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Edited by: Frederick A. Matsen III, M. Winston J. Variation in orthopaedic surgeons' perceptions about the indications for rotator cuff surgery.
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Other common symptoms include weakness of the muscles and limited mobility of the joint. Rotator cuff problems can be diagnosed by examining a patient. Sometimes tests including X-rays, magnetic resonance imaging MRI , and ultrasound may be used to determine the extent of damage to the rotator cuff. Researchers have tried to identify how many people have rotator cuff tears. And partial rotator cuff tears are undoubtedly much more common.
Rotator cuff tears are also more common in the dominant arm and in people who have sustained some type of trauma to the shoulder. A rotator cuff tear that is the result of aging, called a degenerative tear of the rotator cuff, must be distinguished from a tear that is the result of a traumatic injury to the shoulder.
There is some crossover, where the chronic weakening of the rotator cuff from aging degenerating leads to susceptibility to tearing from relatively minor trauma. Therefore, each individual likely has components of both degenerating and trauma that contribute to their shoulder problem, and your orthopedic surgeon can help determine why your tear occurred.
Treatment of a torn rotator cuff varies depending on the type of injury and the type of patient. Since a rotator cuff tear often exists in people with no symptoms of a tear, treatment does not necessarily need to include repairing the torn tendon. Most often, simple treatments are tried first. Consideration of a surgical repair is only made if these simple treatments fail to provide relief. There are some exceptions, and some people with rotator cuff tears may be better off with immediate surgery.
These tend to include younger patients who have had a recent acute injury to their shoulder. In these people, a rotator cuff tear is not normal and not primarily the result of the aging process. Rotator cuff surgery may be an appropriate option for shoulder pain resulting from a rotator cuff tear. However, simply having a rotator cuff tear is not a reason in and of itself to have surgery. The decision about when surgery is appropriate is complicated and depends on a number of factors that you need to discuss with your healthcare provider.
The majority of rotator cuff tears will never require surgery, and many people can find relief with non-surgical treatments. Patients who are told they need rotator cuff surgery should understand the reason for surgery. In most cases, non-surgical treatments should be attempted first, the exception being in younger patients who have rotator cuff tears resulting from traumatic injuries.
If you are unsure of the necessity of a rotator cuff surgery, a second opinion can be helpful. Dealing with joint pain can cause major disruptions to your day.
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