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Rotator Cuff Repair
in Singapore

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Dr Henry Chan
Dr Henry Chan
Medical Director & Senior Consultant Orthopaedic Surgeon
MBBS (S’pore), MRCS (Edinburgh), MMed (Orthopaedic Surgery), FRCS (Edinburgh)
Dr Nicholas Yeoh
Dr Nicholas Yeoh
Senior Consultant Orthopaedic Surgeon
MBChB (Edinburgh), MRCS (Edinburgh), MMed (Orthopaedic Surgery), FRCS (Edinburgh)
Dr Toon Dong Hao
Dr Toon Dong Hao
Senior Consultant Orthopaedic Surgeon
MBChB (Leeds), MRCS (Edinburgh), MMed (Orthopaedic Surgery), FRCS (Edinburgh)
Dr Tang Zhi Hao
Dr Tang Zhi Hao
Senior Consultant Orthopaedic Surgeon
MBBS (S’pore), MRCS (Edinburgh), MMed (Orthopaedic Surgery), FRCS (Edinburgh)
Rotator Cuff Repair

If you struggle to lift your arm without pain, notice weakness when reaching overhead, or wake at night with a persistent shoulder ache, you may be dealing with a rotator cuff tear. Simple tasks such as combing your hair, fastening a seatbelt, or reaching into a cupboard can become frustrating and limited. For active individuals, shoulder pain may also prevent participation in work duties, exercise, or sports.

The rotator cuff is a group of four muscles and tendons that stabilise the shoulder and enable smooth, controlled movement. When a tendon is torn and symptoms persist despite rest, corticosteroid injections, and structured physiotherapy, surgery may be considered. Rotator cuff repair is an evidence-based procedure that reattaches the torn tendon to the humerus, with the aim of reducing pain, restoring stability, and improving long-term shoulder strength and function.

Signs & Symptoms Explained

What Is Rotator Cuff Repair and Who Needs It?

Rotator cuff repair is a procedure used to fix a tear in one or more of the tendons that stabilise the shoulder. This surgery can be performed through minimally invasive arthroscopic techniques or open surgery, depending on the size and age of the tear.

Common Conditions and Candidates

Surgery is often recommended for patients experiencing:

  • Acute Traumatic Tears

    Sudden injuries caused by a fall or lifting a heavy object.

  • Degenerative Tears

    Chronic wear and tear that occurs over time, common in patients over 40.

  • Full-Thickness Tears

    Where the tendon is completely detached from the bone.

  • Partial Tears

    Where the tendon is damaged but not fully severed, yet still causing significant pain and weakness.`

When Conservative Care Is No Longer Enough

While minor strains may heal with rest and therapy, larger tears generally do not heal on their own because the muscle is constantly pulling the tendon away from its attachment point. If you continue to experience "night pain" that prevents sleep, or if your arm weakness is hindering your ability to work or care for yourself despite non-surgical efforts, surgical repair is usually the next clinical step.

If shoulder instability or recurrent dislocations persist or worsen, seek early medical assessment from our shoulder specialists at HC Orthopaedic Surgery to prevent further cartilage damage.
Your Journey

What to Expect From Rotator Cuff Repair

Rotator cuff repair is a structured process that extends beyond the operation itself. From preparation to rehabilitation, each stage is designed to protect the healing tendon, manage discomfort and gradually restore strength and mobility.

1

How to Prepare

Before surgery, your specialist will perform a detailed clinical assessment and review imaging, usually an MRI scan, to determine the size and configuration of the tear. Your medical history and current medications will also be reviewed to ensure you are fit for the procedure.
In the days leading up to surgery, you may be advised to fast from midnight and temporarily adjust certain medications under medical guidance. As your arm will be immobilised in a sling afterwards, it is helpful to prepare your home in advance.
Key preparation steps include:
  • Following fasting and medication instructions carefully
  • Arranging help at home for daily activities
  • Preparing loose clothing and positioning frequently used items within easy reach
2

Procedure Overview

On the day of surgery, you will be admitted to the hospital or day surgery centre. Rotator cuff repair is typically performed under general anaesthesia, and a regional nerve block may also be administered to help reduce post-operative pain.
Once you are asleep, the surgeon performs the repair arthroscopically through small incisions around the shoulder. A camera provides a clear view of the joint, and specialised instruments are used to reattach the torn tendon to the humerus using suture anchors. In more complex cases, a mini-open or open technique may be necessary to achieve a secure repair.
The procedure usually takes one to two hours. After surgery, you will be monitored in the recovery area as the anaesthesia wears off. Most patients return home on the same day, wearing a sling to protect the shoulder.
3

Aftercare and Recovery

Recovery occurs in phases, beginning with protection of the repair. A sling is worn for approximately four to six weeks to minimise strain on the healing tendon. Pain and swelling are managed with prescribed medication and cold therapy.
Physiotherapy starts with passive range-of-motion exercises to prevent stiffness while safeguarding the repair. As healing progresses, active movement and strengthening exercises are introduced in a gradual and supervised manner. Light desk-based work may be possible within two weeks, while return to heavy lifting or overhead sports often takes four to six months, depending on the size of the tear and individual recovery.
At HC Orthopaedic Surgery, our team supports patients at every stage of rotator cuff repair, from detailed pre-operative assessment to structured rehabilitation and safe return to daily activities and sport.

Why It Happens

How Does Rotator Cuff Repair Help You?

Undergoing a professional repair offers several life-changing benefits:

  1. Restoration of Sleep Quality

    Eliminating the deep, nocturnal ache allows for uninterrupted rest and better overall health.

  2. Regained Overhead Mobility

    Return to reaching for high shelves, swimming, or playing tennis without pain or clicking.

  3. Increased Lifting Power

    By re-establishing the tendon-to-bone connection, the shoulder can once again generate the force needed for manual tasks.

  4. Prevention of Muscle Atrophy

    Timely repair prevents the muscle from wasting away or turning into fat (fatty infiltration), which can happen if a tear is left untreated for too long.

Know Your Risk Profile

Risks and Potential Complications of Rotator Cuff Repair

Rotator cuff repair is a commonly performed and generally safe procedure. However, as with any surgery, certain risks remain. Careful patient selection, meticulous surgical technique and structured rehabilitation all play an important role in reducing these risks.

Potential complications include:

  1. Tendon Re-tear

    In some cases, the tendon may not fully heal to the bone or may tear again, particularly in larger tears or in patients with poorer tissue quality. Adhering to post-operative restrictions and physiotherapy significantly reduces this risk.

  2. Shoulder Stiffness

    A small number of patients may develop post-operative stiffness, sometimes referred to as frozen shoulder. This is usually temporary and improves with guided physiotherapy and rehabilitation.

  3. Nerve irritation or Injury

    Injury to surrounding nerves is uncommon. When it occurs, symptoms such as numbness or weakness are often temporary and resolve over time.

  4. Infection

    The risk of infection is low and is minimised through strict sterile protocols, prophylactic antibiotics and close post-operative monitoring.

At HC Orthopaedic Surgery, we use evidence-based techniques and personalised surgical planning, with close post-operative follow-up to support optimal healing and minimise complications.
Investment In Your Health

Cost of Rotator Cuff Repair in Singapore

The cost of rotator cuff repair can vary depending on several clinical and logistical factors. A personalised consultation is necessary to provide an accurate estimate, as treatment plans are tailored to the severity of the tear, surgical complexity and individual medical needs.

Key Cost Drivers

Several factors influence the overall cost of surgery:

1

Surgical technique

Arthroscopic shoulder repair, which uses minimally invasive keyhole incisions, may differ in cost compared with open surgery, depending on complexity and operating time.
2

Number of anchors used

Larger or more complex tears often require more suture anchors to achieve a secure repair, which can affect overall surgical fees.
3

Hospital stay

While many procedures are performed as day surgery, some patients may require an overnight stay for monitoring, which increases hospital-related costs.
Financial Support Available

Insurance and Financing

Rotator cuff repair is a standard orthopaedic procedure often covered by Integrated Shield Plans and private health insurance. Patients can also use MediSave and MediShield Life to cover a portion of the surgical and hospital fees, making the procedure accessible for those who need it.

Guiding You Towards Recovery

Restoring Shoulder Function at HC Orthopaedic Surgery

Welcome to HC Orthopaedic Surgery

The goal of rotator cuff repair is to restore the natural mechanics of your shoulder, allowing you to move with the strength and fluidity you once had. Because these tendons are essential for almost every arm movement, addressing a tear early can prevent the long-term deterioration of the joint and the development of "cuff tear arthropathy," a severe form of arthritis. By choosing a surgical pathway, you are investing in the long-term health and mobility of your upper body.

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Our Specialised Team

At HC Orthopaedic Surgery, every treatment plan is carefully structured to match the severity of the tear, lifestyle demands and long-term recovery objectives, with a strong focus on evidence-based surgical techniques and rehabilitation. Our team comprises Dr Henry Chan, Dr Nicholas Yeoh, Dr Toon Dong Hao and Dr Tang Zhi Hao, all of whom manage a wide spectrum of shoulder conditions. Dr Toon has completed advanced fellowship training in shoulder and elbow surgery in Sydney, Australia, supported by the Ministry of Health Singapore under the Health Manpower Development Plan. Patients are guided closely from diagnosis through post-operative rehabilitation to support a safe return to daily activities and sport.

Your Questions Answered

Frequently Asked Questions (FAQs) About Rotator Cuff Repair

How long do I have to wait to get surgery after an injury?

While some tears can wait, acute traumatic tears (like those from a sudden fall) often have better outcomes if repaired within a few weeks. Delaying surgery for several months can allow the muscle to retract and the tendon to thin out, making the eventual repair more difficult and potentially less successful.

Is the surgery very painful?

The procedure is performed under anaesthesia, and we often use a "nerve block" to numb the shoulder for 12–24 hours after surgery. While you will experience soreness during the first week, most patients find the post-operative discomfort manageable with prescribed pain relief and far preferable to the chronic pain they lived with before surgery.

Can a rotator cuff tear heal without surgery?

Small partial tears may stabilise with physical therapy, but full-thickness tears rarely heal on their own because there is no blood supply across the gap of a tear. Without surgery, these tears often increase in size over time due to the constant tension placed on the tendon by the shoulder muscles.

When can I resume sports or heavy exercise?

Most patients can begin light, non-overhead exercise around 3 months post-surgery. However, returning to "collision" sports or high-intensity overhead lifting (like heavy bench presses) typically requires 6 to 9 months of recovery to ensure the biological bond between the tendon and bone is fully matured and strong enough to withstand high loads.

What are the "anchors" made of, and do they need to be removed?

Modern anchors are usually made of bioabsorbable materials or high-strength PEEK (polyetheretherketone). They are designed to stay in your bone permanently and do not trigger metal detectors or interfere with future MRI scans. They do not need to be removed once the tendon has healed.
Our Orthopaedic Specialists

Meet Our Specialist Team

Our team comprises Dr Henry Chan, Dr Nicholas Yeoh, Dr Toon Dong Hao, and Dr Tang Zhi Hao — experienced orthopaedic surgeons with subspecialty experience and a patient-centred approach to care.

Dr Henry Chan

Dr Henry Chan

Medical Director & Senior Consultant Orthopaedic Surgeon

MBBS (S’pore), MRCS (Edinburgh), MMed (Orthopaedic Surgery), FRCS (Edinburgh)

Dr Henry Chan is an experienced orthopaedic surgeon specialising in joint replacement and complex revision surgery. Trained at the renowned Helios Endo-Klinik in Germany under the MOH HMDP scholarship, he has performed over 1,000 joint replacements and specialises in computer-assisted and robotic joint replacement techniques for precise outcomes.

About Dr Chan
Dr Nicholas Yeoh

Dr Nicholas Yeoh

Senior Consultant Orthopaedic Surgeon

MBChB (Edinburgh), MRCS (Edinburgh), MMed (Orthopaedic Surgery), FRCS (Edinburgh)

Dr Nicholas Yeoh is an MOH-accredited orthopaedic specialist and Fellow of the Royal College of Surgeons of Edinburgh. Fellowship-trained in hip and knee reconstruction in Sydney under the MOH HMDP scholarship, he specialises in minimally invasive joint replacement, robotic surgery and advanced techniques that enhance recovery and surgical outcomes.

About Dr Yeoh
Dr Toon Dong Hao

Dr Toon Dong Hao

Senior Consultant Orthopaedic Surgeon

MBChB (Leeds), MRCS (Edinburgh), MMed (Orthopaedic Surgery), FRCS (Edinburgh)

Dr Toon Dong Hao is a skilled orthopaedic surgeon and Fellow of the Royal College of Surgeons of Edinburgh. Fellowship-trained in Advanced Shoulder and Elbow Surgery in Sydney under the MOH HMDP scholarship, Dr Toon specialises in sports injuries, arthroscopic surgery and complex shoulder, elbow and knee procedures to restore function and mobility.

About Dr Toon
Dr Tang Zhi Hao

Dr Tang Zhi Hao

Senior Consultant Orthopaedic Surgeon

MBBS (S’pore), MRCS (Edinburgh), MMed (Orthopaedic Surgery), FRCS (Edinburgh)

Dr Tang Zhi Hao is a fellowship-trained orthopaedic surgeon specialising in foot and ankle conditions. He completed his Foot and Ankle Surgery fellowship at Severance Hospital, Yonsei University Health System in Seoul under Professor Jin Woo Lee. Prior to private practice, he served as Consultant and Deputy Head of Orthopaedics at Khoo Teck Puat Hospital.

About Dr Tang
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HC Orthopaedics Team
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We provide comprehensive orthopaedic care for bone, joint, and muscle conditions, offering both non-surgical and surgical treatments focused on relieving pain, restoring movement, and supporting long-term recovery.
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