Rotator Cuff Tear Repair in Columbus, OH
Rotator Cuff Overview
The rotator cuff is a group of muscles and tendons in the shoulder that provide shoulder stability and enable shoulder mobility. The rotator cuff muscles begin at the scapula or shoulder blade and are connected to the head of the humerus, which is the upper arm bone. The muscles and their tendons form a “cuff” around the ball-and-socket joint.
The four muscles of the rotator cuff are the subscapularis, supraspinatus, infraspinatus and teres minor. These muscles help stabilize the shoulder joint and allow the shoulder to move smoothly. When a rotator cuff is torn, a tendon is no longer fully attached to the humerus and the shoulder joint’s stability and range of movement can be affected.
Diagnosing Rotator Cuff Tears
Rotator cuff tears can be full or partial. A full tear is the complete separation of the tendon from the bone. In a partial tear, the tendon attachment is damaged, but not completely severed.
To help diagnosis a rotator cuff tear, Dr. Cohen or one of his sports medicine colleagues will obtain a complete “history of present illness” from you. The doctor will conduct a focused, comprehensive physical exam to evaluate your shoulder for areas of tenderness, assess range of motion and establish whether you have normal or decreased arm strength. Depending on the findings they may order an X-ray, perform an ultrasound and/or order an MRI.
Rotator Cuff Tear Causes and Risk Factors
Rotator cuff tears can occur through chronic injury, acute injury or degeneration.
- Chronic injury – Repetitive overhead shoulder motions such as weightlifting, tennis, baseball, carpentry or swimming can lead to rotator cuff tears over time.
- Acute injury – A rotator cuff tear can be caused by lifting an object that is too heavy, falling down on your arm or a motor vehicle accident.
- Degeneration – A rotator cuff tear can also be caused by the slow wearing down of the tendon over time. This occurs naturally through aging. People over the age of 40 are at greater risk.
Rotator Cuff Tear Symptoms
The most common symptoms of a rotator cuff tear include:
- Shoulder pain, especially with activity and at night
- Muscle weakness
- Stiffness, especially first thing in the morning
- Swelling and tenderness
- Loss of active range of motion (sometimes someone else can rotate your arm for you)
- Cracking and popping
Why Choose Dr. Cohen?
OVER 20 YEARS EXPERIENCE
One of the first orthopedic surgeons employed by Adena Health System, Dr Cohen spent 20 years helping to grow the practice.
TRUSTED BY OVER 100,000+ PATIENTS WORLDWIDE
Over his distinguished career, Dr Cohen has cultivated a reputation of excellence and trust among his patients and his peers.
UTILIZING THE LATEST TECHNOLOGY
To achieve the best surgical outcomes, Dr Cohen utilizes the most advanced technologies and techniques, keeping his practice state of the art.
PATIENT SAFETY IS TOP PRIORITY
An individualized, patient-focused process coupled with decades of training and experience help ensure maximum safety for all of Dr Cohen’s patients.
Rotator Cuff Tear Treatment Options
In some cases, a rotator cuff tear can be treated nonsurgically, with rest, immobilization through the wearing of a sling or a brace, nonsteroidal anti-inflammatory medications or physical therapy. More severe cases can require surgery.
Rotator Cuff Repair Surgery
If nonsurgical treatment does not improve your symptoms or you’ve sustained a more severe injury, all-arthroscopic rotator cuff repair surgery may be recommended. Dr. Cohen will evaluate the best treatment option for you based upon the type of tear you have, your age, activity level, and the presence of any other injuries.
In many rotator cuff repair surgeries, Dr. Cohen utilizes the Rotium™ Bioresorbable Wick by Atreon Orthopedics. This FDA-approved device has been shown to increase the strength of the rotator cuff repair by 34 percent at 6 weeks postop, and 74 percent at 12 weeks postop (versus rotator cuff repaired without Rotium).
Schedule Your Orthopedic Consultation
If you would like to learn more about your rotator cuff tear treatment options, schedule a personal consultation with Columbus, Ohio orthopedic surgeon Dr. Brian Cohen. With over 20 years of experience, Dr. Cohen is a well-trained surgeon who offers a customized approach to your orthopedic care. He has extensive experience with rotator cuff tears. Call or email his office today.