Doctors may use surgery to repair a torn rotator cuff, according to the American Academy of Orthopedic Surgeons. There are three primary methods, which are the open repair approach, all-arthroscopic repair and mini open repair. Following the procedure, the patient undergoes a period of rehabilitation.
An open rotator cuff repair is necessary when the tear is complex. It involves making a large decision over the shoulder and detaching the deltoid muscle to obtain a good view. It is necessary to remove the bone spur from beneath the acromion.
When it comes to less complex injuries, it is possible to use more modern techniques. This includes the all-arthroscopic repair, which involves using small surgical instruments guided by a camera that moves into the shoulder. This is an outpatient procedure.
A mini open repair involves performing surgery through a 3 to 5 cm long incision. This technique removes the need to remove the deltoid muscle by arthroscopically removing bone spurs.
All torn rotator cuff repairs require a period of rehabilitation. Immobilizing the area using a sling for 4 to 6 weeks is necessary. In addition, physiotherapist-guided passive and active movements are recommended. The passive movement period lasts around 4 to 6 weeks, followed by active movements for a few months.