full thickness tear of the supraspinatus tendon surgery

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. my ROM did increase a very small amount, but my pain and discomfort never went away. 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. Follow up not til next Wednesday. They do have potential to improve the biomechanics of the shoulder joint during arm movement which may help mitigate the cause of the tear (like shoulder impingement). A couple of final remarks that may unfortunately muddy the waters for you: Adhesive capsulitis generally resolves without the need for surgery, and aggressive physical therapy may actually worsen the symptoms in some cases. I don't know what exactly to do, or what my REALISTIC problem could be. )full thickness tear of supraspinatus and infraspinatus tendons both have retracted past glenoid process 2.) )amount of fluid in acromioclavicular joint and last but not least 5.) Mary Kay. Good luck! Good luck! The recovery time after surgery is substantial (and may vary depending on the surgeon, and specific structures repaired). In general, seeing your orthopedic specialist would be an important step, these types of injuries are not likely to allow you to recover to your normal level of work functioning anytime soon without some kind of treatment. 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 to all the other guys, especially the deployed guy, my son has just returned. Being referrfed to a shoulder specialist Tuesday. Your doctor may recommend a diagnostic imaging study such as a magnetic resonance imaging (MRI) scan or ultrasound to confirm the diagnosis. After surgery, the repair must be protected from certain activities that may put healing at risk. Overall my subscapularis does appear intact." I have about 3" less range reaching up behind my back, but I think some pre-existing tears and arthritis were fixed. What may be useful is for me to share some of my experiences and give you some questions to think about and discuss with your doctor. Click here to learn about partial thickness tears. This exercise can be good for pain relief, and may also help increase the range of motion in the shoulder joint. My pain is mostly in the bicep area and I do not have trouble lifting the arm but bringing it back down and also bringing the lower arm down when the upper arm is at 90 degrees. 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. So in other words, tendinosis is the condition and one of the rotator cuff tendons is probably the structure that was affected. Good luck! ), but not so good with the finer movements (better performed by the muscles in the forearm and hand). Any advice would be greatly appreciated. As mentioned in the video, the aim of these resistance band exercises is not to increase your range of movement but to instead strengthen the rotator cuff muscles which will help protect the soft tissue structures around the shoulder in the long term. Should this shoulder have an MRI? Thanks for the update and let us know how you go. Humeral head is riding high abutting the underside of the acromin process. The postoperative recovery period following a surgical rotator cuff repair will take months and involve a specific program of range of motion and strengthening exercises that your surgeon will prescribe, often in conjunction with a physical therapist who will teach you exercises and monitor your progression. Taking on certain pain, loss of motion and lengthy recovery scares me given my mostly normal function. Muscular and tendinous structures including remaining portions of the rotator cuff are also felt to remain otherwise unremarkable in signal and morphology. I have always found the anatomy of the shoulder to be very interesting. Frequently, patients who require surgery will report pain at night and difficulty using the arm for lifting and reaching. Surgical repairs can be compromised when post-operative instructions are not followed, so if you have surgery make sure you know exactly what you should and should not do! Massage may give you some short term relief, but I'm not sure massage on its own will have long term benefit that is additional to natural healing. 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'll go check out some of your lenses now. Methods: Sixty-five consecutive shoulders with a chronic full-thickness supraspinatus tear were repaired arthroscopically in sixty-five patients with use of a tension-band suture technique. It was sometime in the early months of 2011 that I was sent off to have an MRI done. I've only got a couple of minutes, so I'll keep this short. Had periods of pain go from the back of my shoulder down my arm like before. Supraspinatus tears are often accompanied by adjacent structural deficits. I maybe take a few Advil a week with no loss of function at all. 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. if applied to the common anterior supraspinatus tendon tear, the term full thickness means that if the tear is viewed . 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. The use of steroid injection for treatment of a full-thickness rotator cuff tear is still controversial. I'm sorry I can't give you specific advice on your case over the internet. Supraspinatus is the most commonly injured rotator cuff tendon. Here is some general information which I hope is useful for you: 1. The supraspinatus is one of four muscles that make up a group referred to as the rotator cuff muscles. Don't be afraid to ask lots of questions about what is likely to happen if you do or don't have surgery. Popping noises can occur for a variety of reasons, the most common of which are completely normal. Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up. She did an MRI and said it was tendonosis, and suggested PT. These types of injuries seem quite common for people who work in construction and are often associated with doing work above shoulder height. Any suggestions? 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. Sleeping on my right side became impossible. This was caused by contact with another person and (I'm self diagnosing) some prior existing minor tendon tears. There is synovial fluid extending into the suhacromial/subdeltoid bursa. There are generally (at least) two main foci when considering whether to have surgery soon or to delay as long as possible. It is not possible for me to give you any specific advice over the internet etc., but here are some general thoughts. Good luck! 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. However, some people will never experience the same level of recovery without the surgery. You mentioned rotator cuff and tendonosis like they were different things. I do so appreciate the advice and direction you have given to myself and others through this posting. I served in the Navy for many years, and in April of 2010 I had a little mishap. 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). Because of the risk of infection and and nerve damage. 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. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. Good luck with it! I'm only 38 and am not willing to give up everything I love doing and from what I read there are many more options available. 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). The Physician is online now Related Medical Questions I am 55 and active, so I don't want to hurt my "golden" years, so I am not sure what to think. 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. I'm sure it is no surprise to you, but when someone is experiencing worsening pain with conventional conservative management like physical therapy this is also not a good sign for a speedy recovery without surgery. The close proximity of the supraspinatus tendon to the acromion-clavicular arch is a common contributing factor in supraspinatus tears, particularly when the tendon becomes impinged between these bone structures with activities that require arm elevation. The tendon will usually retract if a full rupture has occurred. Seek immediate help if you are experiencing a medical emergency. Although very uncommon, it is possible that the report did contain an error. Good luck! I have not lost any ROM I just have severe pain in my right shoulder. They do reveal most substantial soft tissue injuries, but they are only as useful as the person interpreting them is skilled. Thanks to my hubby for finding this site. or should you just ask for their opinion with no outside information> Thanks Judy. I am sorry I can't provide you specific advice over the internet. I received my first steroid injection treatment during the summer of 2011 and went through a lengthy 6 moth physical therapy treatment. [2] @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. Small area of subacromial bursitis present. Supraspinatus tear can be caused by lifting something too heavy, falling on your arm, or dislocating your shoulder. @anonymous: Hi Bobby, Thanks for stopping by and leaving a comment. Osteophytes and inferior capsular swelling indents the superior margin of the mytendinous junction of supraspinatus. One of the most painful experiences ever. 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. 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. It sounds like you are on the right track with your surgeon and physical therapist. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. 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. I would like to get the tendon fixed, the thought of advancing an existing tear makes me cringe. Of 2010 i had a little mishap do reveal most substantial soft tissue injuries, my... Often associated with doing work above shoulder height questions about what is likely to happen if you do do... Of which are completely normal superior margin of the shoulder joint know what exactly to,. My pain and discomfort never went away the anatomy of the mytendinous junction of supraspinatus if applied to common. 'Ll keep this short were fixed i maybe take a few Advil week. Is viewed structure that was affected what exactly to do, or my... 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