Rotator Cuff Repair
The rotator cuff is a group of four muscles and tendons that stabilize the shoulder joint and allow for smooth arm movement. Injuries to the rotator cuff, such as tears from trauma, repetitive motion, or degeneration, can cause pain, weakness, and limited mobility.
At Iowa Ortho, our orthopedic surgeons specialize in rotator cuff repair, using both minimally invasive arthroscopic techniques and traditional open surgery to restore shoulder function and reduce pain.
What is a rotator cuff repair?
A rotator cuff repair involves reattaching torn tendons to the upper arm bone (humerus). The procedure aims to:
- Restore normal shoulder mechanics
- Relieve pain
- Improve strength and range of motion
- Prevent further shoulder damage
Repairs can be performed using:
- Arthroscopic surgery: Small incisions with a camera and instruments for less invasive repair
- Mini-open or open surgery: Used for larger or complex tears
Causes of rotator cuff tears
Rotator cuff injuries can occur due to:
- Acute trauma: Falling on an outstretched arm or lifting heavy objects
- Repetitive stress: Sports or jobs that involve frequent overhead motion
- Degenerative changes: Natural wear and tear with age or chronic tendonitis
Risk factors include age over 40, previous shoulder injuries, and certain occupations or sports.
Symptoms of a rotator cuff tear
- Shoulder pain, especially when lifting the arm or performing overhead activities
- Weakness in the shoulder or arm
- Limited range of motion
- Clicking or popping sensations in the shoulder
- Night pain, particularly when lying on the affected side
Diagnosis
At Iowa Ortho, diagnosis begins with a physical exam and may include:
- X-rays to check bone alignment or arthritis
- MRI or ultrasound to confirm tendon damage and assess tear size
- Review of medical history and activity level
Surgical repair
Surgery is recommended for:
- Full-thickness tears
- Persistent pain and weakness despite conservative treatment
- Large or complex tears at risk of worsening
The rotator cuff repair procedure
- Preparation: The patient receives anesthesia, and the shoulder is positioned for access.
- Repair: Torn tendons are reattached to the humerus using sutures, anchors, or specialized techniques. Arthroscopic approaches use small incisions, while open procedures may be used for extensive tears.
- Closure and recovery: Incisions are closed, and the shoulder is immobilized in a sling.
Recovery & rehabilitation
Recovery from rotator cuff repair includes:
- Immobilization: Typically in a sling for 4–6 weeks
- Physical therapy: Gradual exercises to restore range of motion, then strength
- Return to activities: Light daily activities within a few weeks; sports or heavy lifting after several months
Following the rehabilitation plan is essential for successful healing and long-term shoulder function.
Why choose Iowa Ortho for rotator cuff repair?
- Board-certified orthopedic surgeons experienced in both arthroscopic and open techniques
- Personalized care plans tailored to your lifestyle and goals
- State-of-the-art surgical technology for precision and safety
- Comprehensive rehabilitation programs for optimal recovery