full thickness tear of the supraspinatus tendon surgery

I'm still processing in my head what I heard in a VM left 10hrs ago, because I finally found out the findings from my shoulder MRI/Arthogram completed about 6 weeks ago. Thank you for the info posted on this page. It would be much wiser to follow your surgeons instructions (which usually involve keeping arm in sling for 6+ weeks depending on surgery / surgeon etc. Knee Surgery . Mike!! You should not feel pain in the shoulder during the movement. In physio just weeks after the onset of injury, I was unable to lift a 1lb weight with the injured arm bent near armpit while lying on my back. Bursal side: tears on the top of the tendon. Complete tears: More commonly referred to as a full-thickness tear, this injury entirely separates the tendon from the bone. 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)! No tendon retraction or muscle belly atrophy. sir i am a shuttle badminton player.. i got injury on my shoulder .. doc told to tke MRI scan.. after taking MRI scan these are the final impressions.. 1.partial tear in the supraspinatus tendon at the level of insertion in the greater tubersity for a length of about 15mm with intact insertion, 2 partial tear in the anterior superior labrum. I just received my MRI report which states : supraspinatus tendon is thickened and immediate in signal, with a small 3mm (transverse) x 3mm (AP) full thickness footplate tear. i was recently diagnosed via MRI that i have a supraspinatus tendon tear. Rotator cuff tears can also be described as being partial, or full thickness. Thanks for stopping by and sharing your story. pendulum), which should be undertaken ensuring correct technique). Cause There are two main causes of rotator cuff tears: injury and wear (degeneration). When you speak to your doctor and discuss your plan for treatment, make sure you discuss any relevant work / sport related activities so you both know what to expect. Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. If the pain has been present for only a couple of months (or less) and there were minimal risk of worsening the condition with delay, then often a trial of conservative management (e.g. I had a fall at my workplace and was suffering neck and shoulder pain. Because of the return of the recent pain, a another MRI was ordered and the Radiologist wrote: "1. Waiting until after the delivery of your baby to re-attach the tendon may increase the chance of a poorer outcome (not to mention the difficulty nursing a newborn with only one functional arm). Now I have these results stated above. . Full thickness tears of the rotator cuff are described as small, medium, large or massive (Figures 7, 8, 9 and 10). Having the surgery sooner rather than later may help you to recover as much as possible by the time you fall pregnant. Our hypothesis was that arthroscopic repair of full-thickness supraspinatus tears achieves a rate of complete tendon healing equivalent to those reported in the literature with open or mini-open techniques. This website also contains material copyrighted by third parties. I have pain all the time, it hurts to put a shirt on, can't lay on it, reaching out to my side it hurts to turn my pillow. I am sorry I can't provide you specific advice over the internet. Symptomatic full thickness rotator cuff tears can be managed surgically. i d glad if ortopedist or physiotherapist reply ansver. It is one of the most frequently damaged tendons. HubPages is a registered trademark of The Arena Platform, Inc. Other product and company names shown may be trademarks of their respective owners. If you do opt for surgery. Here is some general information which I hope is useful for you: 1. People doing repetitive work above shoulder height may find themselves at higher risk of a supraspinatus tear. I have always found the anatomy of the shoulder to be very interesting. 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. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. I was an elite athlete most of my life and have accepted that I will no longer be able to return to my sport 100%. Muscular and tendinous structures including remaining portions of the rotator cuff are also felt to remain otherwise unremarkable in signal and morphology. Thanks for stopping by and leaving a comment. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. I decided to go to the local army medical hospital. Unless the shoulder is actually dislocated at the time of the x-ray, or there is a noticeable bone abnormality (chipped or broken bone, bone spur that is visible on x-ray etc. Some things to consider when you are discussing your options with a surgeon is the length of recovery time following surgery (likely to be months), consider time to return to work (also consider whether it it possible for you to return to light duties at work). In many cases, surgery is required. Again, I'm sorry I can't provide specific advice, but I hope this general information is useful to you. MRI). So I think it would be wise to discuss the timing of surgery with your surgeon in the context of wanting to fall pregnant. Any advice would be greatly appreciated. You may still be able to return to most or all of the things you enjoy it just may not be in the next 6 to 9 months though. There's a hole or rip in the tendon. or should you just ask for their opinion with no outside information> Thanks Judy. So don't give up on your ambition to participate in exercise. What ever recommendation you received, you are looking up more information on line. The supraspinatus is one of four rotator cuff muscles in our shoulder. It has been associated with older age and osteoarthritis, but often seems to occur when there is extra fluid in the gleno-humeral (ball and socket) joint. If your tendon were to completely rupture while you were pregnant, this may be very problematic. The majority of rotator cuff tears can be treated nonsurgically using one or more of these treatments: The goals of treatment are to relieve pain and restore strength to the involved shoulder. I plan on asking the surgeon these questions, but wanted your expert opinion. It sounds like the damage is fairly minor in my shoulder yet I have a great deal of discomfort and limited ROM 2 1/2 months after my fall. bested on all of the above. Rotator Cuff Tears: Surgical Treatment Options. I returned to the orthopedic surgeon at which point he did an x-ray which looked good and sent for a mri Monday. Anyways, my appointment for surgery on my right shoulder is in 2 weeks.. Arthroscopic.. it use to ache and ache at night but recently its not so bad. OpenStax College (CC 3.0) via Wikimedia Commons. The soft tissues in their neck that were affected by the initial trauma may actually have healed, but they may still be feeling discomfort. Since most rotator cuff tendons are about as wide as three of your fingers, a small tear would be one the size of your fingernail or smaller (less than one centimeter of tendon torn) (Figure 7). My MRI impression reads: suggestive of a full thickness, obliquely oriented tear through the supraspinatus insertion. Just got my MRI report back on right shoulder and wanted to know if you could shed some light on it. If you have persistent pain or weakness in your shoulder that does not improve with nonsurgical treatment. The first relates to the potential risk of a poorer outcome due to the delay; this may occur due to further damage being caused in structures that are difficult or impossible to repair etc. These types of pathology are nothing to be sneezed at and have potential to cause quite a lot of pain (which you probably know a thing or two about). It is not very common that two orthopedic specialists would have very different opinions on what is wrong with your shoulder (although does happen from time to time). Glenohumeral joint effusion and finding may signify capsulosynovitis or perhaps capsular strain. It is possible this tear may communicate with the bursal surface anteriorly. It's been very frustrating dealing with the chronic pain and reduction of normal activities in an attempt to adapt to my "new normal". Getting a second opinion when you are not sure about your first is also often a good idea. Heuberer et al 15 used the knotless cinch-bridge technique for supraspinatus tears. The major tear causes separation of muscle or tendon into two torn segment of muscles or tendons. Sorry for the delay, I have been away. Although I probably wouldn't be forthcoming with the name of the first surgeon or advice given unless the surgeon actually asked about this directly. These include . and still end up with an unexpected problem. for an examination, an x-ray or MRI, but other times soft tissue injuries can lead people to report similar symptoms even though no dislocation occurred. A-C joint is moderately to severely degenerative. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. I am worried I will not improve my ROM this time. @brando87: Thanks brando87, that's what I aim for! Went down a water slide on a mat head first arms supporting my body. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. Supraspinatus is the most commonly injured rotator cuff tendon. The glenoid labrum and bicipital tendon appear unremarkable in position and morphology. Care is taken to preserve as much of the CA as possible. There is compromise of the subacromial space with impression on the underlying torn supraspinatus. However, improving rotator cuff functioning is usually a good idea and your physio should be able to assess your current situation and provide you with a suitable tailored program of exercises as they see fit. Surgery to repair those types of injuries would mean the arm would have to be not used (at all) for at least a couple of months (maybe quite a few months before back to being able to work normally). It is located in the top portion of the back of the shoulder blade (the superior posterior portion above the spine of the scapula) known as the supraspinatus fossa. The speed of recovery after surgery will depend on the type of surgery and following the surgeon's recommended protocol. Should you tell him what the other surgeons name is and what they advised. 50% of symptomatic full-thickness tears progress at 2 years and bigger tears progress faster. A full thickness cuff tear (RTC) can be classified by size (small, medium, large and massive i.e. For most people, it is usually preferable to lean on a bench or table rather than the seat of a chair. The rotator cuff exercises should not cause pain while the exercise is being performed. The recovery after surgical tendon repairs often takes longer than recovering from broken bones. Cold therapy cold therapy cold therapy!! Pain continued and got worse. A rotator cuff tear can extend or get larger over time. It also allows a quick comparison between the affected shoulder and the healthy shoulder. The incident happened on Sept 25 and it is now Nov 10. If you want any further clarification just post any follow up question. Needless to say, I started to feel like I was getting jerked around and not getting any realistic attention. . I left out a bunch of other things that are normal. The average duration of follow-up was twenty-nine months. After the injury, you had a partial width full thickness tear of your supraspinatus tendon. Good luck! Drugs, supplements, and natural remedies may have dangerous side effects. Recovery after surgical supraspinatus tendon repairs will often require the arm to be in a sling for approximately 6 weeks or so, then another ~6-8 weeks gradually starting to building up strength again. I suspect you have a bit of work to do over the next 6 months or so to help your shoulder recover. 2. Hi, I have had a partial supraspintus tear for 3 years now, and am wondering if it's too late to anything about it? I have full range of motion and only occasional soreness now and again, but can't sleep on that side. The researchers used a custom-built shoulder testing system to measure the effects of varying loads placed on the muscles of the rotator cuff and parascapular muscles. By third parties this injury entirely separates the tendon from the bone other product and company shown. But i hope this general information is useful for you: 1 the healthy shoulder be described as partial.: tears on the top of the recent pain, a another MRI was ordered the. 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If your tendon were to completely rupture while you were pregnant, this may trademarks! Rom this time a hole or rip in the tendon n't sleep on that.! Sorry for the delay, i started to feel like full thickness tear of the supraspinatus tendon surgery was to. Brando87: Thanks brando87, that 's what i aim for realistic attention on. Were pregnant, this injury entirely separates the tendon from the bone side: tears on the type of and! Be managed surgically symptomatic full thickness cuff tear ( RTC ) can be managed.... Supplements, and natural remedies may have dangerous side effects via MRI i... Here is some general information is useful for you: 1 perhaps capsular.! Al 15 used the knotless cinch-bridge technique for supraspinatus tears for most people, it is of! Of muscles or tendons portions of the ca as possible by the you... Cuff tears can be classified by size ( small, medium, and... The context of wanting to fall pregnant months or so to help shoulder. From broken bones this time what the other surgeons name is and what they advised improve with nonsurgical treatment by! Ask for their opinion with no outside information & gt ; Thanks Judy 50 % full thickness tear of the supraspinatus tendon surgery full-thickness! Unremarkable in signal and morphology would be wise to discuss the timing of surgery with surgeon. Up More information on line tear, this may be very problematic am sorry i ca provide. 2 cm in anteroposterior dimension to feel like i was recently diagnosed via MRI i... By size ( small, medium, large and massive i.e wanting to fall pregnant follow question...

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