Rotator cuff tear surgery

If you tear your rotator cuff, call Montage Orthopedics and Sports Medicine. Our orthopedic team will guide you through the repair process.

What’s a rotator cuff tear?

Your rotator cuff is a group of four muscles and tendons that keep your upper arm bone (humerus) in place and help you move your shoulder. These muscles attach to your shoulder blade and allow you to lift and rotate your arm.

A tear happens when one or more tendons pull away from the humerus. Tears usually start small, causing mild pain or irritation with certain movements. Without treatment, the tear can get bigger and may completely detach from the bone.

Types of rotator cuff tears

There are two types of tears:

  • Partial tear: Part of the tendon is damaged but still attached to the bone
  • Full tear: The tendon completely separates from the bone

What causes a rotator cuff tear?

Rotator cuff tears can happen from overuse, repetitive movements, or aging. They’re common in athletes and people with physically demanding jobs. A sudden tear can also happen from:

  • Falling
  • A sports injury
  • Lifting something heavy

How is a rotator cuff tear diagnosed?

Your doctor may use one or more of these tests:

  • MRI: Shows the soft tissues in your shoulder
  • Ultrasound: Lets the doctor see your muscles and tendons in real time as you move your arm
  • X-ray: Checks if arthritis or bone spurs are causing your pain

Treatment options

Nonsurgical rotator cuff tear treatments

If the tear is small, your doctor may recommend physical therapy to strengthen surrounding muscles and prevent further damage. Steroid injections can help with pain but aren’t a long-term solution.

Surgery for a rotator cuff tear

Usually, a torn rotator cuff won’t heal on its own. You may need surgery to repair it.

Types of rotator cuff surgery

The type of surgery depends on the size of the tear and condition of your shoulder. Most surgeries take about 2 hours.

  • Shoulder arthroscopy: This procedure uses small tools and tiny incisions. It causes less pain and speeds up recovery. It’s the most common way to repair a rotator cuff
  • Traditional rotator cuff repair: This procedure uses a longer incision. It’s also called “open” surgery

Both procedures are usually outpatient, so you can go home the same day.

Risks of surgery

Like any surgery, rotator cuff repair has risks, including:

  • Bleeding
  • Infection
  • Nerve damage
  • Limited shoulder movement

In some cases, you might not fully regain your range of motion. The severity of the tear plays a role, but physical therapy and light exercises can help.

Recovery from surgery

It can take several months to fully heal and regain movement. Right after surgery:

  • Avoid lying flat or on your side. Sleeping on a recliner or propped up is more comfortable
  • You can usually shower after 72 hours. But if you had open surgery, check with your surgeon first

Schedule a visit

Call or text (831) 648-7200 to make your appointment. Ask your primary care doctor for a referral before you call.