What is Rotator Cuff Repair and Subacromial Decompression?
1. Definition
Rotator cuff repair and subacromial decompression are surgical procedures performed to treat:
2. Purpose
3. When is the Procedure Recommended?
Minimally invasive technique.
Small incisions made with tiny instruments and a camera.
Suitable for smaller tears.
Traditional surgical method with a larger incision.
Provides better access for complex tears.
Used for extensive or massive tears.
Combination of arthroscopic and open techniques.
Uses smaller incision than open surgery.
Suitable for moderate tears.
Also known as acromioplasty.
Involves removing a portion of the acromion bone.
Reduces pressure on the rotator cuff tendons.
Used when the rotator cuff cannot be repaired.
A nearby tendon (e.g., latissimus dorsi) is transferred.
Restores shoulder function.
Chronic shoulder pain that worsens with movement.
Pain when lifting the arm overhead.
Difficulty in raising or rotating the arm.
Weakness in the shoulder.
Feeling of the shoulder giving out.
Popping or clicking sensation during movement.
Pain while lying on the affected shoulder.
Sleep disturbances due to shoulder discomfort.
Swelling and tenderness around the shoulder.
May indicate chronic inflammation.
Perform rotator cuff exercises.
Improves shoulder strength and stability.
Stretch shoulder muscles before activities.
Prevents stiffness and strain.
Avoid smoking (improves blood flow to tendons).
Maintain a healthy weight.
Use proper techniques during physical activities.
Avoid repetitive overhead movements.
Adjust workstation or sports equipment.
Reduces strain on the shoulder.
NSAIDs (ibuprofen, naproxen) to reduce inflammation.
Corticosteroid injections for severe pain.
Improves strength and flexibility.
Reduces shoulder stiffness.
Avoid activities that strain the shoulder.
Prevents worsening of the injury.
Indicated for severe or chronic tears.
Restores shoulder function.
Imaging tests: X-rays, MRI, or ultrasound.
Pre-surgical assessment: Blood tests and evaluation.
Anesthesia consultation: General or regional anesthesia.
Small incisions made around the shoulder.
Camera and instruments inserted.
Torn rotator cuff tendon is repaired.
Anchors or sutures are used.
Subacromial decompression performed.
Bone spurs removed to create space.
Incisions are closed with stitches or staples.
Dressing and bandage applied.
Outpatient procedure (same-day discharge).
Pain management with medications.
Use of sling for 4-6 weeks.
Gradual range of motion exercises.
Painkillers and antibiotics to prevent infection.
Anti-inflammatory drugs for swelling.
Physical therapy to restore strength.
Regular check-ups and imaging.
Minimally invasive.
Faster recovery with smaller scars.
Traditional surgery for complex tears.
Larger incision with better tendon access.
Removes bone spurs and creates more space.
Reduces shoulder impingement.
