Rotator Cuff Repair
A torn rotator cuff causes shoulder pain, weakness, and limited movement — especially overhead. Arthroscopic repair reattaches the tendon to bone with tiny anchors.
Overview
The rotator cuff is a group of four muscles and their tendons that stabilise the shoulder joint and enable arm rotation and lifting. Tears can be partial or full-thickness, caused by acute injury (a fall or heavy lift) or chronic degeneration (wear and tear over time). Without treatment, tears tend to enlarge and cause progressive weakness.
Arthroscopic rotator cuff repair uses 3-4 small incisions. The surgeon inserts a camera and instruments, then reattaches the torn tendon to the humeral head using suture anchors. The procedure is highly effective, with 90%+ of patients reporting significant pain relief and improved function.
Causes
- Acute injury — fall on an outstretched arm or lifting something too heavy
- Repetitive overhead activity — painting, swimming, tennis, cricket bowling
- Age-related degeneration — tendons weaken after age 40
- Bone spurs rubbing on the tendon (impingement)
- Poor blood supply to the tendon with ageing
Symptoms
- Pain in the shoulder, especially at night or when lying on the affected side
- Weakness when lifting or rotating the arm
- Difficulty reaching behind the back or overhead
- Crackling sensation (crepitus) with shoulder movement
- Gradual loss of shoulder function
Diagnosis
- Physical examination — checking range of motion and strength in specific positions
- Drop arm test, empty can test — clinical tests for specific cuff muscles
- Ultrasound — quick, inexpensive, and accurate for detecting tears
- MRI — gold standard showing tear size, retraction, and muscle atrophy
Treatment Options
Arthroscopic rotator cuff repair
Minimally invasive reattachment using suture anchors. 3-4 tiny incisions.
Mini-open repair
Arthroscopic assessment followed by a small open incision for the repair. Used for complex tears.
Non-surgical management
Physiotherapy, anti-inflammatory medication, and steroid injections for partial tears or elderly low-demand patients.
Frequently Asked Questions
How long is recovery after rotator cuff surgery?
The arm is in a sling for 4-6 weeks. Physiotherapy starts at 2-6 weeks. Full recovery and return to sports takes 4-6 months.
Can a rotator cuff tear heal without surgery?
Partial tears may heal with rest and physiotherapy. Full-thickness tears do not heal spontaneously and tend to enlarge over time.
Ready to Discuss Your Treatment?
Our rotator cuff repair specialists in Kondapur are here to help. Most consultations available within 24 hours.