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Rotator cuff shoulder surgery in France

The rotator cuff is a group of four muscles (and their tendons) that are positioned around the shoulder connecting the upper arm (humerus) to the shoulder blade (scapula).

They work together to help us with shoulder movement and stabilisation.
infirmière

The four muscles are:

Teres minor
Infraspinatus
Supraspinatus
Subscapularis
Each muscle is inserted into a shoulder blade and has a tendon that attaches to the upper arm and together they form a ‘cuff’ around the upper arm.

This part of the body can often become damaged and inflamed due to injury, exercise, or general wear and tear over the years. The common name for this type of injury is Rotator Cuff Injury for which there are a number of treatments depending on the specific diagnosis.

Most often, any fractures involve the supraspinatus, but you can see breaks in the entire external rotator cuff: supraspinatus, the infraspinatus and teres minor.

Stages of arthroscopic repair of the tendons of the rotator cuff:

  • keyboard_arrow_right1. Exploration of the joint:
  • keyboard_arrow_right2. The surgical procedure:
    The cleaning of the space under acromial is necessary to remove the thick, inflammatory and painful tissue, but also to see the top side of the tendons.

    Usually, acromioplasty is practiced to make the bone ceiling mild (non-agressive), the most common resection of the coracoacromial ligament (which extends the acromion forward and contributes significantly to the tendon conflict).

    Some surgeons (including the ones we work with) will perform a gesture on the long biceps, which will simply be cut (tenotomy of the biceps) or reinserted to the humerus bone in or under the eaves (biceps tenodesis).

    Finally, the acromioclavicular joint may be a place of intense inflammation also, often as part of early osteoarthritis because of aggressive parrot beaks in contact with the tendons of the rotator. It is therefore the subject of minimum planing (co-planning) or even of a radical resection treatment of the last centimetre of the clavicle (removal of the diseased articulation).
  • keyboard_arrow_right3. Advantages of the rotator cuff shoulder arthroscopy:
    The arthroscopic exploration permits an almost complete view of the joint and a comprehensive assessment of tendon injuries. It also allows repairs on all types of tendon rupture.

    The approach to the tendons is minimally invasive and does not require muscle avulsion, alleviating the immediate aftermath and sometimes the type of asset.
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