Rotator cuff tendon rupture

The shoulder joint moves and stabilizes a large number of muscles, among which the group of four muscles whose tendons form the so-called rotator cuff.


There are a number of reasons for shoulder pain. At the Ribnjak Polyclinic, our orthopedic team led by Dr. Milan Milošević, a specialist in orthopedics and traumatology, provides you with complete care for your joints.

Shoulder pain can be the result of a number of different simple or complex causes. Proper diagnosis is the key to adequate treatment, thorough recovery and return to normal life activities. Shoulder pain can be the result of a number of different simple or complex causes. The most common causes of shoulder pain are:


The shoulder joint consists of a large number of muscles, tendons and ligaments, and the most important among them is a group composed of four tendons called therotator cuff. The rotator cuff is an important link in shoulder stabilization and allows great joint mobility. Along with them, the tendon of the biceps muscle of the upper arm is also active.

Damage to the shoulder tendons is a very common occurrence, which can be caused by the development of degenerative changes or sudden movement of the arm. A damaged rotator cuff weakens the shoulder and the whole arm, which means that daily activities can become painful or almost impossible to perform.

The most commonly injured tendon is that of the supraspinatus muscle, but other parts of the cuff can also be damaged. In many cases, damaged tendons are additionally strained with each movement, which causes the progression of the condition and daily activities become difficult to perform, or very often completely impossible, especially in physical work.

The rotator cuff can be damaged in two ways:

  • Partial damage
  • Complete tendon rupture


In the case of extensive minor shoulder tendon damage, physical procedures using platelet rich plasma(PRP) can yield a good result. Platelet rich plasma in such cases has an excellent effect on reducing pain and regenerating soft structures.


With complete damage to the shoulder tendon, there is no effective non-surgical treatment. By strengthening the muscles, a weakened tendon can be helped to some extent. Surgery in such cases is the “gold standard” of treatment.

Surgery for damaged rotator cuff tendons most often involves reattaching the tendon to the shoulder bones. Special materials are used, from thread to the so-called. “Anchors”.

There are several options for shoulder tendon reconstruction.


It is rarely used. A traditional open surgical incision is often needed if the rupture is large or complex. This is necessary in order to achieve adequate access to the damaged tendon.

The open procedure is the first method used to repair a damaged cuff. Over the years, new technology and improved experience have led to less invasive procedures.


Modern orthopedic method, based on minimal tissue opening and the use of optics. During arthroscopy, visualization is accomplished using an arthroscope

The camera displays an image on the screen, and these images are used by us to guide miniature surgical instruments. During this operation, these thin instruments are used with great precision for maximum sparing tendon repair.


This method uses newer technology and instruments for reconstruction through a small incision. It is still a sparing and very effective method that allows for optimal treatment results.

It can be combined with shoulder arthroscopy. When the arthroscopic part of the procedure is completed, it is accessed through a small open incision. During tendon reconstruction, the orthopedist examines the shoulder structures directly, not through a video monitor. Modern materials are used to achieve an excellent end result.

After all the above surgical procedures, dosed postoperative therapy follows. The use of platelet rich plasma has been shown to accelerate recovery. Polyclinic Ribnjak is able to offer you the optimal choice of treatment for the purpose of the fastest possible recovery.

Our specialist team, in agreement with each patient, finds the best procedure that will meet your individual health needs.

In short

Polyclinic Ribnjak is a unique institution in the Republic of Croatia. It unites different branches of medicine, all in order to stay true to its slogan “Health and Beauty. Together”. Orthopedics, advanced sports diagnostics, functional and kinesiological rehabilitation, cosmetic surgery and treatments are the services we provide on a daily basis, professionally and in accordance with the latest professional standards.


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