During surgical repair of the supraspinatus tendon, the patient is put under general anesthesia or is given a local or regional anesthesia, says Johns Hopkins Medicine. Then, the operating team cleans the area on the shoulder, and the surgeon makes an incision there. The length of the incision depends on whether it is an open surgery, arthroscopic surgery or a mix of both.
The surgeon then inserts the arthroscope into the incision, says Johns Hopkins. He makes three smaller incisions to allow the insertion of small, specialized surgical tools. The surgeon then repairs the damaged tendon. He may use a tendon grafted from another part of the patient's body.
If a graft tendon is not used, a suture is passed several times across the tear in the tendon and brings the edges together until the tear is repaired, notes ShoulderDoc.co.uk. A suture anchor is then inserted into the bone with the sutures attached to it. The sutures from the anchor are then pulled through and passed across the tendon by forceps. Then, sutures are the tied off. The process is repeated until the tendon is fixed securely to the bone.
Bone spurs, if any, are removed, and the incision is closed with surgical staples or sutures and covered with a dressing, says Johns Hopkins Medicine.