Common shoulder rotator cuff tear after 50's, treatment?
Feb 13, 2025
The shoulder is an important part that connects the arms and torso. In general, there should be no pain when lifting or turning the arm, but it is accompanied by pain, muscle weakness, shoulder stiffness, and creaking sounds due to injuries and aging. The most common cause of chronic pain in the shoulder joint, rotator cuff rupture, is usually intensified when the arm is raised.
The rotator cuff refers to the four muscles that cover the shoulder joint. These four muscles play a role in maintaining rotational motion and stability of the shoulder joint. However, rotator cuff rupture is a disease that causes pain in the arms and shoulders by bursting one or more of these four muscles. In some cases, if the rotator cuff is completely ruptured, the patient may not be able to raise his arm and keep it parallel to the ground.
The rotator cuff rupture may be caused by trauma, but most of it is caused by aging and is common after the 50s. Pain may occur at night and the range of motion of the shoulder joint may be reduced. The rotator cuff rupture is divided into partial and complete rupture. Partial rupture refers to a state in which some of the muscles that make up the rotator cuff are damaged. Complete rupture is when the area where the muscle (rotator cuff) adheres to the bone has completely fallen.
Partial rupture aims to relieve pain and strengthen surrounding muscles with injections, drugs, and rehabilitation treatments. However, if the pain becomes severe or the rupture continues even after hard treatment for more than three to six months, or if muscle weakness suddenly appears after trauma, surgical treatment is considered even if partial rupture is present.
Hong Kyung-ho, director of the Center for Orthopaedic Surgery's Upper Gastrointestinal Center at Seran Hospital, said "If the complete rupture is left unattended for a long time, muscle atrophy can progress and make it difficult to seal." If it progresses further, it may lead to arthritis and require artificial joint surgery.'"Rotator cuff rupture is not proportional to the size of the rupture and the pain, so elderly patients often visit the hospital after their conditions deteriorate a lot.'
Surgical treatment is usually performed when the rotator cuff is completely ruptured. Surgery can be performed with joint endoscopy under partial anesthesia with only the arm anesthesia. If the rupture site is very large, arthroscopic surgery to reinforce the ligaments using the same ligament has recently been performed, and incisions are rarely made. Arthroscopic surgery has the advantage of being able to operate at the same time as diagnosis and having a small incision.
In the case of rotator cuff tear suture surgery, a tear (bridge) suture is performed, not a simple suture. Since bridge sutures are closely attached between the shoulder bone and the tendon, sturdier fixation is possible than simple sutures. Most of them are not unreasonable in their daily lives after surgery, but even in the sutured area, there is a possibility of re-destruction, so extreme exercise or activity should be avoided for a certain period of time.
Director of the Center Hong Kyung-ho "Recently performed arthroscopic surgery to reinforce ligaments in cases where the rotator cuff is very extensive.""If the ligament is almost cut off, surgery is necessary, but the decision is made in consideration of the degree, age, and symptoms of the rupture. If the rotator cuff rupture is left unattended for a long time, the shoulder joint will function, and it can even progress to arthritis, so artificial joint replacement is sometimes required."
The rotator cuff refers to the four muscles that cover the shoulder joint. These four muscles play a role in maintaining rotational motion and stability of the shoulder joint. However, rotator cuff rupture is a disease that causes pain in the arms and shoulders by bursting one or more of these four muscles. In some cases, if the rotator cuff is completely ruptured, the patient may not be able to raise his arm and keep it parallel to the ground.
The rotator cuff rupture may be caused by trauma, but most of it is caused by aging and is common after the 50s. Pain may occur at night and the range of motion of the shoulder joint may be reduced. The rotator cuff rupture is divided into partial and complete rupture. Partial rupture refers to a state in which some of the muscles that make up the rotator cuff are damaged. Complete rupture is when the area where the muscle (rotator cuff) adheres to the bone has completely fallen.
Partial rupture aims to relieve pain and strengthen surrounding muscles with injections, drugs, and rehabilitation treatments. However, if the pain becomes severe or the rupture continues even after hard treatment for more than three to six months, or if muscle weakness suddenly appears after trauma, surgical treatment is considered even if partial rupture is present.
Hong Kyung-ho, director of the Center for Orthopaedic Surgery's Upper Gastrointestinal Center at Seran Hospital, said "If the complete rupture is left unattended for a long time, muscle atrophy can progress and make it difficult to seal." If it progresses further, it may lead to arthritis and require artificial joint surgery.'"Rotator cuff rupture is not proportional to the size of the rupture and the pain, so elderly patients often visit the hospital after their conditions deteriorate a lot.'
Surgical treatment is usually performed when the rotator cuff is completely ruptured. Surgery can be performed with joint endoscopy under partial anesthesia with only the arm anesthesia. If the rupture site is very large, arthroscopic surgery to reinforce the ligaments using the same ligament has recently been performed, and incisions are rarely made. Arthroscopic surgery has the advantage of being able to operate at the same time as diagnosis and having a small incision.
In the case of rotator cuff tear suture surgery, a tear (bridge) suture is performed, not a simple suture. Since bridge sutures are closely attached between the shoulder bone and the tendon, sturdier fixation is possible than simple sutures. Most of them are not unreasonable in their daily lives after surgery, but even in the sutured area, there is a possibility of re-destruction, so extreme exercise or activity should be avoided for a certain period of time.
Director of the Center Hong Kyung-ho "Recently performed arthroscopic surgery to reinforce ligaments in cases where the rotator cuff is very extensive.""If the ligament is almost cut off, surgery is necessary, but the decision is made in consideration of the degree, age, and symptoms of the rupture. If the rotator cuff rupture is left unattended for a long time, the shoulder joint will function, and it can even progress to arthritis, so artificial joint replacement is sometimes required."
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This article was translated by Naver AI translator.
