|Rotator Cuff Tear|
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Reasons for Procedure
- A rotator cuff injury which does not respond to rest and physical therapy treatment
- A complete tear in the tendon
- Chronic pain and weakness from a partial tear in the tendon
- Excess bleeding
- Blood clots
- Reaction to anesthesia
- Weakness or numbness in shoulder joint
- Detachment of the shoulder muscle
- The operation does not provide the desired improvement in function
- Alcohol abuse
- Diabetes or other chronic disease
What to Expect
Prior to Procedure
- Arrange for help at home while you recover
- Talk to your doctor about any medications, herbs, or supplements you are taking
- Talk to your doctor about any allergies you have
- Ask your doctor about assisted devices you will need
- Arrange for someone to drive you home after the procedure
- Aspirin or other anti-inflammatory drugs, such as ibuprofen or naproxen
- Blood-thinning drugs, such as warfarin
- Anti-platelet drugs, such as clopidogrel
Description of Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Pain medication
- Antibiotics to prevent infection
- Medication that prevents blood clots
- Use ice to reduce swelling after the surgery.
- Take the full doses of all medications prescribed.
- Keep the bandage clean and dry at all times.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Do not use the arm until instructed. Wear the sling or brace as directed.
- Unless your job requires heavy lifting, you can usually return to work within a few days after the surgery.
- Follow instructions for physical therapy. Therapy is essential to regain shoulder strength and range of motion.
- Be sure to follow your doctor's instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge at the incision site
- Pain cannot be controlled with medications given
- Nausea or vomiting
- Cough, shortness of breath, or chest pain
- The stitches or staples come apart
FamilyDoctor.org – American Academy of Family Physicians http://familydoctor.org
American College of Sports Medicine http://acsm.org
Public Health Agency of Canada http://www.phac-aspc.gc.ca
Canadian Physiotherapy Association http://www.physiotherapy.ca
Exercise and shoulder pain. American College of Sports Medicine website. Available at: http://www.acsm.org/docs/current-comments/exandshoulderpaintemp.pdf. Accessed May 3, 2013.
Rotator cuff repair. John Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/healthlibrary/test%5Fprocedures/orthopaedic/rotator%5Fcuff%5Frepair%5F92,P07682/. Accessed May 3, 2013.
Rotator cuff surgery discharge instructions. John Hopkins Medicine website. Available at: http://www.hopkinsortho.org/orthopedicsurgery/RotatorCuffDischarge.pdf. Published May 7, 2010. Accessed May 3, 2013.
Rotator cuff tear. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated January 17, 2013. Accessed February 26, 2014.
Rotator cuff tears: surgical treatment options. American Academy of Orothopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00406. Updated May 2011. Accessed May 3, 2013.
6/2/2011 DynaMed's Systematic Literature Surveillance. http://www.ebscohost.com/dynamed/: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014 -
- Update Date: 02/26/2014 -