5 Points of Rotator Cuff Repair:The complete article is available for download here.
- Subacromial Decompression – Subacromial decompression is a standard treatment in repair rotator cuff repair, whether it is an arthroscopic shoulder surgery or an open shoulder procedure. This removes any impingement that may be contributing to pain and creates space to accommodate the suture knots and tail…
- Pattern recognition – Rotator cuff repair begins with a careful evaluation of the tear pattern: size, shape, and tissue quality. Predicting the size of a supraspinatus tear may be difficult on physical examination, since splinting from pain can simulate weakness…
- Releases – During rotator cuff repair, regardless of technique, it is important to release the capsular and bursal contractures adequately in order to allow mobilization of the cuff tissue. This step allows restoration of the normal mechanical orientation of the repaired muscles…
- Tendon Repair – Absorbable suture anchors have gained significant popularity and are preferred by the senior author (ELF) for their radiolucency and the fact that resorption facilitates revision, should revision be necessary. The junior author (AMT), on the other hand, prefers metal anchors for ease of use, decreased expense, and lack of reactivity in the bone…
- Rehabilitation – No matter how well the cuff is repaired, the most critical aspect of repair is rehabilitation. Even perfectly reconstructed anatomy requires time to heal in a protected environment. As discussed, every tear is individual and thus will require different rehabilitation goals and requirements…
Five Points On Rotator Cuff Repair
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About The Author
Dr. Armin Tehrany is a board-certified orthopedic surgeon specializing in minimally invasive management techniques of knee and shoulder injuries and conditions in NYC. He is an Honorary Police Surgeon and serves as a Clinical Assistant Professor at Mount Sinai School of Medicine’s Department of Orthopedic Surgery. His specialist knowledge, expertise, and best practice methods of care in knee and shoulder treatment are recognized by the many awards received throughout his career.