Rotator Cuff Repair
The muscles and tendons of your rotator cuff help secure your shoulder and
help move it as well. The rotator cuff can become inflamed or irritated (tendinitis)
for a variety of reasons. If this irritation causes fraying or bruising,
the joint will become weakened and painful. Overhead reaching may
become difficult. Inflammation can also lead to a build up of calcium in the
rotator cuff itself, which can inhibit movement and strength.
Severe tendinitis due to pinching (impingement) or degeneration or a traumatic
fall can cause a partial or complete tear in the rotator cuff. This can result
in shoulder pain, weakness and loss of normal movement.
An MRI (magnetic resonance image) would be helpful in diagnosing a rotator
cuff tear but a definitive clinical history and exam are of paramount importance.
Treatment consists of a course of anti-inflammatories, icing, and gentle stretching
and strengthening exercises. Partial tears and chronic tendinitis may respond
well to this conservative management, but occasionally, it is necessary to
surgically repair a tear and debride tissue as necessary.
