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Ortho hospital in Mysore

Rotator Cuff Tear

Ortho hospital in Mysore

A rotator cuff tear is an injury to the shoulder caused by a tear in one or more of the four rotator cuff muscles. A rotator cuff is a group of four muscles and their tendons that connect the shoulder blade to the upper arm. These muscles and tendons help to stabilize and move the shoulder joint. A rotator cuff tear occurs when one of these four muscles and/or tendons is torn or partially torn. The most common cause of a rotator cuff tear is wear and tear due to repetitive overhead activities such as throwing a ball, painting a ceiling, or lifting heavy objects. Rotator cuff tears can also occur due to direct trauma to the shoulder, such as a fall or a blow to the shoulder.

Pre-procedure

A pre-procedure for a rotator cuff tear is a set of steps taken before the actual surgery to ensure a successful outcome. Before the surgery, the patient should receive a physical exam to make sure they are healthy enough for the operation. The doctor will also review the patient's medical history to determine any potential risk factors. The doctor may order blood tests or imaging tests, such as an MRI or X-ray, to examine the tear and surrounding area. The patient should also avoid strenuous activities for at least two weeks before the surgery. 

The doctor will thoroughly explain the procedure and address any patient queries during the pre-procedure stage. The doctor will also discuss the procedure's dangers, advantages, and outcomes. Additionally, the patient should let the doctor know if they are using any vitamins, drugs, or herbal remedies. After that, the doctor will advise on how to prepare for the procedure. This can entail following instructions, taking particular medications or supplements, fasting before the surgery, or anything else.

Procedure

  • The procedure for a rotator cuff tear consists of several steps. First, the shoulder must be evaluated to determine the extent of the tear and to assess any associated damage. The shoulder may need to be imaged with an X-ray, MRI, or ultrasound to confirm the diagnosis.

  • Once the extent of the tear is determined, the patient may be referred to a specialist for further evaluation. This may include a physical exam and range-of-motion tests to assess the joint's stability and alignment.

  • The doctor at ortho hospital in Mysore may also recommend a steroid injection to reduce inflammation and pain, and this will help to temporarily reduce the symptoms until the tear can be repaired surgically.

  • Surgery is the only definitive way to repair a rotator cuff tear. There are two main types of surgery: open and arthroscopic. In an open procedure, an incision is made in the shoulder, and the surgeon can see and repair the tear. In an arthroscopic procedure, a tiny camera is inserted into the shoulder, and the surgeon can view the images on a monitor.

  • The torn tendon is reattached to the bone during the surgery using sutures or wires. The surgeon may also need to remove any damaged tissue or repair other damage to the shoulder.

Post-procedure

Post-procedure for rotator cuff tear involves rehabilitation that helps restore shoulder strength, movement, and function. The rehabilitation process aims to reduce pain, improve shoulder strength and range of motion, and help the patient return to normal activities. 

The process typically starts with a period of rest and immobilisation. During this time, the patient will be advised to avoid activities that strain the shoulder, such as lifting or reaching overhead. During this time, the patient may also be prescribed anti-inflammatory medications or physical therapy to reduce pain and swelling. 

Once the shoulder has healed, the patient will begin a physical therapy program. This will involve exercises to help strengthen the shoulder muscles and restore the range of motion. Activities may include stretches and strengthening exercises for the shoulder muscles and rotator cuff. The patient may also be taught proper lifting and reaching techniques to protect the shoulder better.

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