Arthroscopic Rotator Cuff Repair
Overview
The rotator cuff is a group of tendons that helps lift, rotate and stabilise the shoulder. A rotator cuff tear can cause pain, weakness, night pain, difficulty reaching overhead and loss of confidence with lifting or sport. Some tears improve with physiotherapy, injections and activity modification, while others benefit from surgical repair.
Arthroscopic rotator cuff repair is a keyhole procedure that reattaches the torn tendon to bone. The aim is to reduce pain, restore strength and improve shoulder function while preserving as much normal tissue as possible.
Who may benefit from rotator cuff repair?
Surgery may be considered for active patients with persistent symptoms, traumatic tears, significant weakness, larger tears, or tears that are likely to enlarge over time. It may also be recommended when non-operative treatment has not restored acceptable comfort and function.
The decision is based on symptoms, examination findings, ultrasound or MRI imaging, tendon quality, tear size, muscle condition and your activity goals.
What does the procedure involve?
The procedure is performed through small incisions using a camera and specialised instruments. The shoulder is inspected, inflamed bursal tissue is cleared where needed, and the torn tendon edge is mobilised. Anchors are placed into the bone and sutures are used to secure the tendon back to its attachment.
Associated problems, such as biceps tendon disease, impingement or AC joint arthritis, may be treated at the same operation if they are contributing to symptoms.
Recovery after rotator cuff repair
Recovery depends strongly on tear size and tissue quality. The tendon needs time to heal back to bone, so the early phase is protective. Range of motion, active use and strengthening are introduced in stages. Larger or more complex tears usually require a slower rehabilitation pathway.
Rehabilitation protocol
You will receive a protocol matched to the repair, including small-to-medium, large-to-massive or subscapularis repair pathways where relevant.
FAQs
Do all rotator cuff tears need surgery?
No. Many tears can be managed without surgery, particularly if pain is controlled and strength is acceptable. Surgery is considered when symptoms, weakness or tear characteristics make repair a better option.
How long does tendon healing take?
Tendon-to-bone healing takes months. Symptoms often improve earlier, but strength and endurance build gradually over the longer recovery period.
Will I need a sling?
Yes, a sling is usually used after repair to protect the tendon during early healing. The duration depends on tear size and repair type.
When can I return to work?
Desk duties may resume earlier than manual work. Heavy lifting and overhead duties usually require a longer staged return.
Can the tendon tear again?
Re-tear can occur, especially with large tears, poor tendon quality, smoking, diabetes or early overload. Following the rehabilitation plan helps protect the repair.
Reconstructive Orthopaedics Melbourne (ROM)
For persistent shoulder pain, weakness or a confirmed rotator cuff tear, book a consultation to review whether repair or non-operative care is most appropriate.