RC Tear

Overview

 

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.

 

Are you candidate of RC tear. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI,X-ray and reports for clinical case review & contact office for teleconsultation

Eligibility

 

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.

Are you candidate of RC tear. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI,X-ray and reports for clinical case review & contact office for teleconsultation

The Procedure

 


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).

Are you candidate of RC tear. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI,X-ray and reports for clinical case review & contact office for teleconsultation

Fixation Material

 

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.

  • Anchors can be metallic made of titanium or non metallic.
  • Non metallic can be either be bio-absorbable, bio composite, Bio inert like PEEK.
  • There are various ways of fixing it, mainly single row or double row repairs depending on the age and the tear pattern.
  • Younger patient with larger tear and demanding jobs are better off with double row repairs.
Are you candidate of RC tear. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI,X-ray and reports for clinical case review & contact office for teleconsultation

After Care

 

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.

Are you candidate of RC tear. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI,X-ray and reports for clinical case review & contact office for teleconsultation

Recovery

 

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.

Are you candidate of RC tear. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI,X-ray and reports for clinical case review & contact office for teleconsultation

RC Injuries, Tears & Repairs – Facts

 

  • Tears are found in 30% – 50% of the population that is older than 50.
  • R.C. tears are among the most common shoulder disorder that require surgical management.
  • Once the R.C. tendon tears of the human bone, it starts to lose its nutrition. This causes it to begin to Shrink. Timely surgery can greatly improve rates of surgical repair.
  • The supraspinatus is the most common muscles to tear out of the four muscles that make up the tendon in the R.C.
  • R.C. surgery will restore the entire range of motion to the shoulder. It will also reduce pain and significantly improve function when successful.
Are you candidate of RC tear. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI,X-ray and reports for clinical case review & contact office for teleconsultation