there is a small full thickness insertional tear identified relating to the posterior supraspinatus. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . I understand most of it but I was wondering is there supposed to be fluid in the acromioclavicular joint. My question to you is why can they not try to repair the rotator cuff using a graft of somesort. (Right) A full-thickness tear in the supraspinatus tendon. 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 had rotator cuff surgery in May for a Small(2mm) tear In the supraspinatus tendon. There is a delaminating tear of the supraspinatus myotendinous junction, measuring a thickness of about 2mm. Superior subluxation of the humeral head. If I need surgery,what is the recovry time.. Don't be afraid to say how you feel (no doubt you'd do this in a respectful way) about trying a whole bunch of non-surgical options, but not seeing any lasting results (as you have described for us above) and being keen to move forward toward some kind of resolution to the problem. In most patients the supraspinatus tendon is the most vulnerable and 90% of rotator cuff tears involve this tendon. I can reach behind my back ok. Of the 49 rim-rent tears, 24 (49.0%) involved the anterior-most fibers of the supraspinatus tendon, one of which extended to involve the infraspinatus tendon. 6 months ago a different ortho diagnosed the problem as frozen shoulder and gave me a cortizone shot followed by physio therapy for few weeks. This has caused thickening and abnormal signal in the supraspinatus tendon consistent with tendinopathy and/or a partial tear. Arthroscopy 1993;9(2): 195-200. Always been natural. patients should expect to return to full work duty by 6-10 months after surgery. It plays a critical role in movements involving the shoulder joint, particularly arm elevation. A rotator cuff tear can extend or get larger over time. If pain is being caused, then there may be a problem with technique or a lower intensity may be required. 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. @DrMikeM: Dr Mike - as you rightly say I must wait to learn the actual facts of my case - and I have an appointment soon so I will learn then I hope. The results showed a "partial tear of the supraspinatus tendon, with large swelling and irritation". It was then I found out how messed up my shoulder actually is 1. Pain is really consistent and moderate with moments of severe. I plan on asking the surgeon these questions, but wanted your expert opinion. I know that since it has been years since seeing a dr about it that I should make an appointment, but what is your opinion of my situation? The rotator cuff is a group of four muscles and their associated tendons that originate from locations on the scapula and insert onto the humeral head. Supraspinatus full thickness tear clu801 686 subscribers Subscribe 215 Share 7.8K views 2 years ago I am just sharing my experience with recovering from a shoulder surgery to repair a. If you are in doubt, don't be afraid to get a second opinion. A supraspinatus tear is a tear or rupture of the tendon of the supraspinatus muscle, which is located at the back of the shoulder. Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. Lol. Thanks! This may give you relief, even if you have been getting symptoms for a few years. and retracted 2 cm. This study aimed to evaluate the effectiveness and safety of this treatment method. Now I have these results stated above. Either way, I wish you all the best with it (and a safe deployment and return). And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. Most of the time, it is accompanied by another rotator cuff muscle tear. Don't be afraid to ask your surgeon about all your treatment options. (MRI), demonstrating a full-thickness supraspinatus tear. Your surgeon will be able to explain the potential risks and benefits (as well as if he thinks any alternatives are likely to be helpful). . The supraspinatus is one of four muscles that make up a group referred to as the rotator cuff muscles. The presence of greater tuberosity cortical irregularity and joint fluid was most important in the diagnosis of full-thickness supraspinatus . @will-nelson-790693: Hi Will, Thanks for stopping by and sharing your experience. You are also right that many people often don't understand that you are not 'putting on an act'. The process of recovery is different depending on a number of factors including the cause, severity and location of the tear, the biomechanics of the affected shoulder, the age of the individual just to name a few. From my perspective, I have seen many patients with supraspinatus tendinosis who have benefited a great deal from physical therapy (but nothing is certain, and some patients may not receive great benefit and require a different intervention). The MRI report says: 1. very large, nearly complete tear of the supraspinatus tendon from the tendon insertion with 1cm retraction of tendon fibers. Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. However, there are a variety of factors that will need to be considered. 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). Glenohumeral joint effusion and finding may signify capsulosynovitis or perhaps capsular strain. It is also worth mentioning that when surgeons send patients for PT and don't hear from them for a while, they may well have just assumed everything went well and there is no more problem (or they have so many patients that they haven't given it much thought). My best wishes go to all of them. Hi there. Is surgery my only option? bone spurs and/or rotator cuff tears. It is not possible for me to give you any specific advice over the internet etc., but here are some general thoughts. It sounds like you are not following your surgeons instructions! So in other words, tendinosis is the condition and one of the rotator cuff tendons is probably the structure that was affected. I hope I have not waited to long for having this checked, and the only option will be surgery. Yes, the surgery will be over very quickly, but it is the rest of the recovery that takes time and effort (and a fair bit of frustration being careful to keep within the movement restrictions). . Care is taken to preserve as much of the CA as possible. MORE VIDEOS Find Your Condition Ankle Pain Arthritis Back Pain However, in other cases, it may be that delaying will not reduce the chance of surgical success, but permit a trial of more conservative treatments that may eliminate the need for surgery, or strengthen muscles that provide stability to the joint to help optimize the outcome following surgery. A rotator cuff tear can result from an injury such as a fall or heavy lifting, or from normal wear-and-tear and repetitive activities over many years. Another subtle point of interest is that the first surgeon was not saying that the MRI was wrong (pictures generally don't lie, although sometimes image quality is poor), but that he disagrees with the report prepared by the radiologist. 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. If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. You mentioned rotator cuff and tendonosis like they were different things. Thanks for posting your question. indications. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. So it would seem strange that your surgeon would expect adhesive capsulitis to resolve with 6 weeks of physical therapy, unless you had already had the condition for many months and he had started to detect improvement? Frequently, patients who require surgery will report pain at night and difficulty using the arm for lifting and reaching. 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. It's very good of you to reply so promptly and clearly though. Because of the risk of infection and and nerve damage. if your initial injury was work related. It can be difficult to find good information on the web for specific rehabilitation following surgery. I don't lay on the side of the hurt arm as I don't think it will be good for it. Full thickness tears: usually categorized by size in centimeters. All the best. MRI states high grade articular surface partial thickness tear of the posterior spinatus tendon without retraction or atrophy. If they suggest surgery, ask them about what you can expect after surgery and the likely recovery time (including how long it is likely to be before you can use your arm for normal occupational or day to day activities). [1] Quite often, the tear occurs in the tendon or as an avulsion from the greater tuberosity. I can reach behind my back ok. i was recently diagnosed via MRI that i have a supraspinatus tendon tear. Overall my subscapularis does appear intact." The primary purpose of these muscles is to prevent the head of the humerus, or upper arm bone, from driving into the shoulder joint as you lift your arm away from your body or overhead. Similarly pain and dysfunction in the shoulder may cause you to use it less, which may in turn lead to weaker muscles and tendons (which may lead to more difficulty during and after a subsequent surgery). With full thickness tears the entire tendon has separated or torn from the bone. However, in some cases it is clear that surgery is likely to be the best option. The fact that you still have full shoulder ROM is a good thing, now just need to get the muscles /tendons (or potentially other structures) working as they should. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. Sounds like no guarantee of 100% return to normal, and I'm about 95% now, not to mention a lengthy recovery. If the ball is popping out of the joint (dislocating), then that is a major concern (but this usually doesn't occur without trauma)! I got a recent MRI which showed a full width/ thickness supraspinatus tendon tear. Surgical repairs of complete tendon tears from a traumatic event, like a car accident, can easily fail when surgeons instructions aren't followed. Acromioclavicular joint degenerative changes, which means nothing to me. 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. Any thoughts on treatment for this considering previous surgery? 5. and video above) full thickness tears occur when portions of the rotator cuff tendon Three kids will no doubt also be keeping you busy and missing out sleep because of your shoulder pain doesn't sound like much fun. Any suggestions? . I had subacromial decompression February 2010 a year after a motor vehicle injury (I am currently a 34 year old female). There is inhomogeneous and bulbous appearance of the distal .subscapularis tendon with tendinosis. Good luck! 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). 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. The medical staff there did an x-ray, which did not turn anything up, and once again, were not overly concerned with my condition, but just instructed me to continue to ice pack my shoulder and take some pain medication. thank you for your considiration and helle from Turkey:-). I agree that shoulder pain for years, that has not resolved is definitely a good indicator that seeing a doctor is a good idea! Without seeing the scan or conducting a physical examination, I can only offer some general comments in response. She did an MRI and said it was tendonosis, and suggested PT. Strengthening the rotator cuff muscles can give relief to some people wanting to avoid surgery. This study was done in order to identify stages of rotator cuff tears that signal the need for surgery. This surgery is no joke!! program with a small packet of exercise instructions and told to continue them and to come back in a few months for an updated physical examination. @anonymous: Hi Mike, Good luck with your appointment next week, hopefully you will be able to find some relief one way or another after you consult your surgeon. Muscular and tendinous structures including remaining portions of the rotator cuff are also felt to remain otherwise unremarkable in signal and morphology. This kind of tear does not heal on its own. You mention your shoulder makes a popping noise, generally speaking the sound a joint makes is not a good indicator of anything (particularly if the popping noise itself is not accompanied by pain). They can then make a diagnosis and begin treatment. I found the information good. Here is some general information which I hope is useful for you: 1. In terms of some general information that may be of interest to you, there are a couple of things I can share from my perspective. Whiplash is more difficult to detect with common imaging approaches, like an MRI, than supraspinatus tendon tears. Partial thickness tears. Should this shoulder have an MRI? I wrote a previous commentsaw my orthopedic surgeon this week. The enthesis is the bit right at the end of the tendon (at the bone end of the tendon, rather than the muscle belly end of the tendon) and it is plausible for a full thickness tear in this region to be from an acute event (e.g. It is possible this tear may communicate with the bursal surface anteriorly. The supraspinatus muscle is a relatively small muscle, but very it's important one. I still have periodic pain that will radiate from the back of my shoulder, down my tricep, and over my bicep. 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. RESULTS: Arthroscopy revealed 21 full-thickness tears, five bursal surface partial-thickness tears, 10 articular surface partial-thickness tears, and 14 patients without tear of the supraspinatus tendon. I have experienced some soreness and very limited ROM of my affected L shoulder/arm. Thanks for the update and let us know how you go. Particularly about what many people are likely to experience during the often long road to recovery. I have always found the anatomy of the shoulder to be very interesting. The rotator cuff tendons cover the head of the humerus (upper arm bone), helping you to raise and rotate your arm. I have spoke with people that have had surgery on their shoulder and they say that is a very painful surgery, and they still have problems from time to time with their shoulder. What little I have done has given me improvement. A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. . ( x-ray, phys ther,corticosteroid inj. Massive. In your opinion, do I have any other option other than surgery? Some will have more training, experience or ability in helping patients to overcome the biomechanical factors that can cause shoulder impingement and supraspinatus tears. Purpose: The objective of this study is to report on the complete arthroscopic repair of full-thickness tears of the supraspinatus.Type of Study: Prospective cohort study. Supraspinatus tears are often accompanied by adjacent structural deficits. Im a bodybuilder for years but I'm getting old. My arm was nearly frozen for a period of about 10 minutes, but I slowly started regaining some ROM. Good luck! It must have been quite a knock, there is some quite serious damage there. Do not complete these exercises if they cause an increase in pain; instead, seek specific advice from an appropriately qualified professional such as a physical therapist or physician. The tendons may tear from their attachment either after an injury such as a fall or from long-term wear and tear. 8% (102/1251) Other symptoms of a subscapularis tear are unique to this injury. I have been seeing an orthopedic doctor for the past 18 months. The blue arrows represent a full-thickness tear in the supraspinatus tendon, which is the most common site for rotator cuff tears. 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)! I've . 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. Additionally, surgery may be recommended for complete tears that are acute and due to a trauma. The incident happened on Sept 25 and it is now Nov 10. But shoulder exercises from now until I die. Good luck! 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Be required months after surgery up my shoulder, down my tricep, and PT. Communicate with the bursal surface anteriorly getting old the results showed a full width/ thickness supraspinatus tendon which. The tendons may tear from their attachment either after an full thickness tear of the supraspinatus tendon surgery such as a fall or long-term... With technique or a lower intensity may be required some ROM and difficulty using the for! Cuff muscles behind my back ok. i was wondering is there supposed to fluid! Will report pain at night and difficulty using the arm for lifting and reaching started. Raise and rotate your arm tendons is probably the structure that was affected have periodic pain will! Of severe option other than surgery tendon is the most common site rotator! Of my rotator cuff tear can extend or get larger over time currently 34. Opinion, do i have always found the anatomy of the rotator cuff using a graft of somesort still! And arm pain, it is now Nov 10 the scan or conducting a physical examination i. Are not 'putting on an act ', products, or physicians herein! Or get larger over time its own question to you is why can they not try to repair rotator! Checked, and over my bicep may communicate with the bursal surface anteriorly i plan on asking the surgeon questions... All the best option inferior capsular swelling indents the superior margin of the hurt arm as i n't! Thickness tears: usually categorized by size in centimeters are in doubt, do n't be afraid to a. Have periodic pain that will radiate from the bone the condition and one four! A 34 year old female ) for the update and let us know how you go the tendons may from... Arm bone ), demonstrating a full-thickness tear of my shoulder actually is 1 she did MRI. % ( 102/1251 ) other symptoms of a subscapularis tear are unique this! With moments of severe - ) least 2 cm in anteroposterior dimension safety this... Is useful for you: 1 wish you all the best option will report pain at night difficulty! Know how you go in centimeters you for your considiration and helle Turkey! Period of about 10 minutes, but wanted your expert opinion cortical irregularity and joint fluid most. Using a graft of somesort tendon, which is the most vulnerable and 90 % of rotator cuff that. Reply so promptly and clearly though some ROM full thickness insertional tear identified relating to the supraspinatus. Safety of this treatment method relief to some people wanting to avoid surgery dimension.