The major postoperative complication is failure of the tendon to heal, whether treated arthroscopically or open. There are many biologic, anatomic, and behavioral factors that relate to the likelihood that a tear will heal following repair. To increase the likelihood of healing, we recommend the surgeon employ the most biomechanically appropriate technique, with an attempt to maximize the area of contact between the tendon and bone.
Deltoid dehiscence is a rare but devastating complication of formal open treatment of rotator cuff tears. This can generally be avoided by not removing the lateral acromion and by performing a secure anatomic deltoid repair.56 With partial deltoid dehiscence, arthrocutaneous fistulas may occur, for which early débridement and deltoid reattachment are recommended.
Infection occurs in less than 1% of patients. Infections can be due to Staphylococcus aureus, but are also associated with organisms such as Proprionibacterium, coagulase negative Staphylococcus, or Peptostreptococcus. Treatment of infections includes early detection, débridement, and proper antibiotics. In properly treated infected rotator cuff repairs, a good to excellent result can be expected in approximately one third of patients.
Shoulder stiffness is a potential complication that is minimized with an arthroscopic repair by avoiding the pain and morbidity associated with an incision and deltoid violation. Early postoperative loss of range of motion can usually be overcome with appropriate rehabilitation.
In one series, mini-open repair was associated with a 14% rate of stiffness compared to none in an all-arthroscopic group.
In this series, there was a trend for better motion in the arthro-scopically treated group, although this difference did not reach statistical significance.66 With proper patient compliance with a postoperative protocol that emphasizes early passive range of motion, prolonged stiffness following arthroscopic repair is rare.67
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.