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Types of Operations for Rotator Cuff Tears Explained

April 4, 2025

Rotator cuff tears are a common cause of shoulder pain, especially for athletes and active individuals. These injuries can limit your ability to move your arm and cause significant discomfort. For people experiencing this condition, understanding your options for treatment is essential. If non-surgical methods have not provided sufficient relief, surgical operations may become necessary to restore the affected area and improve function.

Let us explore the types of operations for rotator cuff tears and how Greater Chesapeake Hand to Shoulder can help you get back to living an active lifestyle.

What Is a Rotator Cuff Tear

The rotator cuff is the group of muscles and tendons that surround your shoulder joint. It serves a critical function by keeping the head of your upper arm bone securely in the shallow socket of your shoulder. When the rotator cuff becomes torn, it may lead to pain, weakness, and impaired shoulder movement.

A rotator cuff tear occurs due to acute injuries or chronic wear and tear over time. Athletes, particularly those involved in repetitive overhead activities, are at a higher risk of this condition. Similarly, active adults may develop a rotator cuff tear as tissues in the shoulder joint naturally weaken with age.

Symptoms of a rotator cuff tear can include the following:

  • Persistent pain in the shoulder, even at rest
  • Weakness when raising or rotating the arm
  • Cracking or popping sensations when moving the shoulder
  • Limited range of motion

Types of Rotator Cuff Tear Operations

If your condition does not respond to rest, physical therapy, or medications, surgery might be the best solution for recovery. Below are the primary types of operations for rotator cuff tears, categorized based on severity and surgical approach.

1.     Arthroscopic Surgery

What It Is: Arthroscopic surgery is a minimally invasive procedure. During this operation, surgeons use a small camera (arthroscope) and tiny instruments to repair the damaged tendons.

How It Works: The surgeon makes small incisions around the shoulder and inserts an arthroscope to guide the instruments. These instruments enable the surgeon to reattach torn tendons to the bone using sutures or anchors.

Who It Is For: This technique is ideal for partial tears or straightforward cases where tissue damage is minimal. Arthroscopic surgery results in faster recovery times and less post-operative pain compared to open surgery.

2.     Open Surgery

What It Is: Open surgery involves making a larger incision to directly access the damaged shoulder tissues.

How It Works: The surgeon removes damaged tissue, repairs torn tendons, and reattaches them securely to the bone. This method provides greater access and visibility for complex tears.

Who It Is For: Open surgery is appropriate for larger or more complex tears that require significant reconstruction. While recovery times are generally longer, this approach ensures precise repair in challenging cases.

3.     Mini-Open Repair

What It Is: Mini-open repair combines the advantages of arthroscopic surgery with the accessibility of open surgery.

How It Works: The initial steps use arthroscopy to evaluate and prepare the injury area. The surgeon then transitions to a small incision to complete the tendon repair manually.

Who It Is For: Patients with moderate rotator cuff damage may benefit from this hybrid approach. It allows for precise repairs while keeping incisions smaller than traditional open surgery.

4.     Tendon Transfer

What It Is: Tendon transfer surgery involves using a tendon from another part of the body to replace the damaged rotator cuff tendon.

How It Works: During the operation, the surgeon moves a healthy tendon to the shoulder and attaches it to correct the deficiency.

Who It Is For: Individuals with severely damaged or irreparable rotator cuff tears may qualify for this procedure. This option offers a solution when traditional repairs are not possible.

5.     Reverse Shoulder Replacement

What It Is: Reverse total shoulder replacement is a specialized procedure that changes the mechanics of your shoulder joint.

How It Works: The ball and socket positioning of the shoulder is reversed, allowing surrounding muscles to compensate for the damaged rotator cuff.

Who It Is For: Patients experiencing significant arthritis, loss of function, or severely damaged tendons may consider this option. Reverse shoulder replacement is typically reserved for extreme cases.

Recovery After Rotator Cuff Surgery

Recovery after surgery depends on the extent of the tear, the surgical approach, and the individual’s overall health. Patients typically follow a structured rehabilitation plan. This may include periods of immobilization followed by physical therapy to restore strength and range of motion. Strict adherence to post-operative instructions can improve outcomes and speed up the healing process.

Trust Greater Chesapeake Hand to Shoulder for Your Rotator Cuff Care

If you are suffering from a rotator cuff tear, the team at Greater Chesapeake Hand to Shoulder is here to help. Our expert orthopedic specialists are experienced in diagnosing and treating various shoulder conditions, including rotator cuff injuries. We perform personalized and cutting-edge surgical procedures designed to meet your specific needs. Additionally, we ensure comprehensive care, from the initial diagnosis to rehabilitation and recovery.

Why Choose Us

  • Our team offers extensive experience with successful rotator cuff operations.
  • We use state-of-the-art techniques, including minimally invasive arthroscopy, for faster recovery.
  • Patients benefit from personalized care plans designed to restore shoulder health and function.

Treatment for Rotator Cuff Tears in Lutherville, MD

Take the first step toward pain-free shoulder movement. Schedule a consultation with the specialists at Greater Chesapeake Hand to Shoulder by calling us at (410) 296-6232 or using our appointment request form.

Do not wait to regain your strength and mobility. Expert care is only a call away.

Related posts:

U-shaped tear of the rotator cuffWhere to Get Rotator Cuff Repair in Maryland An X-ray image of a person's shoulder shows a dislocation and a rotator cuff injury.Rotator Cuff Injuries: Prevention, Diagnosis, and Treatment

Filed Under: Rotator Cuff Repair Tagged With: Arthroscopic Surgery, minimally invasive arthroscopy, Operations for Rotator Cuff Tears, orthopedic specialists, Rotator cuff injuries, shoulder conditions, Shoulder Joint, tendon repair, Treatment for Rotator Cuff Tears, Treatment for Rotator Cuff Tears in Lutherville

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LUTHERVILLE (Main office)
1400 Front Avenue, Suite 100
Lutherville, MD 21093

BEL AIR Office
12 MedStar Blvd., Suite 300
Bel Air, MD 21015

CLARKSVILLE Office
6100 Day Long Lane, Suite 203
Clarksville, MD 21029

PASADENA Office
8028 Ritchie Highway, Suite 207
Pasadena, MD 21122

WESTMINSTER Office
844 Washington Road, Suite 102
Westminster, MD 21157

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Greater Chesapeake Hand to Shoulder has 7 locations throughout Maryland offering advanced upper extremity orthopedic care for conditions and injuries of the shoulder, arm, wrist, elbow, hand and fingers. Our orthopedic surgeons and plastic surgeons possess the sub-specialty as hand surgeons providing treatment for shoulder pain, arm pain, wrist pain, elbow pain, hand pain, sports injuries, work related injury, arthritis, hand nerve injury repair, carpal tunnel syndrome, bite injuries, wrist fractures (broken wrist), tennis elbow- lateral epicondylitis, pediatric orthopedics. Our hand surgeons also offer arthroscopy, joint replacement, on-site x-ray and are expert witnesses for court cases.

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