Rotator Cuff Tear

What is a Rotator Cuff Tear?

The rotator cuff is a group of four muscles and tendons that stabilize the shoulder joint while enabling a wide range of arm movements. A rotator cuff tear occurs when one or more of these tendons become damaged or detached from the bone.

Rotator cuff tears can be:

• Partial, where the tendon is frayed or weakened.
• Complete, where it fully separates from the bone.

These injuries can result in pain, limited mobility, and reduced strength.

Common Causes and Risk Factors

Rotator cuff tears can arise from various causes. Acute injuries, such as falls or heavy lifting, can damage the tendons. However, many tears occur over time due to wear and tear, known as degenerative rotator cuff tears.

Certain factors increase the risk of developing a rotator cuff tear. These include:

• Age
• Repetitive overhead movements
• Family history
• Smoking
• Poor posture

Signs and Symptoms of a Rotator Cuff Tear

The symptoms of a rotator cuff tear can vary based on the severity of the injury, but common indicators include:

• Persistent shoulder pain, particularly when lifting the arm or reaching overhead.
• Weakness in the shoulder.
• A crackling or popping sensation during shoulder movement.
• Limited shoulder mobility, accompanied by stiffness or a loss of range of motion.
• Pain that worsens at night.

If you experience any of these symptoms, it is essential to seek medical evaluation promptly. Early diagnosis can prevent further damage and improve treatment outcomes.

How We Diagnose Rotator Cuff Injuries

At the Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division, diagnosing a rotator cuff tear begins with a thorough assessment of your symptoms, medical history, and daily activities.

During your visit, we will perform a physical examination to evaluate shoulder strength, mobility, and areas of pain. Diagnostic imaging, such as X-rays, ultrasounds, or MRIs, may be used to confirm the presence and extent of the tear. These tools allow us to create an accurate diagnosis and develop a personalized treatment plan for you.

Treatment Options for Rotator Cuff Tears

There are both surgical and non-surgical options for treating rotator cuff tears. The appropriate treatment will depend on the severity of your injury, your activity level, and your overall health.

Surgical Treatments

Surgery is often recommended for complete tears or cases where nonsurgical options have not provided relief. Surgical approaches include:

• Arthroscopic Repair: A minimally invasive procedure using small incisions and a camera to reattach the torn tendon to the bone.
• Open Surgery: A more extensive procedure that may be necessary for large or complex tears.
• Shoulder Replacement: Used in severe cases when the tear is too extensive for repair or when there is significant joint damage.

Our team of board-certified orthopedic surgeons specializes in advanced techniques to ensure optimal outcomes and faster recovery times.

Nonsurgical Treatments

Nonsurgical treatments are effective for many patients with partial tears or less severe symptoms. These methods focus on reducing pain, improving strength, and restoring function. They may include:

• Physical Therapy: Targeted exercises to strengthen shoulder muscles and restore range of motion.
• Medications: Anti-inflammatory drugs or corticosteroid injections to manage pain and reduce swelling.
• Rest and Activity Modification: Allowing the shoulder to heal by avoiding activities that exacerbate injury.

What to Expect During Recovery

Recovering from a rotator cuff tear is a gradual process that depends on the severity of the injury and the type of treatment you undergo.

Physical therapy plays a critical role in the rehabilitation process, helping to restore function and strength. Patients are encouraged to follow their customized rehabilitation plans diligently to achieve the best possible outcomes.

Why Choose OACM for Shoulder Injury Care?

When you choose the Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division, you are partnering with a dedicated team of specialists committed to exceptional patient care.

Our board-certified orthopedic surgeons and physical therapists have years of experience in diagnosing and treating shoulder injuries. Every treatment plan we develop is customized to meet your unique needs and lifestyle goals, and we use state-of-the-art technology to ensure the highest level of care during your visits.

Our dedicated providers are here to help you through your rehabilitation journey, from accurate diagnosis through recovery and beyond.

Frequently Asked Questions