Mild AC arthropathy. If you have been diagnosed with a partial thickness tear and begin experiencing more pain you should talk to your orthopaedic surgeon. Risk of infection and nerve damage are worthy of consideration for any surgery, particularly one as involved as a reverse shoulder replacement. So while the cost of surgery can be expensive, people who can't do their job one-handed may also need to consider potential loss of income as well or making alternative work arrangements. You may note weakness of your arm and difficulty with routine activities such as combing your hair or reaching behind your back. Of course, I am sure his orthopedic surgeon will be able to give good advice in this regard (after a full clinical assessment etc.). If not what is this indictative of. The blue arrows indicate a full-thickness tear in the supraspinatus tendon, the most common location for rotator cuff tears. Irreparable. There is a moderate amount of fluid distending the subdeltoid bursa maximal over the anterior aspect of supraspinatus and the rotator interval. The supraspinatus is one of four muscles that make up a group referred to as the rotator cuff muscles. Either way, this kind of ongoing shoulder pain is not good. Just be aware that even in the best cases, the recovery time following surgery requires months (not weeks) so if you go ahead with the surgery don't be discouraged if you still have some pain in the first weeks after the surgery. I received today my results of a CT Scan from my right shoulder, which I had an accident like 5 months ago. At age 74, not sure whether to endure surgery with hard rehab and recovery or continue with PT . Went to an orthopedic surgeon who said I had frozen shoulder and injected the capsule with cortisone and told me to return in 3 months. You don't need to lean over as far as demonstrated in this video. No. It was then I found out how messed up my shoulder actually is 1. Medicine. From a mechanical point of view the muscles and soft tissues around the shoulder do an amazing job to keep the head of the humerus (ball) in the small glenoid fossa (bony component of the socket)! @anonymous: Oh Tonia, I feel for you. Full-thickness rotator cuff tears are diagnosed with the help of a thorough history and physical examination, as well as the use of imaging studies, most commonly, MRI. I suspect you have a bit of work to do over the next 6 months or so to help your shoulder recover. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. 2. It may be helpful to think of the rotator cuff as a group of muscles and each muscle is connected to the bone via a tendon. Most people regain shoulder function and strength within four to six months after surgery, but full recovery may take up to 12-18 months. While hauling a box of machine gun ammunition up a ladder (I was holding onto the ladder with one arm and the box of ammo in the other) my right shoulder randomly decided to give up on me. Approximately 1% of the adult population will have shoulder pain at some point in their lives. So a second opinion may not always yield the same advice (even though both surgeons may be giving appropriate advice based on their own circumstances and information). Good luck with it. How do you treat a supraspinatus tear? Impression: moderate supraspinatus tendinosis with a small full thickness footplate tear. @anonymous: Hi Hans, Thanks for stopping by and sharing your story. He says the tendon is fraying like a ropethat he would need to reattach to the bone. It's very good of you to reply so promptly and clearly though. I wrote a previous commentsaw my orthopedic surgeon this week. A supraspinatus tear is a tear or rupture of the tendon of the supraspinatus muscle, which is located at the back of the shoulder. Subacromial decompression surgery is the most common option to open up the subacromial space and is combined with a rotator cuff repair if the supraspinatus tendon is torn. Because of the risk of infection and and nerve damage. I've seen musicians and artists with poor shoulder function be able to perform their art as well as they did before their injury; sometimes through making some adaptations, but other times almost no adaptation was required (depending on their technique / instrument / art etc.). Severe pain after. Some surgeons will prescribe a slightly different post-operative rehabilitation program depending on the nature of the injury and precise surgery performed. I will congratulate you on actually doing your exercises! Surgical repair can often be . Front view (left) and overhead view (right) of the tendons that form the rotator cuff. They may be perfectly justified in their opinion, but if their opinion is based on one or two other specific cases that they know of (or perhaps their own bad experience), it would be a shame to miss out on receiving some potential benefit because a well meaning friend or family is not as well informed on the topic as they may think. Good luck! I do so appreciate the advice and direction you have given to myself and others through this posting. But not result in a normal shoulder. This content is accurate and true to the best of the authors knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. In the mean time, I received another steroid injection treatment. So my tear went from a near full thickness tear to a full thickness tear. . ( x-ray, phys ther,corticosteroid inj. However, host cases are the result of the tendon wearing down over time, which is known as a degenerative tear. The average duration of follow-up was twenty-nine months. Interstitial hyperintensity is seen within biceps tendon in the . Supraspinatus tendon tear symptoms commonly go on for months (or even years) until the underlying problem is resolved (usually through improving the functioning of the rotator cuff, surgery, or both). Good luck! Pitchers, swimmers, and tennis players are common examples. It will be worth developing a good relationship with your doctor (and physical therapist) who can help you do the right things to recover as quickly as possible. I've only got a couple of minutes, so I'll keep this short. Make sure you understand their explanation of what problems are occurring around you shoulder and what treatment options are available to you. They loaded the muscles under three separate conditions: 1) rotator cuff . In many cases, surgery is required. but can get back fairly good motion about the shoulder . The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. I then went to see another orthopaedic surgeon who said I have whiplash. Unfortunately, I think 1cm retractions of torn tendon fibres do not favor natural healing of those portions of the tendon (without surgery). Sometimes the success rate of a second surgery is not as high as the success rate of the first surgery but still much higher than any other alternative. However, I would also want to be honest with the surgeon in letting them know that an orthopedic surgeon had previously been consulted and that a second opinion was being sought. It is important the the surgical repair of the tendon is protected initially to ensure that a re-injury does not occur. With complete tears, the tendon has come off (detached) from where it was attached to the bone. I don't want to experience what you've gone through, but I'm currently deployed and am not getting treated. I left out a bunch of other things that are normal. The anterior band of the supraspinatus (most common tear location) is an agonist to external rotation. Whiplash is more difficult to detect with common imaging approaches, like an MRI, than supraspinatus tendon tears. Nonetheless, it worth noting that as a general principle, synovial fluid is very important and helps lubricate the joint. I'm sorry I can't provide you with specific advice, rather I only provide some general information. Any suggestions? Especially since my injury has gotten worse instead of better. If you are in doubt, don't be afraid to get a second opinion. They usually present as a sharp pain at the outside or front of the shoulder, particularly with arm elevation (raising the arm to the side or front). Time passed. On one hand, I want the second opinion to be formulated entirely based on my case information (not on what another surgeon did or did not recommend). One of the most painful experiences ever. If, however, you are active or use your arm for overhead work or sports, surgery is most often recommended because many tears will not heal without surgery. The individual shape of the bone structures (particularly the acromion) and soft tissues around the tendon will contribute to whether the tendon is able to move freely or become impinged between structures with arm elevation. I don't lay on the side of the hurt arm as I don't think it will be good for it. I am sorry I can't offer you specific advice over the internet regarding surgery or specific exercises. While it is estimated that 65-70% of all shoulder pain involves the rotator cuff tendon, it has been estimated that 5 to 40 % of people without shoulder pain have full-thickness tears of the rotator cuff. Now I have these results stated above. If you get a chance drop by again and let us know how you went. i d glad if ortopedist or physiotherapist reply ansver. A rotator cuff tear can be caused by an acute injury such as a fall or by normal age-related wear and tear combined with tendon degeneration. However, I think the most important thing you mentioned was falling pregnant. That way you can make an informed decision in consultation with advice from your doctor. I appreciate your thoughts on this matter. Either way, don't be afraid to ask your surgeon lots of questions (likelihood of success in your case, what will happen after surgery, recovery time-frames etc.). This can be one of the most frustrating things for people who have whiplash associated disorders. 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