- Anesthesia –General or regional anesthesia is given.
- Arthroscopy – A small camera is inserted into the shoulder joint.
- Repair – The torn tendon is cleaned and reattached to the bone using sutures and anchors.
- Closure – Small incisions are closed, and the shoulder is bandaged.
Recovery and Rehabilitation
- Hospital stay:Usually same-day or overnight.
- Immobilization:The arm is kept in a sling for several weeks.
- Physiotherapy: Begins gradually to restore movement and strength.
- Return to activities: Daily activities resume in 2–3 months; sports or heavy work may take 6–9 months.
Benefits
- Minimally invasive with smaller incisions.
- Less pain and faster recovery compared to open surgery.
- Restores shoulder strength and mobility.
- Helps prevent further damage and long-term disability.
Risks & Considerations
- Infection, stiffness, or re-tear of the tendon (rare).
- Recovery requires patience and strict adherence to physiotherapy.
- Healing time varies depending on age, tear size, and overall health.
Key Message for Patients
Arthroscopic rotator cuff repair is a safe and effective surgery for patients with shoulder tendon tears. By reattaching the tendon through minimally invasive techniques, the procedure relieves pain, restores strength, and helps patients return to daily activities and sports. With proper rehabilitation, most patients achieve excellent long-term outcomes.
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