"The most comprehensive Rotator Cuff resource on the Web" Bringing you the best orthopaedic Rotator Cuff information, by Atlanta, Georgia physicians and surgeons. Content provided by the Harvard Trained Orthopedic Doctors Consortium. For a second opinion or "e-pinion" about your Rotator Cuff injury, Ask the Doctor. Dr. Hyman specializes in Rotator Cuff injuries
The Rotator Cuff is a group of four muscles (and their tendons) that attach to the humeral head (the ball of the shoulder joint). They function to keep the ball in the correct position in the shoulder socket (glenoid). The four Rotator Cuff muscles are: Supraspinatus (most commonly torn), Infraspinatus, Teres Minor, and Subscapularis.
(filing down the bone spur that rubs or impinges on the rotator cuff)
Injury to Rotator Cuff tissue is commonly referred to as a: Rotator Cuff tear, glenoid torn Rotator Cuff, rotator cup tear, shoulder rotater cuff, or simply a 'cuff tear'. Inflammation of the Rotator Cuff is called 'tendinitis,' tendinosis or tendinopathy - basically they all mean tendonitis or inflammation of the tendons. There can also be degeneration, fraying and tearing. Tears can be partial, incomplete, complete, full thickness, partial thickness, degenerative, articular sided, bursal sided, or intrasubstance. Orthopaedic surgeons classify them in different types, because some can be repaired and others are not really fixable or requiring repair in the first place. Rotator Cuff surgery or any procedure designed to fix a torn Rotator Cuff generally involves Rotator Cuff repair or 'Rotator Cuff surgery' ie re-attachment, reconstruction or restoration. It can also be referred to as stabilization, if the Rotator Cuff tear is associated with dislocation or instability. Fortunately, surgery for a torn Rotator Cuff is not always necessary, and when it is, it's generally a highly successful outpatient procedure. The bad part about Rotator Cuff recovery is that it is SLOW. The recovery can depend on the patient's age, medical status (diabetes, smoking, high blood pressure), quality of the torn tissue (degenerative, atrophied, retracted, etc) and the number of Rotator Cuff tendons involved (one, two or more = large, or massive). Click below to launch the webcast.
The Rotator Cuff tears can be repaired with a variety of surgical techniques. The 'older' way of doing it, is with OPEN surgery (larger cuts). The MINI-OPEN technique uses a combination of arthroscopy and a very small incision, and is the most common way the Rotator Cuff is presently repaired. In the last five years, as technology has advanced considerably and now many cuff repairs can be done ALL ARTHROSCOPICALLY (small punctures) (not 'orthoscopic'). Some surgeons are more comfortable with OPEN surgery, while others may do primarily arthroscopic surgery. The results can be good with all techniques, but the OPEN surgery can be more painful and take longer to recover from, generally speaking.
Rotator Cuff Tendon Injury occurs about 200,000 times a year in the USA. Rotator Cuff surgery is performed about 60,000-75,000 times a year in the USA. The torn Rotator Cuff remains one of the most important shoulder injuries in sports medicine. Rotator Cuff reconstructions are performed when an individual sustains a Rotator Cuff tear that is not adequately controlled with a sling or brace or the completion of an appropriate Rotator Cuff rehab program.
Rotator Cuff injury is seen equally in women and men, if you account for participation rates in sports. The incidence of injury is higher in people who participate in overhead sports (tennis, javelin, baseball, throwing sports, etc).
Surgery is often referred to as: repair, replacement, reconstruction or just plain surgery. The torn tendon is actually sutured or stitched to the bone in most cases.
Rotator Cuff surgery has a long term success rate of about 75-95%, with means most people get a good return of stability and activity. The current Rotator Cuff surgery failure rate is about 15%, due mainly to poor healing, traumatic re-tear, tissue/ graft failure, shoulder pain and shoulder stiffness. The tendon repair can be done more than once (revision).
Rehabilitation can last several months, including multiple trips to physical therapy and the gym. It is essential for complete Rotator Cuff recovery. Slings are used with and without surgery on the Rotator Cuff tendon. They are not always needed, and do not guarantee injury prevention, but can offer extra support shortly after injury or surgery.
(WARNING: some are graphic!)
Technique of Arthroscopic Repairs via Cannula:
Less than a year after having my rotator cuff repaired by Dr. Hyman my shoulder is better than the one that wasn't injured. The recovery time was so fast my wife thinks I have some kind of super healing power.
Top-Ranked Hospitals for Orthopedics
U.S. News & World Report again rated Dr. Hyman's training programs as the best in the U.S.A.
Pioneering Cartilage Restoration Surgery - DeNovo NT
The first DeNovo Natural Tissue graft cartilage transplant in the Southeastern United States performed at Emory-Adventist Hospital under the direction of surgeon Jon Hyman, MD.
Housecall: Preventing Sports Injuries in Youth
What can parents and coaches do to decrease those numbers? Orthopedic surgeon Dr. Jon Hyman had some answers.
Housecall: Seat Belts!
Proper use of seat belts - especially on the driver's side - to prevent or lessen neck, abdominal and knee injuries
Housecall: Running Injuries
Running season can mean overuse injuries. Dr. Jon Hyman discusses running strategies to avoid injury.
Housecall: Tennis Injuries
Tennis elbow is one of the most common tennis injuries. Dr. Jon Hyman on Housecall with a few ideas to stay safe.
Housecall: Hip Pain in Athletes
Fox 5 Atlanta's Housecall series with Dr. Jon Hyman discussing options for hip arthroscopy
Women’s Flexibility Is a Liability (in Yoga)
It’s a relatively high incidence of injury,” according to Jon Hyman, an orthopedic surgeon in Atlanta.