Orthopedics and Traumatology Specialist Dr. Stating that ‘rotator cuff’ injuries, which are the most important muscle groups that provide the movement of the shoulder joint, are one of the most common shoulder problems. Bertan Cengiz; “We meet our daily needs thanks to these muscles, which help us lift our arms, play sports, throw, push or pull an object. Life can become painful for us because of these tears, which are more common in people who have a serious load on their shoulders.” Giving information about rotator cuff injuries and tears, Dr. Bertan Cengiz…
Orthopedics and Traumatology Specialist Dr. Stating that ‘rotator cuff’ injuries, which are the most important muscle groups that provide the movement of the shoulder joint, are one of the most common shoulder problems. Bertan Cengiz; “We meet our daily needs thanks to these muscles, which help us lift our arms, play sports, throw, push or pull an object. Life can become painful for us because of these tears, which are more common in people who have a serious load on their shoulders.
Giving information about rotator cuff injuries and tears, Dr. Bertan Cengiz stated that the gold standard in surgical treatment is the closed surgery method called ‘arthroscopy’. Stating that although it is mostly seen in middle-aged people, this injury may occur earlier in people who do sports that put a serious load on the shoulders such as tennis, swimming and weightlifting. Cengiz, giving information about the causes of the tear; “A rotator cuff tear can occur in young people for acute reasons such as straining or falling during sports, usually while trying to push or pull an object. Repetitive strains related to work and sports are also an important reason. For example, in painters or tennis players, situations that require the arm to stay above the head level for a long time facilitate the development of a tear. In advanced ages, we see the discomfort that turns into a tear, thinning and abrasion in the tendons. In addition, the decrease in blood supply of the muscles with increasing age or the presence of bone protrusions on the bone roof are other factors that facilitate tear formation.
“Not to be confused with neck pain
Cengiz described the prominent feature of the rotator cuff tear as the severe pain that occurs especially when raising the arm above the head; He stated that the pain can sometimes be seen during rest and at night. Dr. Bertan Cengiz; “This pain, which starts from the shoulder and progresses to the upper side of the arm, can sometimes be confused with pain that develops due to neck problems. In addition, the person may experience loss of strength. The loss of strength in the muscles and joint stiffness that can develop over time are among the symptoms, especially when the patient does not use his arm to avoid pain.” Cengiz noted that the first step for the diagnosis of surrounding muscle tears is a detailed shoulder examination. “However, MRI has a special place in diagnosis. It is the most frequently used and the most valuable diagnostic tool in the detection of both tears and other shoulder joint disorders. It is safely preferred because it does not cause radiation exposure,” said Dr. Bertan Cengiz, in some cases to confirm the diagnosis. of the shoulder joint He says that local anesthetic injection is also applied into the space between the torn muscle and the bone roof above it.
“The patient’s age and lifestyle are important in the treatment”
While the treatment of rotator cuff injuries is determined depending on the age, level of movement and lifestyle of the patient, it was also stated that the treatment options may vary according to the type of tear and the doctor’s approach. Stating that the first treatment is not surgery in people over 65 years of age, in patients with partial muscle tears, if muscle strength and shoulder range of motion are good, Dr. Bertan Cengiz continued his words as follows;
“Treatment is started with anti-inflammatory drugs, appropriate exercises and physical therapy methods. When your doctor deems it necessary, pain can be relieved with single-dose cortisone injections to the shoulder. Surgical treatment is performed in patients whose complaints continue despite these treatments.” Emphasizing that it is accepted as the gold standard, Dr. Bertan Cengiz briefly said, “In this method, three or four 4-5 mm holes are drilled around the shoulder and a special camera is entered. Thanks to the holes opened, the bone can be shaved, torn sutured, congestion or adhesions can be prevented. Dr. Bertan Cengiz, who explained that the images obtained in arthroscopy provide a great advantage compared to open surgery, said, “Many places that cannot be seen with the naked eye in open surgery can be seen thanks to arthroscopy. The damage to the healthy tissue that may occur during the operation is minimized.” Kopan te After the ndon is refreshed, it is fixed to the bone with suture anchors called ‘ankor’. Stating that full thickness and wide muscle tears that cannot be repaired, treatment is provided by transplanting other muscles around the shoulder, Dr. Bertan Cengiz said, “Patients who develop damage to the shoulder joint as a result of being untreated for many years are treated by applying a shoulder prosthesis.”