ROTATOR CUFF INJURIES / TEAR
Web of four tendons and muscles:
That surround the shoulder joint and firmly intact the upper arm bone in the shallow shoulder socket are called Rotator Cuff. They enable the joint to function by assisting in their all direction movement and holding the arm bone firmly in place by surrounding it. Shoulder joint being the most flexible but unstable can sustain injury even with very minute stress making the tendon in the rotator cuff either pull away or get torn.
Age and overhead motions:
Are the biggest contributories to rotator cuff injuries as repeated stress and overuse might trigger off the tendon to be torn apart from the cuff and this susceptibility increases with age. Weakness, extreme pain, inability to move the shoulder and arm normally, crackling sound in moving the shoulder and difficulty in sleeping on the side of the affected shoulder are the common signs that signify that the rotator cuff might have been injured.
Thorough examination and evaluation:
Are tools which aid the prognosis of the orthopedic surgeon to adopt to methodology to reduce pain and rehabilitate the rotator cuff. The rotator cuff injuries might vary from being mild to complete and severe tears thus helping in determining whether the injury has to be treated surgically or by conservative techniques. Without treatment the rotator cuff injury can impair the movement of the shoulder permanently.
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An Insight into Dr. Vikas’s professional profile:
Extremely proficient in his field Dr. Gupta needs no introduction as he is one of the best upper extremity specialist India has. Simple, approachable and compassionately involved in his deliverance of painless treatment techniques, more than 20 years of experience is visible in his skilled and deft enabled surgeries.
His expertise lies equivocally in all areas of upper limbs be it any traumatic injury or degenerative and congenital disease endured by the wrist, hand, elbow, arm, forearm or shoulder.MBBS and MS in Ortho from AIIMS and further in depth studies from Germany and USA make him stand out and his prognosis and after care make him the most sought after specialist in his field.
Hand2Shoulder Clinic on National Geographic
Case operated by Dr. Vikas Gupta covered by National Geographic Team for serial "Emergency Room". This video highlights careless attitude can lead to grievous injuries which can lead to permanent disability and these if treated properly on time can bring back person towards normal life.....
What they say about us!
Conservative Techniques:
Mild rotator cuff injuries are treated with conservative techniques such as oral anti inflammatory drugs and steroid injections in the shoulder joint if the pain is hindering daily activities along with therapy exercises to stretch the stiff tendons and muscles and restore functionality in the shoulder joint. read more...
Arthroscopic Tendon Repair Technique:
With two to three minimal cuts the surgeon views inside the joint with an optic lens and reattaches the torn or injured tendon to the bone with special, thin instruments. This is also termed as keyhole surgery and is one of the most sought after easy surgical technique. read more...
Open Tendon Repair Technique:
When the injury is severe then the surgeon might opt for open in length surgery with longer and broader cuts on the shoulder joint to expose the torn or damaged tendon and reattach it to the bone. The recovery and the time taken to perform the operation is longer than that of arthroscopic repair. read more...
Bone Spur Removal Technique:
If a bone is causing debilitation to the rotator cuff then the surgeon may take up this technique to remove the excess bone and taper down or smoothen the tendon with the help of an arthroscope. read more...
Tendon Transfer Technique:
When the tendons have been damaged and cannot be restored then the surgeon might remove the tendon and replace it with tendon that is taken out from another part of the body to give back the lost mobility to the shoulder joint. read more...
Shoulder Replacement Technique:
When the rotator cuff cannot bring back motion and is completely damaged thereby having an impact on the ball and socket joint of the shoulder then the surgeon might replace the joint totally or some parts with an artificial part called prosthesis which is made of metal and plastic, to enable the shoulder to start functioning again. read more...
