Imagine a shoulder with a hole in it that's too big to stitch back together in its own way.  It is because the rotator cuff tendons are either in poor shape, or have been stretched and damaged.

    This can cause big problems, like making the arm bone move around in the wrong way.

    It  makes the arm muscles shrink and can make the shoulder joint

    sway  causing severe pain and loss of movement.

    In very bad cases, surgery might be needed,

    Surgery  isn't guaranteed to work as it  is a complicated process.

    The tendon and muscle tissue is already in bad shape, and  the arm bone moves around.

    This makes it hard for the surgeon to do a good job.

    Many surgeons have tried different ways to fix this problem.

    Sometimes they work, and other times they don't.

    The outcome can vary greatly.

   There is a new  technique that combines front and back surgery.

   The development is for repairing big, tricky shoulder tears.

    This new way of doing it has consistently good results.

    It shows potential for dealing with severe shoulder damage.

    It is not a new procedure.

    It is a surgical technique.

    It is a promising new approach

    This surgery is a good option for dealing with big, complex shoulder injuries.

    It is a big deal in the medical world.

    This surgery shows a lot of promise.

    This  type of rotator cuff tear usually happens gradually.

    These tears can be caused by wear and tear over time.

    It could also happen due to sudden injuries, such as falls or accidents.

    The shoulder is often injured in car crashes.

    It is one of the most commonly injured joints in sports injuries

    It is common in younger people who do sports.

    It is also common in the elders who have joints problems

    The shoulder joint is a ball and socket joint.

    It is the most movable joint in the body.

    It is made up of several muscles and tendons.

    The muscles and tendons that make up the rotator cuff are essential for keeping the shoulder stable and functioning properly.

    The rotator cuff is a group of four tendons.  The tendons surround the shoulder joint.

    The tendons connect the muscles to the bones.

    The tendons are very strong.

    The tendons are very flexible.

    The tendons can withstand a lot of force.

    However, they can also be injured.

    The tendons can tear.

    The tendon can tear partially or completely.

    Often, the tears are small and can heal on their own.

    If the tear is large, it may require surgery.

    They can be caused by a sudden injury, such as a fall or a car accident.

    They can also be caused by overuse, such as repetitive motions or sports.

    They can also be caused by age-related degeneration, such as arthritis or osteoporosis.

    The most common cause of rotator cuff tears is age-related degeneration.

    As people age, their tendons become weaker and more prone to injury.

    The tendons can also become frayed and worn out.

    The tendons can also become inflamed and swollen.

    The tendons can also become stiff and inflexible.

    The tendons can also become calcified and brittle.

    These processes can make the tendons more susceptible to injury.

    The tendons can also become more susceptible to injury if they are not properly cared for.

    The tendons can also become more susceptible to injury if they are not properly exercised.

    The tendons can also become more susceptible to injury if they are not properly rested.

    The tendons can also become more susceptible to injury if they are not properly stretched.

    In severe cases, the tendon can tear completely, causing the arm to become paralyzed, or even to fall off the shoulder.

    The tendons can also become inflamed and swollen, causing pain and discomfort.

    The tendons can also become stiff and inflexible, causing loss of movement and weakness.

    The tendons can also become calcified and brittle, which is very dangerous.

    They can break or burst without any warning.

When Big Tears Meet Big Fixes

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