Rotator Cuff Tear
Surgical Options in Munich
A rotator cuff tear can significantly impact daily life. In addition to conservative treatments, various surgical methods are available to restore rotator cuff function. At Munich Airport Clinic, we perform surgery safely and efficiently. Our specialists provide individualized treatment to ensure the best possible outcome.
Rotator Cuff Tear: Causes and Symptoms
A tendon tear in the shoulder is one of the most common injuries of the shoulder joint. Athletes and older individuals, whose tendon structure is weakened due to natural wear and tear, are particularly affected. A rotator cuff tear can result from sudden trauma, such as a fall, or develop gradually due to chronic overuse.
Typical Symptoms of a Rotator Cuff Injury:
If left untreated, a torn rotator cuff can lead to secondary damage, such as osteoarthritis.
DIAGNOSIS
Diagnosis of a Rotator Cuff Tear
The diagnosis is made in an orthopedic practice through a clinical examination and imaging techniques such as MRI or ultrasound. These methods help determine whether it is a partial tear or a complete rupture of the rotator cuff and whether other shoulder structures are affected.
When is Surgery Necessary?
Not every rotator cuff tear requires surgery. Conservative treatments such as physiotherapy or injections should be tried first. Surgery becomes necessary if:
OUR EXPERTISE
Specialists for Rotator Cuff Tear Surgery
The Munich Airport Clinic provides optimal conditions for shoulder surgery. Our experienced specialists perform rotator cuff repair surgeries with the highest precision. Thanks to modern surgical techniques and advanced diagnostics, patients benefit from the best possible treatment outcomes and a faster recovery.
ROTATOR CUFF TEAR
Surgical Treatment Options
Depending on the severity of the rotator cuff tear, the Munich Airport Clinic offers four modern surgical procedures. The goal is to restore shoulder stability and mobility while ensuring long-term pain relief.
Arthroscopic Rotator Cuff Repair
Arthroscopy is a minimally invasive technique in which torn tendons are sutured through small skin incisions using specialized instruments. This procedure is particularly suitable for partial rotator cuff tears or smaller tendon injuries that allow for direct reconstruction.
Due to the gentle surgical approach, post-operative pain is reduced, and healing time is shorter compared to open surgery. However, even after arthroscopic reconstruction, a rehabilitation phase of several months is required to fully regain shoulder function.
Tendon Graft Surgery (Superior Capsular Reconstruction, SCR)
If the rotator cuff cannot be reconstructed, a tendon graft can be used. This involves implanting either a biological (autograft) or synthetic transplant, which takes over the function of the damaged tendon. This prevents the humeral head from migrating upward, which could lead to further joint damage.
This method is mainly used for advanced rotator cuff tears, where direct suturing is no longer possible. Rehabilitation is more intensive compared to arthroscopic repair, but it offers a good chance of pain relief and improved shoulder function.
Muscle-Tendon Transfer
If reconstruction or tendon grafting is not sufficient, a muscle-tendon transfer can be performed. In this procedure, a nearby muscle—typically the Latissimus dorsi or Pectoralis major—is repositioned to take over the function of the torn tendons. This technique is primarily used for chronic, irreparable rotator cuff tears. While it requires a longer rehabilitation period, it can significantly improve shoulder function in suitable patients.
Inverse Shoulder Prosthesis
If the rotator cuff is completely destroyed and no other treatment option is viable, an inverse shoulder prosthesis can be implanted. In this procedure, the shoulder anatomy is reversed: the humeral head becomes the socket, and the socket becomes the head. This allows for shoulder movement even in the absence of an intact rotator cuff.
This surgery is primarily performed on older patients with severe rotator cuff tears and advanced osteoarthritis. The healing process is longer, but in many cases, the shoulder can be moved almost pain-free after surgery. However, the range of motion may remain somewhat limited.
STEP BY STEP
Surgical Procedure at Munich Airport Clinic
1. Preparation and Admission
On the day of the procedure, patients are admitted by our clinic team. Before the surgery, a detailed consultation with the anesthesiologist and surgeon takes place. This is an opportunity to address any final questions regarding anesthesia and the surgical process.
2. The Surgery
Depending on the severity of the rotator cuff tear, the surgery is performed either arthroscopically or through open surgery, with a duration ranging from 60 to 150 minutes, depending on the technique. During the procedure, the torn tendon is either sutured, reconstructed using a tendon graft, stabilized with a muscle-tendon transfer, or, in cases of irreparable damage, replaced with an inverse shoulder prosthesis.
3. Postoperative Care and Monitoring
Immediately after surgery, patients are transferred to the recovery room, where they are medically monitored while waking up from anesthesia. Depending on the procedure, patients may either return home the same day or stay in the clinic for a few days. The shoulder is immobilized in a special sling to support the healing process of the operated tendons and structures.
ADVANTAGES
Advantages of Munich Airport Clinic
Modern Equipment
Experienced Specialists
Short Waiting Times
Personalized Care
Easy Accessibility
High Hygiene Standards
AFTER SURGERY
Post-Treatment and Rehabilitation
Proper aftercare following rotator cuff tear surgery is crucial for a successful recovery. Immediately after the surgical procedure, the shoulder is immobilized in a sling. Over the following weeks and months, physiotherapy gradually helps restore shoulder movement.
The healing time varies depending on the surgical method but typically lasts several months. During this period, the shoulder should be moved carefully and not overloaded. A structured rehabilitation program helps reduce pain and restore mobility.
A torn tendon in the shoulder can significantly impact quality of life. With a personalized treatment plan, shoulder function can be effectively restored. The Munich Airport Clinic is always here to support you!
PATIENT TESTIMONIALS
Experiences from Our Patients
FAQ
Frequently Asked Questions
about Rotator Cuff Tear
The duration of a rotator cuff surgery depends on the chosen method.
Whether a tendon tear in the shoulder requires surgery depends on various factors. Smaller partial rotator cuff tears can often be treated conservatively with physiotherapy and pain management. Surgery is necessary if:
In such cases, surgical treatment may be required to prevent permanent limitations in shoulder mobility.
The duration of sick leave after a rotator cuff tear depends on the type of surgery and the physical demands of the job. For an arthroscopic rotator cuff repair or superior capsular reconstruction (SCR), recovery time typically ranges between 6 and 12 weeks.
For a muscle-tendon transfer or inverse shoulder prosthesis, sick leave may last up to 6 months, especially for physically demanding jobs. Office workers can usually return to work sooner, while jobs involving heavy physical labor require a longer recovery period.
The healing time after rotator cuff surgery varies depending on the type of procedure and individual factors such as age, physical condition, and therapy compliance.
Targeted rehabilitation and physiotherapy are crucial to support the healing process and prevent long-term limitations.