Saving The Shoulder

The shoulder is an amazing part of the body with a unique range of motion. A shoulder injury can be a big blow, particularly a rotator cuff tear. Imagine being unable to lift the forearm or move the shoulder due to pain. Orthopedic surgeons sometimes recommend arthroscopic surgery. But before going under the knife, here are key points to know about rotator cuff repair.

Center for Minimally Invasive Surgery Munster Indiana What Should I Know About Arthroscopy and Rotator Cuff Repair?

Dissecting the rotator cuff

The rotator cuff has four muscles and tendons covering the shoulder. The muscles are the supraspinatus, infraspinatus, teres minor and subscapularis. Together, the rotator cuff holds the arm and socket to the shoulder. The arms and shoulders rotate due to the elasticity of the rotator cuff.

How rotator cuff damage happens

The rotator cuff damages in two ways. A physical injury like a hard pull, or twist can tear the tendon. Examples are sports or grueling physical work. Athletes like pitchers, tennis players, and quarterbacks get rotator cuff injuries. The second way is degenerative. Old age or bone spurs weaken and damage the rotator cuff.

The painful reason for surgery

The tendons holding the muscles act like elastic bands. A partial tear causes pain, weakness or reduced motion. But a full tear means the tendon detaches from the shoulder, needing immediate repair. The tendon sometimes makes the sound of a pop or rip when the injury happens. For a full tear, surgeons typically recommend arthroscopy.

Arthroscopy to save the shoulder

Arthroscopy or arthroscopic surgery starts with an endoscope. Orthopedic surgeons can look at and repair joints using cameras and fiberoptic technology. Besides rotator cuffs, arthroscopy repairs elbows, knees, and even wrists. Arthroscopy reduces repair time, infections, and improves the accuracy of repair. More importantly, the surgery is minimally invasive meaning less blood loss and scarring.

The rotator cuff repair process

Arthroscopy reconnects the loose tendon to the shoulder. Surgeons insert an endoscope into the shoulder via an incision or portal to assess the damage. The surgeon then makes another portal opposite the endoscope. Through the portal, a hole drilled in the nearby Humerus bone secures the stitches. A pincer-like device pulls the tendon back into place, for stitching. Once the stitches are complete, the surgeon moves the arm to test the integrity of the stitches. Finally the surgeon removes the tools and stitches up the portals to complete the surgery.

The success of surgery

With a success rate of 90%, the surgery effectively restores tears. Surgeries, minimally invasive or not, poses risks. Risks include infection of the surgery site, bleeding, or an allergic reaction to anesthesia. Surgery will bring relief, but patients need extensive time to recover.

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“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“The nurses were very nice and caring!”

“All staff were wonderful.”

“Everyone was concerned with my comfort.”

“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”

“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”

“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”

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“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
“The staff was very polite, they were excellent. They explained exactly what was going on.”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”

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“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”

“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”

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