Rotator Cuff Repair
Specialized management by Dr. Stéphane Vasseur
Indications
- Symptomatic tear confirmed (pain, weakness, loss of strength)
- Failure of well-conducted rehabilitation
- Active/sporting patient or high functional demands
Related pathology: Rotator cuff
Operative principle
Arthroscopic repair with anchors and tendon reinsertion on the humeral tuberosity after burring, associated if needed with acromioplasty and bursectomy.
Postoperative course and rehabilitation
- Relative immobilization in sling 3–6 weeks depending on tear size
- Early passive/assisted mobilization, progressive active
- Targeted strengthening from 8–12 weeks
- Return to sport/forceful gestures: 4–6 months
Risks
- Stiffness, residual pain
- Re-tear depending on tendon quality
- Hematoma, infection (rare)
In practice
- Hospitalization: Outpatient or 1 day
- Anesthesia: General ± regional
- Immobilization: Sling 3–6 weeks depending on tear size
- Physiotherapy: Progressive protocol over 3–6 months