R.C is a congregation of 4 muscles that form a tough cover all around the shoulder.
It can get torn by sudden sever trauma or fall on the shoulder or sudden forceful pull on shoulder or with fraying due to degenerative changes over the period of time. You may be having problem lifting or may not be able to lift the arm up.
After evaluation of the your problem the Sports Medicine specialist will make a care plan that may include non surgical or surgical treatment options.
Inability to lift the arm up after injury is the most definite sign of RC tear but pain at rest and at night, particularly if lying on the effected shoulder and has not improved after 6 to 12 months of treatment.
Pain and Weakness when lifting or rotating the arm.
Crepitus or cracking sensation when moving your shoulder in certain positions can all be signs of RC tear.
The arthroscope will be put inside the shoulder through a small incisim, other 1 or 2 minute incisions will be made to introduce other small grasping, probing or cutting tools.
Injured tendons and muscles will be cleaned arthroscopically and tear identified. The torn tendons and the bone at attachment site are prepared. The tendon and muscle will be brought to their orignal position and held there with help of 2-3 anchors (small screws with thread attached to it).
Rotator cuff tendons are repaired to the bone with generally 2-3 small screws called suture anchors.
The bone is first prepared and the anchors are seated and by the threads that are coming out of these anchors the cuff is attached to bone and the tendon slowly heals on to this raw prepared bone.
The shoulder will be immobilized in a sling or immobilizer before you go home. At home, its important to keep the surgical site area clean & dry.
The dressing/surgical stitches will be removed after 2 weeks during a follow up visit.
ROM exercises of elbow & wrist are to be carried out as advised by physiotherapist to prevent stiffness.
You Should expect to be in sling for about 6 weeks. Active assisted ROM exercises are started at 6 weeks followed by Stretching of shoulder muscles using a low resistance treatment. Full movement is expected at 3 months. Total rehab last for 6 months which is when a player can take up any sport activity.