What is Arthroscopic Rotator Cuff Repair?

Rotator cuff repair is a procedure in which a torn tendon in the shoulder is repaired. To perform arthroscopic rotator cuff repair, your doctor will make three small, button-hole sized incisions in the area around the shoulder.

Rotator cuff is the term given to describe a group of four tendons that support and stabilize the shoulder joint. Each tendon connects muscle to bone.

When a shoulder muscle contracts, it pulls on a tendon which in turn pulls on the upper arm bone and causes it to move. When one or more of these tendons become damaged, the arm loses strength and mobility.
What to Expect
To perform arthroscopic surgery your doctor will make three small, button-hole sized incisions in the area around the shoulder. An arthroscope is essentially a very small video camera that your doctor will use to guide the surgery.

Before your doctor can insert the arthroscope, the surgical team will inject a clear fluid into the joint. This fluid will inflate the interior space around the surgical site and will help your doctor by providing an unobstructed view and enough room in which to work. Your doctor will insert the arthroscope and inspect the surgical site.

If they proceed with the arthroscopic procedure, other small surgical instruments will be inserted through the other small openings.

First, your doctor will use a burr file to file away any rough edges on upper part of the shoulder bone called the acromion.

Under the deltoid muscle lies the bursa, a protective sac that prevents the rotator cuff tendons and the shoulder muscles from rubbing against each other.

Using a shaving instrument, you doctor will cut away the bursa to gain access to the damaged tendons.

Next, the surgeon will cut away any scar tissue or unhealthy tissue around the torn area.

Using sutures, the tear can now be repaired.

One instrument places the sutures and a second instrument fixes them in place.

When the repair is complete, the instruments are removed and the clear fluid is allowed to drain from the shoulder.

Finally, a sterile bandage is applied.

In order to keep the shoulder muscle immobile while it heals, you will be given a sling to wear.

Hip Replacement

How long on average does a replaced hip last?

bee jay: it can last 15 to 25 years...

Sqid101: Metal on plastic will last 10 to 20 years depending on how active you are. Metal on metal or ceramic on ceramic are expected to last up to 40 or more years but there has been less experience with metal on metal and ceramic on ceramic and the jury is still out on them.

rlta04

Hip Replacement

I have to have both hips replaced. I am almost 65 years of age. The first one will be done on February 14th. Happy Valentine's Day!! I am trying to make up my mind about anesthetic. I am offered general or epidural. What do you people recommend? They say that one is not aware of what is happening under local anesthetic, but I am not secure enough with that thought. Any comments??

Shirley Saywood

Hip Replacement

I'm 14 and I'm getting it done in 6 days

Ronica

This video is intended as a tool to help you to better understand the procedure that you are scheduled to have or are considering. It is not intended to replace any discussion, decision making or advice of your physician.