'Reverse Surgery' Best Option for Rotator Cuff Muscle Injuries

Published: 03rd May 2015 06:05 AM  |   Last Updated: 03rd May 2015 06:05 AM   |  A+A-

HYDERABAD:Reverse shoulder replacement surgery is gaining popularity as a safe and effective option for those suffering from rotator cuff muscle tears. Rotator cuffs are an important part of the shoulder and play a pivotal role in ensuring free shoulder movements. Therefore, any damage or injury to the rotator cuff debilitates shoulder movement.

If rotator cuff tears are neglected, the problem gets aggravated and the person cannot even lift the shoulder, explains Dr B Chakradhar Reddy, consultant orthopaedic surgeon at the Global Hospitals. Rotator cuff tear problem forms a major percentage of shoulder-related problems. With no proper treatment available, earlier patients were left to suffer. But with the advent of reverse shoulder replacement surgery, technically described as Trabecular Metal Reverse Shoulder Replacement, patients suffering for a long time can heave a sigh of relief.

“Recently, we performed reverse shoulder surgery for a person who was diagnosed with a rotator cuff muscle tear about 10 years ago. It was not repaired at that time. Had it been repaired then with a relatively minor surgery, the shoulder function could have been restored. The patient may not have required extensive surgery at a later date.

If rotator cuff tears are diagnosed early and treated, long-term problems such as rotator cuff related arthritis can be avoided,” says Dr DN Reddy, senior consultant orthopaedic surgeon, at Continental Hospitals. Orthopaedic surgeons hope reverse shoulder replacement surgery or reverse shoulder arthroplasty can give a new lease of life to rotator cuff tear patients and improve their quality of life. But how is it performed? What mechanism goes into treating the problem undressed for years?

As the name suggests, in reverse replacement surgery, shoulder joint mechanism geometry is revised. The normal shoulder joint has a large ball on a small socket, with the ball on the top end of the arm bone (Humerus).

The socket is on the shoulder blade (scapula). Muscles and ligaments hold this ball on to the cup. When the arm is raised, the ball is not centered in patients with a tear in cuff muscles. Abnormal loading occurs in the shoulder, which causes arthritis. For this type of arthritis (cuff arthropathy) a reverse shoulder replacement is indicated. “Thus in this procedure, the ball is placed on the socket side (scapula) and the socket side is placed on the Humerus (arm bone) reversing the normal geometry of the joint. The intact outer muscles on the arm (Deltoid muscles) help in lifting the arm without the need of inner rotator cuff muscles,” said Dr Chakradhar.

While the surgery is termed a great reliever, orthropaedic surgeons caution that it has to be referred to patients with the right conditions. Reverse Shoulder Replacement Surgery is performed on people with painful arthritis with extensive damage to the rotator cuff muscles. Normally, it is advised to patients who suffer from rotator cuff tears due to trauma induced injury, said Dr DN Reddy.

Stay up to date on all the latest Hyderabad news with The New Indian Express App. Download now
(Get the news that matters from New Indian Express on WhatsApp. Click this link and hit 'Click to Subscribe'. Follow the instructions after that.)


Disclaimer : We respect your thoughts and views! But we need to be judicious while moderating your comments. All the comments will be moderated by the editorial. Abstain from posting comments that are obscene, defamatory or inflammatory, and do not indulge in personal attacks. Try to avoid outside hyperlinks inside the comment. Help us delete comments that do not follow these guidelines.

The views expressed in comments published on are those of the comment writers alone. They do not represent the views or opinions of or its staff, nor do they represent the views or opinions of The New Indian Express Group, or any entity of, or affiliated with, The New Indian Express Group. reserves the right to take any or all comments down at any time.

flipboard facebook twitter whatsapp