Arthroscopic Shoulder Rotator Cuff Repair with the Rotation Implant

The rotator cuff is a group of tendons and muscles that support the shoulder joint and allow for complete movement while keeping the ball of the arm bone in the shoulder socket.  These tendons and muscles may become torn or otherwise damaged from injury or overuse and can lead to pain, weakness and inflammation.  Surgery may be used to treat this often serious condition.  Rotator cuff repair surgery is usually successful in relieving shoulder pain, although full strength cannot always be restored.  Standard arthroscopic techniques can take up to 6 months to heal through a painful rehabilitation process.

Dr. Scott Sigman is a leader in using a revolutionary new patch for partial or complete shoulder cuff tears to:

  • Decrease post-operative pain
  • Lower rehabilitation time
  • Quick return to work and daily activities

The patch is the “Rotation” bioinductive bovine implant.  During the arthroscopic surgery, the partially or complete torn area of the rotator cuff is smoothed out and a patch is placed over the torn region.  With time, the patch will begin to integrate into your rotator cuff healing of the tear and can help reverse the degeneration or wearing out of the rotator cuff again.

After placement of the Rotation implant, many patients are back to work within a week, with near full range of motion within 3 weeks, and many patients do not require physical therapy.


Dr. Scott Sigman uses EXPAREL to reduce opioid reliance and consumption.  EXPAREL can provide a non-opioid pain control in the first few days after surgery when patient’s postsurgical pain is the highest.  When using EXPAREL, there is no need for catheters, pumps, or other delivery devices.

Dr. Scott Sigman is a consultant for Pacira Pharmaceuticals, Inc., and has partnered with them on an initiative to use opioid alternatives in the surgical setting.