Rotator Cuff Repair

3. If you have actually torn it you don’t have to have surgery, but if you plan on being active for the rest of your life then you will need surgery.

Rotator cuff surgery may be required to repair re-attach torn tendons to the shoulder. This may be followed by rotator cuff exercises after surgery to promote further healing and return of function.

Walch et al first described the internal impingement as an intraarticular impingement of the rotator cuff in the abducted and externally rotated shoulder. With 90 degrees of both abduction and external rotation, the articular surface of the posterior superior rotator cuff becomes pinched between the labrum and the greater tuberosity.5 The authors separated the labral lesions from SLAP lesions which extended anteriorly to the biceps anchor at the supraglenoid tubercle, concluding that internal impingement may be responsible for a subset of patients with isolated posterior SLAP tears.5

There are different techniques that repair a torn ACL. The popular method for surgeons is the patellar tendon graft procedure. This type of ACL replacement uses the middle third of the person’s own patellar tendon and replacing the damage tendon with it. The advantages are that the fixation is very strong and the patellar tendon replacing

Dr. Frank Jobe developed a procedure for pitcher Tommy John (who the surgery was named after). With vivid research of the ligaments inside the medial elbow he developed a way to make the elbow back to normal strength or in some cases much more stronger. This surgery consisted of the new tendon being implanted and woven in a figure-eight pattern through holes

Tommy John surgery is a common procedure used to repair torn rotator cuffs. Named after a former MLB player who also suffered with the injury, Tommy John surgery involves replacing the torn ligament with a healthy ligament in another area of your body.

The UCL will not heal on its own so surgery is the only option to heal a torn UCL. The surgery is called Tommy John surgery, which is named after a former Los Angeles Dodgers pitcher who had the first surgery

The rotator cuff refers to the group of muscles and tendons in your shoulder that connects your shoulder blade to your upper arm.

“More pitchers are going through the procedure a second time, and aside from the mental and physical toll it takes on players.” They still try to pitch through the pain an end up getting hurt again. “It's a one-percent rate in the literature, one out of 100 Tommy Johns requires a second surgery.” Most surgeons do a good job on their arms. Pitchers have the worst trouble after the first surgery when their arms hurt bad enough so they have to have a second surgery.

The surgery was frist performed in 1974 by orthopedic surgen Dr. Frank Jobe, was named after the first baseball player to undergo this surgery; Tommy John was the major league pitcher whose record of 288 career victories ranks seventh all time. This procedure is made to help a person with UCL also known as ulnar collateral ligament also known as the elbow. The procedure is common among collegiate and professional athletes in several sport, but most in baesball. The procedure goes as follow, the patient’s arm is open up aroung the elbow. Holes to accommodate a new tendon are drilled in the ulna and humerus ones of the elbow. The doctor then gets a tendon such as the palmaris tendon from the forearm of the same or opposite elbow, the patellar tendon, or a cadeveric tendon. Which are ten woven in a figure eight pattern through the holes and anchored. The ulnar nevre is usually moved to prevent pain as scar tissue can appy pressure to the nerve.

Current/ongoing research on Tommy John surgery is focusing on the success of different surgical methods, rehabilitation techniques, and prevention/protection of Ulnar Collateral Ligament Injury. Tommy John surgery is

Often these bone spurs helped to create the tear. Sometimes an MRI is ordered - this can show the doctor with great detail the rotator cuff tendon and where it is torn. If your doctor suspects a partial thickness tear (the tendon is not torn all the way through, just part of the way), an MR-arthrogram may be ordered, this involves an injection into your shoulder before the regular MRI.

The recent uprising of the UCL surgery is largely due to the overuse especially in youth baseball players. The continuous micro tears in the UCL without proper rest continue to break down the ligament until surgical repair is necessary. The beginning phase of the rehab usually lasts about 4-8 weeks with a gradual progression of increasing ROM, manage pain and swelling, and preventing atrophy. The next phase lasting through weeks 9-12 continues to increase ROM, improve strength in arm, shoulder, and core. The third part of the rehab progresses from week 13-20. Goals consist of increasing overall strength and endurance, achieve full ROM of elbow, and begin low level plyometric. ROM should be at full beginning around week 10 of the rehab. The

When repairing any organ or part of the human body, it is important to know the anatomical structures that are in the area you will be working and the areas neighboring that specific area. An article I came across regarding the Suprascapular nerve caught my attention, because it is important to know the anatomical location of the Suprascapular nerve in rotator cuff repairs. The article, “Anatomical Considerations of the Suprascapular Nerve in the Rotator Cuff Repairs” by James A. Tom, Addisu Mesfin, Mitesh P. Shah, Mirta Javandel, Dan J.Lee, Douglas L. Cerynik, and Nirav H Amin, is an article that presents how to determine a safe area around the suprascapular nerve when repairing a rotator cuff.

Tommy John surgery is arguably one of the greatest innovations in medicine during this past century. It has helped extend the careers of many professional and amateur athletes by reconstructing a worn down and damaged ligament, Carroll (2013). But there has also been a lot misconceptions when it comes to this surgery as well. Not about whether or not it is successful or safe, but more along the lines of the expectations of the results of the individual having the surgery post-operative, Dodson (2015). Along with that, there’s a popular misconception about having the surgery when it is not necessary, Longman (2007).