Rotator Cuff Injury Treatment Singapore

Dr Bryan Tan, orthopaedic surgeon in Singapore.
Dr. Bryan Tan

MBBS (SINGAPORE) MMED (ORTHO) FRCS ED (ORTH)

A rotator cuff tear is a rupture of the sleeve of tendons (rotator cuff) surrounding the ball your shoulder joint (which comprises a ball and socket joint). The rotator cuff tendons connect muscles of the shoulder blade to the upper arm bone (humerus). These muscles, in turn, provide stability and mobility to your shoulders.

What is a Rotator Cuff Tear?

Rotator cuff tears are extremely common. It is estimated that 21% of the population have rotator cuff tears, although the incidence is much higher in the older population.

Another interesting fact is that many people with rotator cuff tears may not be symptomatic at all! In fact, the incidence of asymptomatic rotator cuff tears appears to be higher in older patients.

It is estimated that up to 2/3 of patients in their 60s with rotator cuff tears may not be symptomatic. The remaining 1/3 of patients seek help because of pain in their shoulders, especially during movements of their arms at their shoulders.

What Causes Rotator Cuff Tear?

Sometimes, patients may develop rotator cuff tears without remembering any inciting event or injury. Rotator cuff tears can occur in many instances, and an injury to the shoulders is one of the most common occurrences.

Here are some other causes of rotator cuff tears:

  • Overuse, especially overhead activities
  • Wear and tear over time
  • Acute injury

Symptoms of Rotator Cuff Tear

  • Shoulder pain and tenderness
  • Dull ache
  • Arm weakness
  • Difficulty reaching behind the back or out to the side
  • Decreased range of motion
 

How Is Rotator Cuff Tear Diagnosed?

X-Ray

Many doctors may begin their investigations with x-rays for the shoulder. X-rays are excellent investigations for viewing bony and joint problems. To me, x-rays provide me with a “bird’s eye view” of the problem.

 

Ultrasounds

Ultrasound scans are generally more useful in the diagnosis of rotator cuff tears than x-rays. In the hands of an experienced ultrasonographer, it is possible to accurately diagnose rotator cuff tears and shed light on its severity.

 

MRI Scan

An MRI (magnetic resonance imaging) scan is by far, the most informative scan, and it is my investigation of choice for rotator cuff tears. It gives excellent information with regards to the rotator cuff, presence of any tears of the rotator cuff tendons, state of the rotator cuff muscles etc.
​​Is rotator cuff tear affecting your quality of life, and your ability to perform everyday activities such as working, playing sports and wearing your clothes?
Dr. Bryan will assess your symptoms in detail before recommending the right treatment plan for your condition.

How To Treat Rotator Cuff Tear?

Rotator cuff tears can range in severity greatly. Treatment depends very much on how bad the tear is. We usually classify tears into the following: partial tears, small full thickness tears, medium tears, large tears, massive tears and finally, cuff tear arthropathy (where the joint is permanently damaged due to the presence of severe rotator cuff tears).

Common treatment methods include:

  • Rest
  • Warm compression to minimise pain.
  • Anti-inflammatory medications such as ibuprofen, etoricoxib and naproxen
  • Strengthening exercises and physical therapy
  • Cortisone injection to reduce inflammation (controversial)

Surgery may be recommended for more severe cases of a rotator cuff tear or when non-surgical treatment options fail to alleviate symptoms. Surgery to repair a torn rotator cuff typically involves re-attaching the tendon to the humerus.

Anatomy of the Shoulder Joint

The shoulder joint is made up of 3 bones: the shoulder blade (scapula), the humeral head and the collar-bone (clavicle).

Movements around the shoulder involve 3 separate articulations: the glenohumeral joint, the acromioclavicular joint and the scapulothoracic articulation. When the arm is raised, the majority of movement occur at the glenohumeral joint and the scapulothoracic articulation.

Four (4) muscles are attached to the scapula and send their respective tendons across the glenohumeral joint and attach to the humerus just beyond the humeral head. These 4 tendons are collectively known as the rotator cuff.

You can think of the muscles as motors and their tendons as pulleys. Contractions of the muscles will hence bring about movement at the joint that their tendons cross.

Frequently Asked Questions

What will the doctor do?

Is a rotator cuff tear serious? When should I visit a doctor?

How to prevent a rotator cuff tear?

How is rotator cuff surgery performed?

What kind of anaesthesia will I require?

How long does the surgery take?

Can I return home on the same day as the surgery?

How long will I take to recover?

What should I do now?

Billing & Payment

Medisave & Insurance Claims

The following are accredited For Singaporeans, Singapore Permanent Residents and Foreigners. If your insurance is not listed, you will still be able to make claims for eligible procedures! We have experience processing claims from many other various insurance providers. Please contact us if you have any queries.

WHAT’S THE FIRST STEP?

Embark on Your Road to Recovery With Dr Bryan Tan

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STEP 1

Book An Appointment
With Dr. Bryan

Our friendly clinic staff will assist you with your registration, ensuring an efficient and hassle-free process for you. Fill up this form to schedule an appointment with Dr. Bryan.

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STEP 2

Initial Consultation & Diagnosis of your Condition

During your consultation, Dr. Bryan will evaluate your medical history and the pain you are experiencing. You may also ask Dr. Bryan any questions you may have about your condition.

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STEP 3

Treatment & Follow Up Visits With Dr. Bryan

After your consultation with Dr. Bryan, our friendly clinic staff will assist you with your follow-up appointment, and provide you with instructions/information for any prescribed treatment plans from Dr. Bryan.

Take the First Step

Book An Appointment

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