If you are suffering from a rotator cuff problem, and need rotator cuff surgery Virginia Beach now has a minimally invasive treatment option. Read on to learn more about the condition and its treatment.

Rotator Cuff Tears

The shoulder is a highly flexible and mobile ball and socket joint. The “rotator cuff” is a series of four separate muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) that converge together and pass over the shoulder joint. The tendons of these muscles attach on the outer ridge of the ball or humeral head, and are responsible for moving the humerus or arm bone by applying forces at the shoulder, and also help stabilize the shoulder joint.

Rotator cuff tears may occur after a traumatic episode (eg shoulder dislocation, fall on the shoulder), but are more commonly cause by gradual attritional tendon damage related to wear and tear, and overuse. Often, symptomatic tears result from a minor incident that exacerbates pre-existing tendon damage.

Rotator cuff tears usually occurs in the tendon portion which attaches on the bone, and can be partial-thickness (fraying of various depth) or full-thickness in which case there is a hole in the rotator cuff. The number of tendons involved can affect how much dysfunction the shoulder has.

Patients typically report a history of gradually worsening shoulder pain. The pain is often worse with certain movements, like reaching overhead, and is often worse at night affecting sleep. Weakness and a sense of arm fatigue is another common finding in patients with rotator cuff tears.
The diagnosis of a rotator cuff tear is typically made by a combination of the patient’s history, the findings on careful physical examination, and an MRI scan, or an Ultrasound.
The treatment of rotator cuff tears depends on several factors, including the nature of the tear, the amount of debility, the duration of symptoms and the functional expectations and health of the patient. If conservative measures like medications, injections and physical therapy fail, surgery may be necessary to help you regain good, pain free function, and long-term shoulder health.

Surgery involves re-attaching the tendon to its original location on the bone. Traditionally this is done through large incisions with significant bleeding, tissue damage, pain and scarring, necessitating spending time in the hospital.

At Oceana Sports Medicine and Orthopaedic Center, Dr Aboka performs minimally invasive, all-arthroscopic rotator cuff repairs through keyhole incisions. This cutting-edge technique allows for outpatient/same-day surgery, less pain and scarring and quicker recovery.