The rotator cuff runs as a tendon plate under the acromion. Under the large shoulder muscle at the humeral head, a shoulder bottleneck syndrome can cause pressure on the tendon, resulting in tendon tears. Falls or abrupt movements of the shoulder can also lead to complete tears (rotator cuff rupture) if the tendon is damaged. These are usually noticed as a sting or tear in the shoulder area. In many patients, local circulatory disorders in old age also lead to tears or tears in the area of the tendon attachment to the shoulder. The consequences are not only chronic pain but also an increasing loss of function of the arm. The patient usually notices that the arm can no longer be lifted properly and that a significant loss of strength is noticeable, especially with overhead movements.
Nowadays all cracks, if not detected too late, can be sewn very elegantly arthroscopically (keyhole principle) without a larger opening in the shoulder area, see film material:
(Film 1) (Film 2) (Film 3) (Film 4). For this purpose we also use special resorbable mini anchors which dissolve over time, so that a second implant or material removal in the shoulder area is no longer necessary. This very gentle procedure leads to the fact that in most cases after an intensive after-treatment with immobilization and physiotherapy the full function in the area of the shoulder can be restored.
We work in our practice in cooperation with the University Hospital Freiburg with the most modern equipment and the latest arthroscopic techniques, which are constantly improved and thus allow the patient a pain-free after treatment and a much faster reintegration into the working process.