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Rotator Cuff Repair

Rotator cuff repair is a surgical procedure to reattach a torn tendon in the shoulder to the upper arm bone (humerus). The rotator cuff is a group of four muscles and tendons that stabilize the shoulder joint. Repairs are most commonly performed arthroscopically through small incisions. Over 300,000 rotator cuff repairs are performed annually in the US.

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Who Needs Rotator Cuff Repair?

Rotator cuff repair is recommended for patients with complete tears causing significant weakness, acute tears from injury, tears that do not improve with 6-12 weeks of physical therapy and injections, and active individuals who need full shoulder function for work or sports.

What to Expect

1
MRI to assess tear size, location, and muscle quality
2
Surgery takes 1-3 hours depending on tear complexity
3
Most repairs are performed arthroscopically (2-3 small incisions)
4
The torn tendon is reattached to bone using suture anchors
5
Arm immobilized in a sling for 4-6 weeks
6
Same-day discharge in most cases

Recovery Timeline

Weeks 1-6

Sling immobilization. Passive range of motion only (therapist moves the arm). No active lifting.

Weeks 6-12

Active range of motion begins. Light stretching and gentle strengthening. Sling discontinued.

Months 3-4

Progressive strengthening exercises. Resistance band training.

Months 4-6

Return to most daily activities and light sports. Continued strengthening.

Months 6-12

Full recovery. Return to overhead sports and heavy lifting for most patients.

Risks & Complications

  • Re-tear of the repaired tendon (10-30% depending on tear size)
  • Stiffness (frozen shoulder)
  • Infection (less than 1%)
  • Nerve injury (rare)
  • Failure to heal (more common in large tears and smokers)

Frequently Asked Questions

How long is recovery from rotator cuff surgery?

Most patients wear a sling for 4-6 weeks, regain daily function by 3-4 months, and achieve full recovery in 6-12 months. Large tear repairs may take longer. Compliance with physical therapy is critical for outcome.

Is rotator cuff surgery worth it?

For patients with complete tears and significant weakness, surgery has a high success rate (85-95% for small to medium tears). Most patients report significant pain relief and improved function. Without surgery, complete tears often enlarge over time.

Can you sleep on your side after rotator cuff surgery?

Most surgeons recommend sleeping in a reclined position or on the non-operative side for the first 4-6 weeks. A pillow under the elbow supports the arm. Most patients can return to normal sleeping positions by 2-3 months.

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Estimated Cost

$15,000 - $40,000 (before insurance). Covered by most insurance plans when conservative treatment has failed.

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This information is for educational purposes only. Costs are estimates and vary by location, surgeon, and insurance. Always consult a qualified healthcare provider.