Orthopaedic Surgery for Shoulder, Knee and Sports Injuries in the Midlands
Mark Hamlet FRCS (Orth)
Shoulder knee and sports injuries specialist
​Tel: 01543  481929
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  • About Mr Hamlet
  • Finding the clinic
    • The Burton Clinic
    • Little Aston
  • Hospitals and Anaesthetists
    • The Burton Clinic
    • Little Aston Hospital
    • Derby Nuffield
    • TJ Bhatti
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  • Shoulder Problems
    • Painful Shoulder >
      • Frozen Shoulder
      • Rotator Cuff Injuries >
        • Rotator Cuff Repair
        • Shoulder Decompression
      • Acromioclavicular Joint Injuries
      • Shoulder dislocation
    • The Arthritic shoulder >
      • Reverse Polarity Shoulder
      • Shoulder Replacement
      • A Patients experience of a short stem total shoulder replacement
    • Fractures around the shoulder
    • Biceps rupture
    • Steroid Injections
    • AAOS Patient information
    • Time off Work
    • Book an Appointment
    • Physiotherapy
  • Knee Problems
    • Knee Arthroscopy >
      • Cartilage (meniscal) Tears
      • ACL Reconstruction
    • Total Knee Replacement
    • Unicompartmental Knee Replacement
    • AAOS Patient Information
    • Time off Work
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  • Contact Us
  • FAQs
    • Initial Consultation
    • Booking Surgery
    • After Surgery
    • When can I fly?
  • Operation Animations
  • Sports injuries
  • Hand Problems
    • Carpal Tunnel Decompression
    • Trigger finger
    • Wrist Fractures

Rotator Cuff Injuries


The rotator cuff is the group of muscles and tendons that wrap around the shoulder joint and keep it in the correct position to allow comfortable movement. When any part of the cuff is injured this can cause pain, typically felt over the outer side of the shoulder.

Impingement

This pain is often worst when attempting to lift the shoulder out to one side  and improves as the arm is lifted high up, (this is often referred to as a painful arc ). The muscles are usually out of balance so that a tendon is 'pinched' under the bone of the acromion. This is called (sub acromial ) impingement.

Early Treatment

This usually consists of specific exercises, often guided by a Physiotherapist, to help to restore balance to the shoulder muscles.

If this alone is insufficient then an injection of steroid can be added to the treatment

Surgical Treatment

If conservative treatment is insufficient then an operation may be required.

Mr Hamlet will be able to advise you on this. Many procedures can now be done with keyhole surgery, and often as a daycase (home the same day)

The commonest procedure at this stage is a sub acromial decompression

If the damage is more severe then a Rotator cuff repair may be necessary. The results depend on the age of the patient, the size of the tear and the length of time since the tear occurred.
Mr Hamlet can advise you on this.

If the tear is massive and causing significant functional disability then a reverse Polarity shoulder replacement may be most suitable


Click to see Repair Animation
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