Overview
This surgical procedure is used to inspect and reattach torn tendons in the shoulder's rotator cuff. The initial part of the surgery is performed arthroscopically through small tubes. In some cases, open surgery may be needed to repair large tears.
- Joint Inspected
The surgeon inserts a small video cameral called an arthroscope through tiny incisions in the shoulder to inspect the damaged joint.
- Joint Debrided
The surgeon removes any loose fragments of the tendon or other debris from the damaged cuff tendon in the joint. This procedure, called debridement, is usually performed arthroscopically. Afterwards, the surgeon will inspect the tissue damage in the joint and determine if more surgery is needed.
- Acromion Smoothed
If bone spurs have formed on the bottom of the acromion, the surgeon uses a rasp-like tool to smooth the area. This is called subacromial decompression, or smoothing, and will keep the acromion from pinching down on the supraspinatus tendon. It is usually done arthroscopically.
- Rotator Cuff Inspected
If no tear is found in the rotator cuff area, the procedure may end here. If the surgeon finds a torn rotator cuff tendon, the type of repair needed is based on the size and severity of the tear. Small to moderate tears may be repaired arthroscopically. Open surgery may be needed to repair large tears. First, the torn end of the tendon is cleaned up. Next, an area on the humerus is cleared.
- Anchors Placed
The surgeon uses a frill or sharp tool to create one or more small holes in the bone. Anchors are then placed in to the holes. The anchors hold stitches in place on the arm bone.
- Tendon Sutured
The tear in the tendon is stitched together. The sutures are pulled tightly against the anchors, reattaching the tendon to the humerus.
End of Procedure
After surgery, the arm is usually placed in a sling. Physical therapy will be needed to regain full range of motion and increased shoulder strength. Over time, the tendon will naturally reattach itself to the humerus bone.
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