Shoulder Surgeon Perth for Rotator Cuff

Rotator Cuff Repair

Shoulder surgery to repair a torn rotator cuff tendon

rotator cuff repair | shoulder surgeon Perth

What is a rotator cuff injury?

A rotator cuff tear is a very common injury causing shoulder pain and disturbed sleep.

When the rotator cuff tendons of the shoulder tear, they pull away from their attachment to the bone. Once the tendon is detached from the bone, it starts retracting due to the pull of the rotator cuff muscles. In this situation, a gap develops, and the tear cannot heal of its own accord as the tendons cannot bridge a gap.

Rotator Cuff Repair explained by Dr David Colvin, Orthopaedic Surgeon in Perth

rotator cuff repair | shoulder surgeon Perth

What are the surgery options for a rotator cuff tear?

Surgery is the only way to repair a full thickness rotator cuff tear.

There are two common types of surgery for Rotator Cuff Repair.

The first is an arthroscopic rotator cuff repair.
The second is called a mini open repair.

The choice of surgery will be influenced by several factors including the size and location of the tear, the quality of the tendon tissue, and whether it is a recent or old tear.

rotator cuff repair | shoulder surgeon Perth

CO.RE Rotator Cuff

A rotator cuff tear is a very common injury causing shoulder pain and disturbed sleep.

When the rotator cuff tendons of the shoulder tear, they pull away from their attachment to the bone. Once the tendon is detached from the bone, it starts retracting due to the pull of the rotator cuff muscles. In this situation, a gap develops, and the tear cannot heal of its own accord as the tendons cannot bridge a gap.

rotator cuff repair | shoulder surgeon Perth

Arthroscopic and mini open repair for rotator cuff injuries

Arthroscopic repair involves using an arthroscope and specialised instruments inside the shoulder to perform a tendon repair through keyhole cuts.

The mini open repair starts with arthroscopic surgery to remove any bone spurs and clean up shoulder bursitis. Then a small incision is made on the shoulder splitting the deltoid muscle to allow access to the rotator cuff tendons for repair.

With both methods, the tendon is reattached to bone by using small metal or plastic screws in the bone. These screws have sutures attached which are tied to the tendon, and this allows the tendon to be pulled back into place. The stitches hold the tendon in place until it grows back onto the bone.

rotator cuff repair | shoulder surgeon Perth

Rehabilitation and rotator cuff repair

When it comes to Rotator Cuff Repair, surgery is only half the battle. The success of shoulder surgery depends on getting the rehabilitation right.

The hospital physiotherapist will instruct you on exercises the first day after your surgery. Intensive physiotherapy starts six weeks after surgery when you come out of the sling.

By three months most people have reasonable day to day function of their shoulder. Strength and movement will continue to improve for twelve months.

rotator cuff repair | shoulder surgeon Perth

How do I know a rotator cuff repair is best for me?

Rotator cuff repair is generally a very successful operation for restoring strength and movement in the shoulder and relieving pain.

When you book an appointment with Perth orthopaedic surgeon Dr Colvin, he will tell you more about the surgical treatment options for rotator cuff repair and the rehabilitation involved.

rotator cuff repair | shoulder surgeon Perth

Related topics

Listen to the MediTalk podcast on Rotator Cuff.

Shoulder pain is a common complaint in our community. For younger people, shoulder pain is usually the result of an accident or injury. In older patients, it can be a natural wear and tear process. A rotator cuff injury is a common cause of shoulder pain, and is due to a strain or tear in the muscles or tendons of your shoulder.
The shoulder is one of the most complex joints in the human body. It is complex because it allows a range of motion greater than any other joint. The shoulder is made up of the shoulder socket and the humerus which is the upper bone of the arm. The collarbone or clavicle also contributes to the shoulder joint.
Perth shoulder surgeon Dr David Colvin has a special interest in rotator cuff repair surgery. He undertook Post Fellowship training both in Australia and in North America.
Rotator cuff tears are a very common source of shoulder pain. When you need surgery for a rotator cuff injury, you may have a lot of questions. That’s why I have created a page listing the most common frequently asked questions about rotator cuff treatment.
ABDUCTION
The action of lifting your arm up to the side away from your body.
AC JOINT
Acromioclavicular Joint.
ACROMIOPLASTY
Shaving a bone spur in the shoulder.
ACTIVE
A movement initiated by your own muscles. This movement will build strength.
ADDUCTION
The action of moving your arm towards your body from the side.
ARTHROSCOPY
Keyhole shoulder surgery.
BURSITIS
Inflammation of a fluid sac above rotator cuff tendons.
CONCENTRIC
Contracting and shortening a muscle (the usual form of exercise).
EXCENTRIC
Contraction while lengthening a muscle (a controlled release).
EXTENSION
The action of moving your arm backwards behind your body.
EXTERNAL ROTATION
The action of rotating your arm and hand away from your body outwards.
FLEXION
The action of moving your arm forward from your body and up over your head.
FROZEN SHOULDER
A stiff shoulder. Can occur after rotator cuff repair.
IMPINGEMENT
Rubbing of rotator cuff tendons on acromion bone or bone spur.
INTERNAL ROTATION
The action of rotating your hand towards your body and then behind your back.
ISOMETRIC
Contracting muscle without shortening it (ie. no movement of the joint).
PASSIVE
A movement initiated by external forces, a stretching exercise.
PRONE
Lying on your abdomen.
RANGE OF MOTION (ROM)
How far you can move a joint in any one direction (measured in degrees).
ROTATOR CUFF
Tendons of the shoulder muscles (supraspinatus, infraspinatus, subscapularis).
ROTATOR CUFF TENDONITIS
Inflammation of rotator cuff tendons, without tearing. May be caused by rotator cuff impingement.
SCAPULA
Shoulder blade holding the rotator cuff muscles.
SUPINE
Lying on your back.

Orthopaedic surgeon Perth

About Perth Orthopaedic Surgeon Dr David Colvin

Dr David Colvin, a Perth orthopaedic surgeon with a special interest in shoulder and knee injuries, understands that a painful joint or a joint that doesn’t function properly, can have a huge impact on your quality of life.