Rotator Cuff Tear

The rotator cuff is a group of four muscles that come together as tendons to form a covering around the head of the humerus. It is responsible for keeping your shoulder in its socket and helps to lift and rotate your arm. When one or more of the rotator cuff tendons are torn, the tendon is no longer fulled attached to the head of the humerus.

Causes

There are two main causes of rotator cuff tears: injury and degeneration.

Acute tear

If you fall down on your outstretched arm of lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other shoulder injuries, such as a broken collarbone or dislocated shoulder.

Degenerative Tear

Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age and can be attributed to repetitive stress, lack of blood supply and bone spurs.

Symptoms

Tears that happen suddenly, such as from a fall, usually cause intense pain. This may be accompanied by a snapping sensation and immediate weakness in your upper arm. Tears that develop slowly due to overuse also cause pain and arm weakness. Overall, the most common telltale signs of a rotator cuff tear include:

  • Pain at rest and at night, particularly if lying on the affected shoulder
  • Pain when lifting and lowering your arm
  • Weakness when lifting or rotating your arm
  • Crackling sensation when moving your shoulder in certain positions

Treatments

OKC Orthopedics, Sports & Pain Medicine is committed to helping patients with rotator cuff tears return to the highest level of activity possible. Our team of orthopedic surgeons, physical therapists and athletic trainers work together to tailor a treatment plan to each patient’s needs and goals.

In most patients, non-surgical treatment options can relieve pain and improve function over time. However, if your pain does not improve or you use your arms for overhead work or sports, surgery may be the best option. Our orthopedic surgeons are experts in shoulder arthroscopy, a minimally invasive procedure in which small instruments and a thin, flexible medical device with a camera pass through an incision the size of a small Band-Aid. After surgery, our physical therapists guide each patient through a personalized rehabilitation program to restore strength and mobility.

I went to see the team at OKC Orthopedics Sports and Pain Medicine for treatment of two broken shoulders. They were all very nice.  These are the best doctors!

Shirley P.

I am extremely pleased with the care I recieved for my broken knee at OKC Orthopedics, Sports and Pain Medicine. Dr. Uhland, Mr. Dunklemeyer and the entire staff were delightful.

Kathleen M.

From my surgery, to the hospital stay and then on to physical therapy, the team at OKC Orthopedics supported me every step of the way. Thank you for everything!

Ron W.

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