Rotator Cuff Injury Specialist in New Jersey
Rotator cuff injuries are defined as shoulder pain, difficulty lifting arm above head, shoulder clicking at the joint, and a reduced range of motion. The New Jersey Orthopaedic Institute sees many patients for rotator cuff injuries, as it is a very common ailment. A doctor will look intensively into the background of the patient, as often times certain activities like swimming or baseball can increase the likelihood of a rotator cuff injury. The definitive test for diagnosing a rotator cuff injury is a MRI which will show the evidence of a tear. The MRI can also show a myriad of other things like a torn labrum, shoulder impingement, or even a tear in the bicep muscle.
The rotator cuff can be injured in a variety of different ways. Overuse of the shoulder leads to break down of the bicep’s tendon and leaves the rotator cuff inflamed. Tearing is the next step. The likelihood of a torn rotator cuff increases with age as the degeneration of the tendon increases rapidly as a person ages. There is also a genetic factor when it comes to rotator cuff injuries with a predisposition to the tendons in the shoulder breaking down more rapidly. The continued overuse of the shoulder especially in certain sports can contribute to a rotator cuff injury occurring earlier in an athlete’s career. There are even more factors that are associated with the injury of the rotator cuff. One of these factors is an increased BMI and the other is abnormality of the shoulder. Injuries to the rotator cuff are not just from overuse, and they tend to occur over time. Rotator cuff injuries can be caused by a single trauma. This is not as common, especially with a healthy shoulder joint, but if the tissue is unhealthy then the odds of this happening will increase. The shoulder is a ball and socket joint made up of the humerus and scapula. The socket becomes deeper because of the glenoid labrum and helps to stabilize the shoulder joint. An important feature of the shoulder is the 4 rotator cuff muscles, which can be exercised to reduce the likelihood of injury. These are the 4 rotator cuff muscles: • The supraspinatus is the muscle that goes over the top of the shoulder and inserts into the greater tuberosity. • The infraspinatus and teres minor are posteriorly positioned muscles that also insert in the greater tuberosity. • The subscapularis inserts into the lesser tuberosity and is positioned over the anterior aspect of the shoulder.
Depending on the severity of the tear and the current condition of the patient, there are a few different ways to repair conditions on the rotator cuff.
Superior capsular reconstruction is a unique rotator cuff surgery performed by experienced orthopedic surgeons. This innovative procedure is recommended for patients who’ve had rotator cuff surgery in the past or have re-torn the tendon. This surgery is also ideal for those who’ve experienced a massive full thickness rotator cuff tear that is beyond conventional repair.
Arthroscopic rotator cuff repairs are a favored method for treating small to medium sized rotator cuff tears. Only a few incisions roughly a centimeter long at most are needed for the repair with use of an arthroscopic camera for guidance. Arthroscopic surgery yields a shorter recovery and less pain following surgery.
An open rotator cuff repair and mini-open repair are corrective procedures that utilizes a larger incision. At NJOI, we do not typically perform open repairs unless absolutely necessary. This surgery is typically performed for patients with larger or complex tears. It should be known there is higher potential for increased complications associated with open surgery.
A reverse total shoulder replacement is a surgical procedure specifically designed for patients with osteoarthritis of the shoulder joint and have rotator cuff insufficiency that could not be repaired arthroscopically. Conventional total shoulder replacements cannot efficiently repair the tendon, therefore this method can fix the non-working rotator cuff arthropathy as well as the osteoarthritis.
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Meet The Team
Vincent K. McInerney, M.D.
Founding member, Vincent K. McInerney, M.D., graduated from Rutgers New Jersey Medical School in 1977 with honors as one of the top medical students in his class.
Anthony Festa, M.D.
Dr. Anthony Festa is an orthopaedic surgeon in his seventh year of practice at the New Jersey Orthopaedic Institute.
Anthony J. Scillia, M.D.
Anthony J. Scillia M.D. is a board certified orthopaedic surgeon with subspecialty certification in sports medicine.
Robert M. Palacios, M.D.
SPORTS MEDICINE PHYSICIAN
Dr. Robert Palacios is board-certified and fellowship trained, and has been specializing in outpatient orthopedics and sports medicine for over two decades.
Craig Wright, M.D.
ORTHOPAEDIC TRAUMA SURGEON
Craig Wright, MD joins New Jersey Orthopaedic Institute by way of Totowa, NJ where he was born and raised.
"Doctors and staff very knowledgeable. Staff very friendly and helpful. Procedure I had went well and staff at surgical center very nice. My procedure went very smoothly. Follow up by staff impressive. Neat office; inviting. Would definitely recommend Dr. Festa to anyone in need of such services."
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