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Shoulder and Elbow Doctor – Buffalo, NY

Live Receptionist for Appointments: M-F 9 am – 5 pm: 716-204-3200

Dr. Matthew DiPaola

Dr. Matthew DiPaola

Buffalo, NY Shoulder and Elbow Doctor

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Rotator Cuff Repair

What is the Rotator Cuff?

The rotator cuff is a group of four muscles that work together to help move the shoulder and keep it stable. The muscles are deep to the larger deltoid and pectoralis muscles and are not usually visible under the skin. They originate on the shoulder blade and insert on the humerus head (ball portion of the ball and socket shoulder joint).

What are the major risks of the procedure?

The most common risk is stiffness. For this reason we will have you enrolled in a physical therapy program after the surgery. When you start your therapy the extent of your exercises will be determined by a number of factors including what approach was used for surgery (open vs arthroscopic), quality of your cuff tissue and size of the tear.

Will you do the procedure through small incisions (arthroscopy)?

Often rotator cuff repair can be performed completely through a series of small incisions that are about a centimeter in length. I perform the majority of my rotator cuff repairs this way.

What are the advantages of arthroscopy?

 

There are a few main advantages of arthroscopy:

  • Less pain. One of patient’s biggest concerns after surgery is their pain level. Rotator cuff repair via arthroscopy may be less painful in the early period after surgery than larger incision approaches.
  • The deltoid is a large shoulder muscle that originates from the top of the shoulder blade. Open approaches to the shoulder typically involve some detachment of this muscle from the origin. At the end of the case it is important for the surgeon to repair the deltoid securely to bone. While rare, failure of this repair can be very problematic. When you use arthroscopy you do not have to detach this muscle and there is virtually no risk of the deltoid detaching after surgery. This is a big advantage.
  • Cosmetics. While even “open” scars can be cosmetic in appearance, arthroscopy incisions tend to be fairly discrete. [/ls_toggle][ls_toggle title=”When would you “open” the shoulder to do a rotator cuff repair?”]In my practice I do most rotator cuff repairs completely with arthroscopy. In rare cases I do “open” rotator cuff repairs with a slightly larger incision. This is usually related to the size and retraction of a tear. Some tears are so large and require very sophisticated scar release that patients may be better served with an open repair.

    If your tear requires a graft augmentation, I will often perform that procedure “open” as well.

How long is the recovery period for a full thickness rotator cuff repair? 

I counsel patients that maximal improvement often takes up to a year. However most of your recovery will be achieved in the first 6 months.

In general the recovery breaks down into a few general phases.

Phase 1 is the early postoperative period and usually lasts about 6 weeks. You will wear a sling for the majority of this phase and will see the surgeon about 2 weeks after surgery and at about 6 weeks. Your therapy will focus on active elbow, wrist and hand motion and possibly passive shoulder motion.

Phase 2 encompasses week 7-12 and you can usually discontinue wearing your sling. You can often go back to driving and your therapy should focus on achieving full active motion of the shoulder with excellent mechanics.

After 3 months you will commence strengthening and continue this phase until you reach full strength. You will gradually transition to doing exercises independently.

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Recent Posts

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Meet Dr. DiPaola

Matthew DiPaola MD 2020

Matthew DiPaola, M.D

Dr. DiPaola is a Board Certified Orthopedic Surgeon and shoulder and elbow specialist. He has attained extensive training in the treatment of shoulder and elbow conditions and dedicates his practice to treating shoulder and elbow dysfunction with the most advanced surgical and non surgical … Read more about Matthew DiPaola, M.D

Contact Dr. DiPaola

Please contact me for an appointment or … Click here for more options about Contact Me

Are You Confused About Rotator Cuff Tears?

What are they? What is the right treatment for your rotator cuff? Why did your brother-in-law get surgery for his and you are only doing therapy? If you’re reading this you may already know how painful rotator cuff tears are. You yourself may have difficulty sleeping or lifting your arm overhead. … Read more about Are You Confused About Rotator Cuff Tears?

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If you are looking to:

  • Find out why your shoulder won't stop hurting at night
  • Wake up energized from a good night’s sleep again
  • Know if your shoulder pain is a sign of something serious, or if you can safely ignore it
Click Here to Make An Appointment

At your visit I will personally see you and:

  • Listen to your unique needs and goals
  • Review your imaging tests
  • Perform a physical exam
  • Fully explain your options
  • Answer your questions
...and get you on the road to a better night’s sleep.

In Good Health,
Matthew DiPaola M.D.

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Appointments: 716-204-3200

Email

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4949 Harlem Rd, Amherst, NY  14221
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