Abstract
Since surgery in rotator cuff tears is only indicated in the case of fresh trauma or degenerative changes with sufficient prior conservative treatment, the latter assumes particular significance. In this case, naturally even physiotherapy is unable to treat the damage. Treatment begins with a physiotherapeutic assessment of the findings, including muscle tests. An assessment of shoulder function is also recommended. Pain reduction is given priority. Exercises designed to restore mobility and strength with the humeral head in an optimal position in its socket are then carried out. The second part of the article presents the procedure following rotator cuff surgery, which is divided into an immediate postoperative in-patient stage and an out-patient stage; for those with employee compensation insurance, a further in-patient stay in hospital comprises a third stage. Weight-bearing can be gradually allowed, such that the load increase after 6 months should exceed 25 kg; “overhead” sports or occupational activities which require overhead tasks can be tackled.
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