Rotator cuff surgery
Rotator cuff is a group of muscles and tendons that originate from the shoulder blade and attach to the top end of the arm bone. They help in initiating and controlling shoulder movements as well as keeping the joint stable. These muscles could be damaged by wear and tear or from accidents and falls. This leads to shoulder pain and or weakness. If neglected, the muscle damage could progress to more serious problems including arthritis of the shoulder joint.
Very small and incomplete tears may be amenable to retraining of the shoulder with physiotherapy and limited keyhole surgery to clean up the torn part allowing the body to heal the injury. However, larger and long-standing damage to the tendons would require them to be stitched back onto bone or to itself with sutures and suture anchors (bone screws with sutures attached to them). This repair is best performed through keyhole surgery but rarely an open surgery may be required.
In some cases, the tears would have been so large and gone untreated for such a long time that the tendons cannot be stitched back to bone or would not work if stitched back. In these situations and in selected cases, a shoulder replacement surgery using a special metal and plastic device called a reverse polarity shoulder replacement would be required to reinstate shoulder function.
Mr George-Malal has a team of experienced shoulder physiotherapists to help you in getting your shoulder back to comfort and function after your surgery.