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Rotator Cuff Tendonitis

What is Rotator Cuff Tendonitis?

The Rotator Cuff refers to the tendons and muscles that holds the shoulder joint in place with the upper arm and shoulder blade. Other structures affect the rotator cuff and these include a bursa which is a sac that lubricates the rotator cuff and is positioned under the end of the shoulder blade (acromion).

Inflammation of the tendons and bursa can occur, additionally the acromion can rub on the rotator cuff due to the narrowing caused by the inflammation of the surrounding tissues, bony lumps that may have formed or caused by degenerative disease.

The rotator cuff tendons due to wear and tear and repetitive stress can be torn either partially or completely ruptured.  Sports such as tennis and rowing, degeneration of the joint and age are contributing factors of these conditions.

Symptoms include pain, weakness in the arm, difficulty with full range of movement of the arm.

Diagnosis includes consultation by an experienced shoulder consultant with extensive physical examination. Diagnostic tests such as x-ray, ultrasound and MRI may also be needed.

Conservative treatment is encouraged. This includes initial rest from sporting activity, anti-inflammatory medication, ultrasound guided steroid injection and physiotherapy to help strengthen and improve movement in the shoulder. Recovery period can range from 6-12 weeks depending on the condition.

Surgery is necessary when symptoms have not improved with conservative treatment and it is difficult to carry out normal daily activities. Shoulder arthroscopy is a common procedure to treat many shoulder problems. Like arthroscopy of the knee and hip, a telescope is inserted into the shoulder joint and thin instruments are used to improve the shoulder joint. Rotator Cuff Repair will be necessary to join the torn tendons. Subacromial Decompression may be another procedure performed to treat shoulder impingement and this includes creating space around the rotator cuff. Removal of inflamed tissue, bony lumps/spurs and debridement of the shoulder joint may also be included. Recovery period can vary between patients and injury sustained. Patients will need to wear a sling to protect the shoulder when discharged from hospital. The wound will need to be checked in clinic after 2 weeks.  Physiotherapy is necessary for the recovery and patients are usually back at work between 2-6 weeks and enjoying life and playing sports between 3-6 months.

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Meet Your Consultants

Mr Dimitrios Tsekes

Consultant Shoulder & Elbow Surgeon

Mr Tsekes provides a full comprehensive Shoulder and Elbow service for common conditions, degenerative diseases and sports injuries in London and Essex. His approach to patient care is holistic and multidisciplinary, working closely with Orthopaedic consultants and other skilled health professionals to provide a caring and evidence-based treatment for his patients.

Shoulder Conditions:
Shoulder Sport Injuries
Shoulder Dislocation (Shoulder Subluxation)
Shoulder Arthritis
Shoulder Osteoarthritis
Shoulder Pain (Subacromial Pain)
Shoulder Instability
Shoulder Impingement (Subacromial Impingement)
Frozen Shoulder (Adhesive Capsulitis)
Rotator Cuff Tear

Elbow Conditions:
Elbow Sport Injuries
Elbow Arthritis
Elbow Osteoarthritis
Elbow Pain
Elbow Stiffness
Tennis Elbow (Lateral Epicondylitis)
Golfer’s Elbow (Medial Epicondylitis)
Biceps Tear

Hand & Wrist Conditions:
Carpal Tunnel Syndrome
Cubital Tunnel Syndrome
Dupuytren's Contracture
Trigger Finger
Wrist and Hand Injuries

Shoulder Procedures:
Arthroscopic Rotator Cuff Repair (Keyhole Rotator Cuff Repair)
Arthroscopic Shoulder Stabilisation Surgery (Keyhole Shoulder Stabilisation Surgery)
Arthroscopic Shoulder Capsular Release (Keyhole Shoulder Capsular Release)
Arthroscopic Subacromial Decompression (Keyhole Shoulder Decompression)
Shoulder Replacement
Shoulder Injections (Steroid Injections, Orthobiological Joint Injections, Ultrasound Guided Injections)
Tendon Repairs

Elbow Procedures:
Elbow Replacement
Elbow Arthroscopy
Elbow Injections (Steroid Injections, Orthobiological Joint Injections, Ultrasound Guided Injections)
Fracture Fixation
Tennis Elbow Release
Golfer’s Elbow Release

Hand & Wrist Procedures:
Carpal Tunnel Decompression (Ulnar Nerve Release Surgery)
Dupuytren's Contracture Release
Hand Injections
Trigger Finger Release

British Elbow and Shoulder Society (BESS)
General Medical Council (GMC)
European Board of Orthopaedics and Traumatology (EBOT)

English
Greek

Nominated for Trainer of the Year in 2018 - The Royal London Rotation

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Mr Rupen Dattani

Consultant Shoulder & Elbow Surgeon

Mr Rupen Dattani is a highly specialised Orthopaedic Consultant, specialising in the shoulder and elbow. He has extensive experience with keyhole (arthroscopic) surgery and joint replacement (arthroscopic) surgery, as well as surgical repair for fractures of the shoulder and elbow joints. Mr Dattani was appointed as a Consultant Trauma & Orthopaedic Surgeon at the Chelsea & Westminster NHS Foundation Trust in 2013.

Shoulder Conditions:
Acromioclavicular Joint (ACJ) Arthritis
Acromioclavicular Joint (ACJ) Dislocation
Acromioclavicular Joint (ACJ) Pain
Biceps Tear
Frozen Shoulder (Adhesive Capsulitis)
Shoulder Dislocation
Shoulder Instability
Shoulder Arthritis
Shoulder Osteoarthritis
Shoulder Impingement (Subacromial Impingement)
Rotator Cuff Tear

Shoulder Pain
Shoulder Sport Injuries

Elbow Conditions:
Elbow Arthritis
Elbow Osteoarthritis
Elbow Pain
Elbow Stiffness
Elbow Sport Injuries
Golfer’s Elbow (Medial Epicondylitis)
Tennis Elbow (Lateral Epicondylitis)

Hand & Wrist Conditions:
Carpal Tunnel Syndrome (Median Nerve Compression)

Shoulder Procedures:
Shoulder Arthroscopy
Rotator Cuff Repair
Shoulder Replacement
Shoulder Decompression (Subacromial Decompression)
Shoulder Stabilisation
Joint Injections
Orthobiological Joint Injections
Ultrasound Guided Injections

Elbow Procedures:
Elbow Arthroscopy
Elbow Replacement
Fracture Fixation
Nerve Release Surgery
Joint Injections
Orthobiological Joint Injections
Ultrasound Guided Injections

Hand & Wrist Procedures:
Carpal Tunnel Decompression (Nerve Release Surgery)

General Medical Council (GMC)
Medical Defence Union (MDU)

English
Gujarati
Hindi

Board of Governors Quality Award - Chelsea & Westminster NHS Foundation Trust

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Mr Dan Rossouw

Consultant Shoulder & Elbow Surgeon

Mr Rossouw has a keen interest in shoulder surgery and the management of shoulder conditions, including rotator cuff injuries, shoulder instability and shoulder dislocations. He has undertaken extensive research on rotator cuff repair and shoulder arthroscopy. He is an enthusiastic and highly regarded trainer amongst his colleagues. Mr Rossouw is a Consultant Orthopaedic Surgeon for Barnet and Chase Farm Hospital and has joined the Orthopaedic faculty of the Royal Free London NHS Foundation Trust.

Shoulder Conditions:
Biceps Tear
Frozen Shoulder (Adhesive Capsulitis)
Shoulder Dislocation
Shoulder Instability
Shoulder Arthritis
Shoulder Osteoarthritis
Shoulder Pain
Shoulder Sport Injuries
Rotator Cuff Tear

Elbow Conditions:
Elbow Arthritis
Elbow Osteoarthritis
Elbow Pain
Elbow Stiffness
Elbow Sport Injuries
Tennis Elbow (Lateral Epicondylitis)
Golfer’s Elbow (Medial Epicondylitis)

Hand & Wrist Conditions:
Carpal Tunnel Syndrome

Shoulder Procedures:
Shoulder Replacement
Shoulder Resurfacing
Rotator Cuff Repair
Shoulder Arthroscopy
Shoulder Stabilisation
Orthobiological Joint Injections
Steroid Injection
Tendon Repair

Elbow Procedures:
Elbow Replacement
Orthobiological Joint Injections
Steroid Injection

Hand & Wrist Procedures:
Ulnar Nerve Release

Complementary Rehabilitation:
Dance Therapy

British Orthopaedic Association (BOA)
British Medical Association (BMA)
British Elbow and Shoulder Society (BESS)
General Medical Council (GMC)
Medical Defence Union (MDU)

English

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Mr Peter Domos

Consultant Shoulder & Elbow Surgeon

Mr Peter Domos is a double-fellowship trained Consultant Trauma and Orthopaedic Surgeon, specialising in shoulder and elbow surgery. He is an expert in his field, providing a full comprehensive shoulder and elbow service for degenerative disorders, sports injuries and complex trauma. Mr Domos is a keen teacher and trainer of physiotherapists, junior doctors and orthopaedic trainees and is continuously involved in research. He was recently awarded Trainer of the Year 2021 from the University College Hospital London (UCLH) and Middlesex Orthopaedic Society.

Shoulder Conditions:

Shoulder Dislocation or Instability
Subacromial Pain or Impingement syndrome
Frozen Shoulder (Adhesive Capsulitis)
Shoulder Inflammatory Arthritis
Shoulder Osteoarthritis
ACJ (Acromioclavicular Joint) Arthritis
ACJ (Acromioclavicular Joint) Dislocation or Instability
Clavicle Fractures
Shoulder Fractures
Arm Fractures
Shoulder Sport Injuries
Rotator Cuff Tear
Biceps Tear
Shoulder Tendon Tears
Shoulder Pain

Elbow Conditions:

Tennis Elbow
Golfer’s Elbow
Elbow Pain
Elbow Stiffness
Elbow Inflammatory Arthritis
Elbow Osteoarthritis
Elbow Instability
Elbow Fractures
Elbow Sport Injuries
Elbow Tendon Tears
Nerve Entrapment Syndromes, Cubital Tunnel Syndrome

Shoulder Procedures:

Shoulder Arthroscopy (Keyhole Surgery)
Rotator Cuff Repair
Shoulder Replacement
Shoulder Capsular Release
Shoulder Injections
Shoulder Stabilisation
ACJ (Acromioclavicular Joint) Stabilisation
Subacromial Decompression
ACJ (Acromioclavicular Joint) Resection
Shoulder Tendon Repairs
Biceps surgery
Fracture Fixation

Elbow Procedures:

Elbow Replacement
Elbow Stabilisation
Elbow Release
Elbow Injections
Elbow Arthroscopy (Keyhole Surgery)
Elbow Tendon Repairs
Nerve Release Surgery
Fracture Fixation

American Shoulder and Elbow Society (ASES)
British Elbow & Shoulder Society (BESS)
European Society for Surgery of the Shoulder and the Elbow (ESSSE/SECEC)
Fellow of Royal College of Surgeons of Edinburgh and England (FRCS)
British Orthopaedic Association and British Orthopaedic Trainee Association (BOA, BOTA)
European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA)
Premium Medical Protection (PMP)

English
Hungarian

BESS Traveling Fellowship 2014

Paul Calvert Research Paper Prize

ISAKOS Upper Limb Traveling Fellowship 2016

And several other International (ESSKA) and National (Royal College of Surgeons, BOA) Awards

Trainer of the Year Award 2021 - UCLH and Middlesex Orthopaedic Society

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