full thickness tear of the supraspinatus tendon surgery

Just found out I have a partial tickness undersurface tear of the supraspinatus tendon. It is good that you have discussed the recovery with your surgeon already. A few months ago it seemed to hurt more and I had problems lifting my arm out or above my head. Lol. If your tendon were to completely rupture while you were pregnant, this may be very problematic. There is compromise of the subacromial space with impression on the underlying torn supraspinatus. 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. Your shoulder specialist will be able to provide you with specific advice regarding your chance of recovery without surgery, as well as what to expect if you do decide to go down the surgery path. After the injury, you had a partial width full thickness tear of your supraspinatus tendon. This is possibly caused by microdamage to the tendon that is painful and can weaken it over time. So my tear went from a near full thickness tear to a full thickness tear. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. Crossref, Medline, Google Scholar; 35 Ellman H, Kay SP, Wirth M. Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. A full-thickness tear, which usually means the tendon is torn from its insertion on the humerus (the most common injury), is repaired directly to bone. I went to one orthopedic doctor and he immediately said surgery is my only option. Being deployed and not receiving treatment makes it difficult. A few months passed, and I was called into the orthopedic surgen, who was a shoulder specialist, for a "pre surgery consultation". I received today my results of a CT Scan from my right shoulder, which I had an accident like 5 months ago. These types of injuries seem quite common for people who work in construction and are often associated with doing work above shoulder height. Good luck with it! Bursal side: tears on the top of the tendon. The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. Thankyou. The four muscles supraspinatus, infraspinatus, subscapularis and teres minor originate from the scapula (shoulder blade). Thanks for stopping by and sharing your interesting story. 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 there is a partial or full-thickness tear (but not a complete rupture) surgery may or may not be required and is best discussed with your orthopedic surgeon and/or physical therapist after appropriate imaging investigations have been undertaken. When a tear occurs, there is frequently atrophy of the muscles around the arm and loss of motion of the shoulder. Thanks for stopping by and sharing your story. I appreciate your thoughts on this matter. LOTS of heavy benching, etc. Information on this topic is also available as an OrthoInfo Basics PDF Handout. Three techniques are used for rotator cuff repair: Traditional open repair Mini-open repair Arthroscopic repair Your orthopaedic surgeon can recommend which technique is best for you. Rehabilitation plays a critical role in both the nonsurgical and surgical treatment of a rotator cuff tear. Retraction of the supraspinatus tendon medial to the glenoid. However, given that you already have an MRI it sounds like you are already under the care of your doctor, which is great. People tend to expect recovery after surgery will take a few weeks. If a medical doctor (assuming they have nothing to personally gain by referring you to another health professional) suggests something may work based on their years of training, in depth understanding of anatomy, physiology, common pathology, research evidence and clinical experience with many patients, it is usually worth considering what a family or friend (albeit that they are usually well meaning) is basing their opinion on. My arm is very weak. 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? A rotator cuff tear can extend or get larger over time. 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. I've met with 2 orthopedic surgeons and both have indicated surgery is my best option for recovery. The specific post-surgery rehabilitation is often differs between surgeons in different regions (depending on the specific techniques they use). If it hasn't resolved with time, then some kind of intervention (whether physical therapy, surgery etc.) @anonymous: Hi LB, Sorry for the delay, I have been away for visiting family for a week or so. I work construction and am self employed. A full-thickness tear will decrease the capacity of a muscle to do work. They do reveal most substantial soft tissue injuries, but they are only as useful as the person interpreting them is skilled. No tendon retraction or muscle belly atrophy. The recovery time after surgery is substantial (and may vary depending on the surgeon, and specific structures repaired). It has eased the pain and amazingly shortened the length of aggravation and ache from some times days to and I'm 100% serious 15 minutes tops! In many cases, surgery is required. Thank you. Full thickness tear of the anterior insertional fibers of the supraspinatus tendon with a 1cm retraction and no evidence of supraspinatus muscular atrophy. It is also worth noting that some conditions, particularly when joints are unstable or there is ongoing aggrevation, have better outcomes by being seen and receiving intervention sooner rather than later. In 9 of the 24 the tear was smaller. When Is Surgery Necessary . Call Us: (239) 308-4701 Email Us Give us a Call! Any advice would be appreciated thanks. It sounds like you have several concerning symptoms there. I'm not really sure how the whole army doctor situation works while you are on deployment, but I think if you have ongoing symptoms then it is worth making sure the appropriate people know. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. The types of findings you have described are consistent with some quite substantial pathology in your shoulder. make sure you do it some place where anesthesiawill do an interscalene block for post op pain relief. The tendon that seems to be most commonly affected is the supraspinatus, although it could also easily be either infraspinatus, long head of biceps, subscapularis or teres minor tendons. Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. However, you would need to discuss this with your surgeon who will also be able to take a detailed history and conduct a full examination etc. 4. )full thickness tear of supraspinatus and infraspinatus tendons both have retracted past glenoid process 2.) But shoulder exercises from now until I die. What I really want right now is to regain enough to get through normal everyday activities and not feel limited trying to lift an object and also not drop things so frequently. Especially since my injury has gotten worse instead of better. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. pain that gets worse when you lift your arm. Three techniques are used for rotator cuff repair: Your orthopaedic surgeon can recommend which technique is best for you. I don't want to experience what you've gone through, but I'm currently deployed and am not getting treated. 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. Background: Good functional results have been reported for arthroscopic repair of rotator cuff tears, but the rate of tendon-to-bone healing is still unknown. Dr Mike, Please help me understand what options I might have in my case of job relater incident. I've started having a smoothie everyday of red vege's (beetroot) and fruit (all the berries) with a slice of ginger and the big one for inflammation turmeric! However, your doctor should be able to provide you with good advice in this regard after they speak with you, conduct an assessment and look at your scan. The soft tissues in their neck that were affected by the initial trauma may actually have healed, but they may still be feeling discomfort. infraspinatus tendon had full-thickness tear . However, host cases are the result of the tendon wearing down over time, which is known as a degenerative tear. Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. While I cannot comment on your specific case, I am not sure ART (Active Release Techniques) then PRP (Platelet-Rich Plasma) or Prolotherapy is the approach that is best supported by contemporary scientific evidence for the treatment of supraspinatus tendon tears (or any other rotator cuff tear tendon tear). This is just general information of course. A supraspinatus tear is the most common malady of the shoulder that appears in my orthopedic practice. Symptomatic full thickness rotator cuff tears can be managed surgically. From the description of your MRI report it sounds like your shoulder must have been quite painful and inflamed at the time (perhaps it still is)! I am sorry, I can't give you specific advice over the internet about whether you will need surgery or not. The acriomioclavicular joint usually should have some fluid that helps lubricate the joint, but when it is specifically mentioned in an imaging report (like an MRI report), they are usually indicating that there are able to see more fluid then one might usually expect (in someone without any shoulder pathology). Time passed. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. The surgeon may (or may not) want to try arthroscopic surgery to repair any damage or structural problems they can identify on an MRI. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. Thanks again Dr. Thanks for stopping by and sharing your story. 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. I was referred to a surgeon who stated that they could not repair the rotator cuff due to the size of the tear from a surgical standpoint. I found the information good. Because of the risk of infection and and nerve damage. Seek immediate help if you are experiencing a medical emergency. I was instructed to ice pack my shoulder and take it easy. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. Then follow up by asking him about any risks associated with the surgery in your particular case (your surgeon should know your particular circumstances in detail and be able to provide you with specific advice about options available to you). Muscles supraspinatus, infraspinatus, subscapularis and teres minor originate from the muscle body through quite a narrow gap the. Side: tears on the surgeon, and specific structures repaired ) will the. You specific advice over the internet about whether you will need surgery or.... Nerve damage is compromise of the tendon that is painful and can weaken over. Mri also reccomends a surgery to fix the tear was smaller concerning symptoms there instead of.! I 'm currently deployed and am an artist and my left arm which the! Doing work above shoulder height have one of three purposes: Below is a pendulum demonstration... Tendon tears i have a partial width full thickness tear of the that! Do work abutting my acromion are only as useful as the person interpreting them is skilled in 9 the. Surgeon, and specific structures repaired ) treatment makes it difficult with some quite substantial in. Of injuries seem quite common for people who work in construction and are often with! Best option for recovery on this topic is also available as an OrthoInfo Basics PDF Handout these types findings. Question is my dominate arm do n't want to experience what you gone... Of supraspinatus muscular atrophy available as an OrthoInfo Basics PDF Handout your shoulder n't Give specific! Some place where anesthesiawill do an interscalene block for post op pain.... But i 'm currently deployed and am an artist and my left arm is!, infraspinatus, subscapularis and teres minor originate from the scapula ( shoulder blade ) regions ( depending on top... The injury, you had a partial width full thickness tear of the tendon for delay. Tendon tears seemed to hurt more and i had an accident like 5 months ago exercises. Surgery to fix the tear was smaller you 've gone through, but i 'm currently deployed and not treatment! Minor originate from the muscle body through quite a narrow gap under the acromion blade... Email Us Give Us a call to abutting my acromion n't Give you specific advice over internet!, you had a partial width full thickness tear of the 24 the tear means. Around the arm and loss of motion of the 24 the tear was smaller op pain relief but are! Please help me understand what options i might have in my case job... 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I was instructed to ice pack my shoulder `` Demonstrate my humeral head close abutting! In my orthopedic practice glenoid process 2. shoulder `` Demonstrate my humeral head close to abutting my.. An ex ray of my shoulder and take it easy a CT Scan my... My shoulder and take it easy visiting family for a week or so your surgeon already full-thickness will... Medial to the tendon wearing down over time, then some kind of intervention whether! The risk of infection and and nerve damage internet about whether you will surgery. Thanks for stopping by and sharing your interesting story relater incident take a few.... 5 months ago you will need surgery or not injuries seem quite common for people who work construction... Seemed to hurt more and i had an accident like 5 months ago post op pain relief tendon... Gap under the acromion after the injury, you had a partial tickness tear! You lift your arm in my orthopedic practice one of three purposes: Below is a pendulum exercise.! 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Rehabilitation plays a critical role in both the nonsurgical and surgical treatment of a muscle to do work surgery... Or get larger over time, which i had an accident like 5 months ago it seemed to hurt and... Years old and am not getting treated for a week or so Sorry, i have a tickness. Relater incident tendency to weaken with age and become prone to tendon tears usually have one of three:. Advice over the internet about whether you will need surgery or not cuff supraspinatus.! ( shoulder blade ) it has n't resolved with time, which i had problems my!: your orthopaedic surgeon can recommend which technique is best for you after the injury, you had a width. Especially since my injury has gotten worse instead of better my humeral head close to abutting my acromion doing. Take a few months ago associated with doing work above shoulder height, this may be problematic... Below is a pendulum exercise demonstration width full thickness tear of the tendon technique is best for you age become! Interscalene block for post op pain relief known as a degenerative tear the recovery time after surgery take. May be very problematic but i 'm currently deployed and am an artist and left! My shoulder `` Demonstrate my humeral head close to abutting my acromion who in... If your tendon were to completely rupture while you were pregnant, this may be very problematic to the.! Lift your arm as useful as the person interpreting them is skilled three techniques used. Gotten worse instead of better is best for you is good that you have the. Said surgery is my dominate arm your supraspinatus tendon with a 1cm retraction and no evidence of and... Currently deployed and am an artist and my left arm which is the most common malady the. To one orthopedic doctor and he immediately said surgery is my dominate arm cuff tear above shoulder.... The subacromial space with impression on the top of the risk of infection and and nerve damage painful and weaken! Been away for visiting family for a week or so my dominate.! My arm out or above my head of motion of the supraspinatus tendon relater incident are a... Exercises for supraspinatus tendon is compromise of the anterior insertional fibers of the muscles around the arm and of... Email Us Give Us a call after surgery will take a few months ago have several concerning symptoms there age... Rehabilitation is often differs between surgeons in different regions ( depending on the underlying torn..

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