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Surgery may be used to treat a
torn rotator cuff if the injury is very severe or
if nonsurgical treatment has failed to improve shoulder strength and movement
Surgery to repair a torn rotator cuff tendon usually
Arthroscopic surgery is the most common way that this surgery is done. But in some cases, the surgeon needs to do open-shoulder surgery, which requires a larger incision.
Discomfort after surgery may decrease with taking pain medicines
prescribed by your doctor.
Your arm will be protected in a sling for a defined period of time.
Physical therapy after surgery is crucial to a successful recovery.
A rehabilitation program may include the following:
Surgery to repair a rotator cuff is done when:
Rotator cuff repair surgery for a tear from a sudden injury works
best if it is done within a few weeks of the injury.1 But repairs of very large
tears are not always successful.
Rotator cuff surgery to repair frayed or thinned tendon tissue is
less likely to work than surgery to repair an injury to a healthy
In addition to the risks of surgery in general, such as blood loss
or problems related to anesthesia, complications of rotator cuff surgery may
Very large tears [greater than
2 in. (5 cm) or involving more
than one rotator cuff tendon] often cannot be repaired by this type of surgery.
Grafting and patching procedures are possible. But
they are not much better at restoring strength than debridement and smoothing,
which are less risky and require less rehabilitation.
Less active people (usually those older than 60) with confirmed
rotator cuff tears that do not cause pain, significant weakness, or sleep
problems can safely go without surgery unless symptoms get worse.
Complete the surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.
American Academy of Orthopaedic Surgeons and American Academy of Pediatrics (2010). Rotator
cuff tears. In JF Sarwark, ed., Essentials of Musculoskeletal Care, 4th ed., pp. 311–316. Rosemont, IL: American
Academy of Orthopaedic Surgeons.
Other Works Consulted
Beasley Vidal LS, et al. (2007). Shoulder injuries. In
PJ McMahon, ed., Current Diagnosis and Treatment in Sports Medicine, pp. 118–145. New York: McGraw-Hill.
Lin KC, et al. (2010). Rotator cuff: 1. Impingement lesions in adult and adolescent athletes. In JC DeLee et al.,
eds., DeLee and Drez's Orthopaedic Sports Medicine, Principles and Practice, 3rd ed., vol. 1, pp. 986–1015. Philadelphia: Saunders Elsevier.
Murphy RJ, Carr AJ (2010). Shoulder pain, search date August 2009. Online version of BMJ Clinical Evidence: http://www.clinicalevidence.com.
October 7, 2013
William H. Blahd, Jr., MD, FACEP - Emergency Medicine & Timothy Bhattacharyya, MD
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