SHOULDER

Rotator Cuff Repair

Surgery to repair a torn rotator cuff often involves re-attaching the tendon to the head of the humerus (upper arm bone). Dr du Sart prefers to perform rotator cuff repair utilising minimally invasive arthroscopic techniques (‘keyhole surgery’) where the surgery is performed using smaller incisions. Research suggests that arthroscopic techniques reduce post-operative pain and aid in faster recovery.

Procedure

During surgery, a small camera (arthroscope) is inserted into the shoulder joint. The camera displays a live video feed on a monitor and these images are used to guide specialised surgical instruments. A partial tear, may only need a trimming or smoothing procedure called a debridement. A complete tear is repaired by stitching the tendon back to its original site on the humerus.

(Left) Rotator cuff tear.

(Right) The rotator cuff tendon has been re-attached to the greater tuberosity of the humeral head with sutures.

After Your Operation

Pain Management

During your inpatient stay you will be given pain relief and either medication or prescriptions to go home to keep pain within comfort. Usually patients will initially require regular pain relief consisting of paracetamol and anti-inflammatories if indicated. Stronger medications may be given and helpful in early stages however are phased out as comfort levels increase. Regular ice packs on the shoulder for approximately 20 minutes, three to four times a day can help reduce swelling and pain.


Return to Work and Sport

Return to work will vary on the nature of your work and what was done at surgery. In general, you should plan to have approximately two weeks off work to allow adequate time for your shoulder to heal while your arm is in a sling. You may be able to return to light duties after two weeks, but if your work is physically active and involves lifting, pushing or pulling, it may take up to six to twelve weeks to return. Returning to sport is dependent on the activity and extent of surgery.  Dr du Sart will discuss your return to activity at your post-op check.


It is important to follow the physical therapy exercises you are provided to increase shoulder mobility and strength.


Driving

Times to return to driving will vary. However, in general, plan to avoid driving for approximately six weeks and until your sling is removed. If you have concerns, you can discuss this with Dr du Sart.

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