Rotator Cuff Repair

Rotator Cuff Repair surgery is very common and is done for patients who have significant pain, particularly if this pain is interfering with their 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.

Dr. David Colvin, trained in orthopaedic surgery in Perth. David's specialty is knee and shoulder surgery and sports injuries.

rotator cuff repair

What are the surgery options for a Rotator Cuff injury?

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 Repair and 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.

Shoulder & Knee Surgery Perth

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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.

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

In 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

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.

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. It relieves the night time 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.

CO.RE Rotator Cuff

rotator cuff repair

In the field of shoulder and knee reconstruction, successful outcomes from an operation are 50% surgery and 50% rehabilitation. You could say the surgery is the easy bit, the rehabilitation is all hard slog. Dr Colvin’s CO.RE exercise programs are just that, a core plan for your successful recovery.

Learn More

Rotator Cuff Tear

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.
Read More

Rotator Cuff Treatment FAQ

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. 

Read More

Rotator Cuff Injury Handout

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.
Read More

About Shoulder Surgeon Dr Colvin

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.

Read More

Rotator Cuff Terminology

ABDUCTIONThe 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.
ADDUCTIONThe action of moving your arm towards your body from the side.
ARTHROSCOPYKeyhole shoulder surgery.
BURSITISInflammation of a fluid sac above rotator cuff tendons.
CONCENTRICContracting and shortening a muscle (the usual form of exercise).
EXCENTRIC Contraction while lengthening a muscle (a controlled release).
EXTENSIONThe action of moving your arm backwards behind your body.
EXTERNAL ROTATIONThe 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 SHOULDERA stiff shoulder. Can occur after rotator cuff repair.
IMPINGEMENTRubbing of rotator cuff tendons on acromion bone or bone spur.
INTERNAL ROTATIONThe action of rotating your hand towards your body and then behind your back.
ISOMETRICContracting muscle without shortening it (ie. no movement of the joint).
PASSIVEA 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 CUFFTendons of the shoulder muscles (supraspinatus, infraspinatus, subscapularis).
ROTATOR CUFF TENDONITISInflammation 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.

Rotator Cuff Tear

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.
Read More

Rotator Cuff Injury Handout

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.
Read More

About Shoulder Surgeon Dr Colvin

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.

Read More

Rotator Cuff Treatment FAQ

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. 

Read More

Rotator Cuff Terminology

ABDUCTIONThe 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.
ADDUCTIONThe action of moving your arm towards your body from the side.
ARTHROSCOPYKeyhole shoulder surgery.
BURSITISInflammation of a fluid sac above rotator cuff tendons.
CONCENTRICContracting and shortening a muscle (the usual form of exercise).
EXCENTRIC Contraction while lengthening a muscle (a controlled release).
EXTENSIONThe action of moving your arm backwards behind your body.
EXTERNAL ROTATIONThe 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 SHOULDERA stiff shoulder. Can occur after rotator cuff repair.
IMPINGEMENTRubbing of rotator cuff tendons on acromion bone or bone spur.
INTERNAL ROTATIONThe action of rotating your hand towards your body and then behind your back.
ISOMETRICContracting muscle without shortening it (ie. no movement of the joint).
PASSIVEA 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 CUFFTendons of the shoulder muscles (supraspinatus, infraspinatus, subscapularis).
ROTATOR CUFF TENDONITISInflammation 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.

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CONTACT DETAILS

David Colvin

OPENING HOURS

Monday to Friday 8:30am to 5.00pm AWST

Consulting Rooms

Dr David Colvin consults at:
Western Orthopaedic Clinic
Suite 213, 25 McCourt Street,
Subiaco WA 6008 (Perth)

  • These rooms are part of St John of God Subiaco Hospital.
  • Parking is available on site.

OPERATING

Dr David Colvin operates at:

St John of God Subiaco Hospital Salvado Road, Subiaco WA 6008 (Perth)