Shoulder, Injured Muscle Tendon

orthopedic shoulder surgery

Rotator Cuff Surgery

Especially four muscles work together to create stability and good space conditions in the shoulder; muscles supraspinatus, subscapularis, infraspinatus and teres minor. The muscles are collectively called the rotator cuff. These muscles are as intertwined “cloak” or “cuff” around the shoulder joint and stabilizes the shoulder when the arm is moved in different directions. Muscles narrows and becomes a tendon that attaches to the humerus bone.


Damage or overload in one or more ligaments can cause torn or completely torn tendon. This can lead to pain, power failure and difficulty using the arm in the daily.

Many patients will have good effects of exercise therapy and referred to a physiotherapist. You get the responsibility to make an appointment at a physiotherapy department. Others should be referred directly to the shoulder orthopedic surgeon for evaluation of operation. General practitioner often makes this assessment. Manual therapist and chiropractor may also refer to operational assessment.

Referral and Assessment

Once you have been referred because of damaged muscle tendon in the shoulder, you will be summoned for examination by shoulder orthopedic surgeon.

At orthopedic shoulder surgeons will undergo a thorough clinical examination. Surgeons considering the need for additional studies such as X-rays, ultrasound or MRI. Based on findings in the investigation and conversation you will agree on further treatment plan.

If you are recommended surgery may be waiting. During this period there is an advantage that continuing treatment by a physiotherapist or doing exercises on their own. The aim of treatment is to prevent stiffness in the shoulder, reduce pain and prepare for operation and training you need to do afterwards. See information sheet ” To you who are shoulder surgery .”

Approximately two weeks before the operation will come into our reception polyclinic. Here, you will undergo the last preparatory studies you need and get more information about what happens when you are admitted.
The operation takes place arthroscopic (keyhole surgery). Inflamed tissue and bone that creates poor space conditions of the joint can be removed. Tears in tendon tissue sewn together. Torn tendons attached back on humerus bone. There are various ways to attach tendons on. The operation usually takes about one hour. Some patients printed the day of surgery, others need to be a day or two.
Need for sling decided by orthopedic surgeon in each case. Some patients get well warned to avoid certain movements and active use of the arm a period after surgery. Notes provided in the operation description must always be followed.

Are you in the hospital the day after surgery, the physiotherapist to you and go undergoes information, exercises and the use of a sling (see ” Instructions Sling & swathe sling “). We recommend starting training with a physiotherapist 1-2 weeks after discharge. Rehabilitation and treatment is gradual and in accordance with the operation description. Initially the focus is to reduce pain and increase mobility in the shoulder. Eventually you will gradually train the strength and stability.
Physiotherapy and personal training is absolutely necessary to get a good result after surgery. If necessary you will receive a prescription for painkillers when traveling from the hospital. Length of sick leave will be determined by, among other restrictions provided in the operation description, work and scope of ailments. Normally the orthopedic out the first sick leave and GPs can extend this if necessary.

You will be summoned to control with us six weeks and / or 3-4 months after surgery. If you have questions which your treating physiotherapist can not answer before this time, you are welcome to contact. See contact information at the bottom.