Post-Operative Instructions: Rotator Cuff Repair
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Rotator Cuff Tear Treatment Algorithm
• The rotator cuff is a series of small muscles that coordinate to move the shoulder.
• A rotator cuff tear involves tearing of the tendon from the bone at the top of the humerus.
• All tears are not created equal.
o Acute, traumatic and recent tears
o Chronic, degenerative or attritional tears
o Small, medium, large and massive
• Tears do not heal themselves.
• Tears can become larger with time.
• Partial tears can become full tears within a few years.
• Tears can become irreparable
• Most shoulder surgeons would agree that acute, traumatic tears should be fixed. This will restore the best function possible and carries a relatively high success rate.
• Chronic tears can be treated operatively or non-operatively.
o Physical therapy
o Cortisone injections
o Daily stretching
o Tears can become larger and irreparable with time
• Chronic tears can be treated if non-operative treatment fails.
________________ _________________
Howard J Luks, MD Patient
Date:____________
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