Rotator Cuff Repair

Jupiter Orthopedics and Sports Medicine

Orthopedic Surgeons located in Jupiter, FL

Residents of Palm County Florida with rotator cuff injuries can seek assessment and treatment with Dr. Van Sice. Dr. Van Sice assesses and treats patients with elbow injuries at Jupiter Orthopedics and Sports Medicine, located in Jupiter, FL.

Rotator Cuff Repair

Jupiter Orthopedics and Sports Medicine

What causes a rotator cuff tear?

There are two main causes of rotator cuff tears: injury, or acute, and degenerative.

  • Acute Tear- A fall on an outstretched arm or lifting an overly heavy item with a jerking motion, can tear the rotator cuff. A tear can also occur with a broken collarbone or dislocated shoulder.
  • Degenerative Tear- Most tears occur because the tendon has worn down over time, common with aging. The dominant arm is usually more susceptible. If you have a degenerative tear in one shoulder, it is more likely to tear the opposite shoulder. Different factors can contribute to degenerative tears such as repeating the same motions over and over again. Baseball, tennis, rowing, and weightlifting can put a person at risk for overuse tears. 
  • Additionally, several jobs and chores can cause overuse tears. As a person ages, the blood supply in the tendons also diminishes. This impairs the body's natural ability to repair it, ultimately leading to a tear. As a person gets older bone spurs can also develop. Lifting the arm causes the tendon to rub on the spur. This is called shoulder impingement. This weakens the tendon, making it even more susceptible to tearing.

What treatments are there?

To treat a rotator cuff injury, the doctor will often begin with non-surgical options such as resting the shoulder, avoiding activities which cause the pain, NSAIDs or other anti-inflammatory drugs, physical therapy and stretching exercises, or steroid injections into the joint. However, when these do not provide adequate relief surgical treatment can be necessary.

What is Rotator Cuff Surgery?

Surgery can be employed to address a torn rotator cuff when the injury is very serious or if non-surgical treatment has not been successful. It can improve shoulder strength and range of motion satisfactorily. Surgery to fix a torn rotator cuff tendon typically entails:

  • Extracting loose fragments of bursa, tendon, and other debris from the area of the shoulder where the rotator cuff turns.
  • Making additional room for the rotator cuff tendon so that it is not irritated or pinched. If required, this will include shaving the bone or removing bone spurs from the end of the shoulder blade.
  • Sewing together tore edges of the supraspinatus tendon and to the top of the upper arm bone.

Arthroscopic surgery is the most common. However, the surgeon may need to perform Open-shoulder surgery for severe cases.

 

Insurance

At Jupiter Orthopedic we accept most major insurances. Please see the full list of plans. If you do not see your insurance listed, please call our office to see how we can help. Patient financing available through CareCredit. We accept Health Savings Account (HSA) credit cards, American Express, Mastercard and Visa as methods of payments. **Self-pay packages are available.

Aetna
AvMed
Beechstreet
Blue Cross Blue Shield
Cigna
Corvel
Coventry Health Care
Golden Rule
Great West
Medicare B
Multiplan, Inc.
PHCS
Simply Healthcare
UnitedHealthcare