About Rotator Cuff

The shoulder is a ball and socket joint (glenoid joint) and is the most mobile joint of the body. There are a group of 4 muscles, tendons and connective tissue that attached around the head of the humerous. (These groups of muscles, tendons and connective tissues are called the subscapularis, supraspinatus, infraspinatus and teres minor).

Diagnosis of a Rotator Cuff Repair is based on symptoms and a physical examination. X-rays, Ultrasounds and Magnetic Resonance Imaging (MRI. These tests are normally used to help confirm diagnosis and treatment required.

Signs & Symptoms

Symptoms of Rotator Cuff Injury usually include pain and tenderness in the shoulder, especially with overhead activities. Patients may experience weakness and decreased range of movement and motion. Often when a tear occurs with an acute injury, patients often feel a snapping sensation and immediate weakness of the arm. Gradual symptoms develop with repetitive overhead activity or long term wear. Pain in the front of the shoulder may radiate down the side of the arm.

Treatment Options

What are the non-surgical options for a rotator cuff injury?

Not all Rotator Cuff tears require surgery. Non-operative options normally include rest and limited overhead activity, use of a sling, anti-inflammatory medication, steroid injections and strengthening exercises with a physiotherapist.

What if I need rotator cuff surgery?

The type of surgery performed depends on the size, shape and location of the tears and dependent on the injury/causation for surgery.

During surgery, A/Prof Matthew Lawson-Smith uses fibre optic scopes (arthroscopy) and small pencil sized instruments. The arthroscope is then connected to a television monitor and then A/Prof Matthew Lawson-Smith can repair under video control. A mini-incision which is another minimally invasive technique which allows A/Prof Matthew Lawson-Smith to complete a Rotator Cuff repair through a small incision typically 4cm – 6cm long.

How long is the recovery period and what should I expect?

You will be required to attend the rooms for a post-operative appointment with A/Prof Matthew Lawson-Smith and the practice nurse around 2-3 weeks after your surgery. This appointment is allocated to you at the time of surgical booking.

A sling is worn for the first 6 weeks. It is imperative that you keep your wounds, clean and dry. The bandages applied are to remain on, unless you wish to have them changed at your GP’s office or have someone that can adequately change them for you.

The tendons take approximately 3-6 months to heal and the progress to full recovery is normally around 6 months. You will be referred to a physiotherapist around the 6-8 week post-surgery for strengthening exercises. Work, sports and other physical activities will be restricted during this time until you are given clearance to do so.

Risks & Concerns

The associated surgeries risks including but not limited to;

Infection
Scar
Pain
Stiffness
Swelling
Complex Regional Pain Syndrome
Need for further surgery

Failure to relieve symptoms
Worsening pain
Bleeding
Neurovascular deficit or injury
Risk of anaesthetic
Frozen shoulder
Re-tear

If you experience any problems or have any concerns following your surgery, please do not hesitate to contact the office. A/Prof Lawson-Smith’s staff will ensure that A/Prof Matthew Lawson-Smith is kept informed of what is occurring and will advise you on the best course of action.

If you are unable to reach the office, please do not hesitate to contact your General Practitioner. If it is an emergency, please present to your nearest emergency department.