full thickness tear of the supraspinatus tendon surgery

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.). It is also worth knowing there are just some jobs that seem to take a heavy toll on shoulders / supraspinatus tendons (unfortunately I think painter / sheet rock installer / any occupation where you need to hold things up above shoulder or head height are right at the top of that list). @DrMikeM: Well, I'm 3 months post injury and still in a tremendous amount of discomfort and pain. Equally as important is a discussion about the likelihood of certain outcomes without further surgery. It was sometime in the early months of 2011 that I was sent off to have an MRI done. McMaster University, 2015 (developed by Evidence Prime, Inc.). 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. Most people with ongoing pain will usually try the conservative interventions before considering surgery. Any suggestions and generally how long is the recovery period? Decided to see ortho who ordered an MRi last week. I hope I have not waited to long for having this checked, and the only option will be surgery. P.S. Poorly defined large full-thickness tear of the supraspinatus and infraspinatus tendon measuring at least 2 cm in anteroposterior dimension. 8. If I need surgery,what is the recovry time.. Each year, almost 2 million people in the United States visit their doctors because of rotator cuff tears. The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. Rotator cuff tendon surgery and postoperative therapy. I'm sorry I can't provide you with specific advice, rather I only provide some general information. A full-thickness tear is when the wear in the tendon goes all the way through the tendon. Cold therapy cold therapy cold therapy!! I have had this problem with my shoulder/arm for about 6 months maybe. Here is some general information that may be useful. To recap I have had debridement and subacromial decompression, am 34 years old and now have arthritis, bursitis, tendinitis and impingement. I have had shoulder pain for years and years. 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. They decided to do a re examination of my MRI to see if there was something they were missing. There is supraspinatus muscular atrophy. This degeneration naturally occurs as we age and in most cases is relatively painless. I don't think there is a clear answer to this one. Although overuse tears caused by sports activity or overhead work also occur in younger people, most tears in young adults are caused by a traumatic injury, like a fall. Keep in touch to let us know how you go. Because of the return of the recent pain, another MRI was ordered and the Radiologist wrote: "1. One thing that you may find encouraging is that often artists don't lift (elevate) their shoulders much when they create art (paint etc.). I'm sorry I can't give you specific advice over the internet, but hopefully you will find the following general information interesting. This information is provided as an educational service and is not intended to serve as medical advice. I am unable to carry any significant weight. twice, second time relief only lasted 5 minutes) finally local doc ordered M.R.I. On the other hand, there is nothing speedy about recovery after surgery but at least there usually is recovery (albeit slow). It seems to be a long recovery period with a great deal of physical therapy following. They will be able to help you return to sport. Rotator cuff tear management aims to relieve pain, restore movement and improve function of the shoulder. The reference list of all studies selected for critical appraisal will be screened for additional studies. Productive acromioclavicular joint changes are associated with an anterolaterally down sloping type II acromial configuration. It is possible this tear may communicate with the bursal surface anteriorly. I have been diagnosed with a tear of the supraspinatus tendon by exam and u/s. However it does bother me when i open the car door and my current range of left arm is restricted when i left up straight. 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. You may have shoulder pain and arm weakness. Good luck! The words 'very large, nearly complete with 1cm retraction of tendon fibres' are a bit concerning. Subgroup analyses will be conducted if appropriate based on participant age, type of non-surgical, and type of surgical treatment. This will help minimize strain on the back. bested on all of the above. I had subacromial decompression February 2010 a year after a motor vehicle injury (I am currently a 34 year old female). Full-thickness rotator cuff tear prevalence and correlation with function and co-morbidities in patients sixty-five years and older. I also have no insurance and don't know about surgery. 9. Good luck with your decision! All the best with it. Sounds like no guarantee of 100% return to normal, and I'm about 95% now, not to mention a lengthy recovery. Recovery after surgery can be quite drawn out, often requiring 6 months or more before functioning becomes similar to before the injury. Good luck! You have a large tear (more than 3 cm) and the quality of the surrounding tissue is good, You have significant weakness and loss of function in your shoulder, Your tear was caused by a recent, acute injury. Based on the information you have provided above, I would say there are several structures that could potentially be causing this ongoing problem, of which a supraspinatus tendon tear is one (but is difficult to speculate without a physical examination / seeing the MRI etc. Above my shoulder or behind my back without pain. Again, because your case is not straightforward, seeking advice from your surgeon(s) in this regard is certainly wise. Continued pain is the main indication for surgery. Rotator cuff surgery in patients older than 75 years with large and massive tears. Now my left supraspinatus has a full thickness tear at the central 1/3 (AP extent 13mm?) 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. When a rotator cuff is torn, the tendon part of the muscle tears away from the bone of the upper arm. Rotator cuff integrity, measured by direct magnetic resonance arthrography or conventional MRI. I can reach behind my back ok. can be damaged without a dislocation occurring at all, particularly when carry heavy items up ladders or performing repetitious activities. 24. I wish you a speedy and full recovery. An analysis of the text words contained in the title and abstract, and of the index terms used to describe the articles will then be conducted. This can be one of the most frustrating things for people who have whiplash associated disorders. 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. As a general principle, when soft tissues like tendons or ligaments are damaged (think sprain or strain), but are in very close proximity to one another (I don't consider 1cm retracted to be very close in this context), the structures can often heal and become as strong (or perhaps stronger) than they were before. I don't know what exactly to do, or what my REALISTIC problem could be. I had periodic pain and tingling running all the way down my forearm. 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). Rotator Cuff Tears in the. When I went in, he told me that after looking at my MRI, he did not think that anything was necessary, and instead wanted me to go back into physical therapy and continue to get steroid injection treatments. Read More You may find it interesting to note that a prior subacriomial decompression is not necessarily an indication that future surgery to address other injuries or further biomechanical problems will not be successful. Thanks for stopping by and sharing your story. 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). This may give you relief, even if you have been getting symptoms for a few years. This tear leaves only a very thin layer of intact cuff at the site, no impingement, labrum is intact. Now, my Ortho doc #2 who recommended i do the MRI also reccomends a surgery to fix the tear. However, I can just mention some general information that may be of interest. I left out a bunch of other things that are normal. The rotator cuff tendons cover the head of the humerus (upper arm bone), helping you to raise and rotate your arm. I mention this, as this will often influence treatment decisions. I think these are promising approaches for the types of pathology you described. I plan on asking the surgeon these questions, but wanted your expert opinion. Sometimes in cases like this your surgeon may want to try an injection. Overall function increased by 47.67% from pre-op to post-op3. This may result in pain and weakness of the shoulder. There are two categories of supraspinatus tears, degenerative and acute. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. It was a small rotator cuff tear. I appreciate your thoughts on this matter. The results showed a "partial tear of the supraspinatus tendon, with large swelling and irritation". 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 interesting that you are not experiencing a lot of discomfort with a very large tear, but this sometimes happens and can lead to difficulty in diagnosing the exact structural damage that is causing the condition. 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. The popping may or may not be related to your shoulder pain (difficult for me to say without an examination etc.) This is possibly caused by microdamage to the tendon that is painful and can weaken it over time. 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). However, some people will never experience the same level of recovery without the surgery. This type of tear can occur with other injuries, such as a broken collarbone, a dislocated shoulder, or a wrist fracture. There may be a snapping sensation and immediate weakness in your upper arm. @will-nelson-790693: Hi Will, Thanks for stopping by and sharing your experience. Several factors contribute to degenerative, or chronic, rotator cuff tears. I have been seeing an orthopedic doctor for the past 18 months. 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. What we often don't see is the subsequent shoulder surgery and months of rehabilitation (sometimes in the off-season) to repair the damaged structures. 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. Full thickness tear of the anterior insertional fibers of the supraspinatus tendon with a 1cm retraction and no evidence of supraspinatus muscular atrophy. If you have been diagnosed with a partial thickness tear and begin experiencing more pain you should talk to your orthopaedic surgeon. labra are not evaluated 4. It is also worth mentioning that not all PTs are created equal. Some minor tears may be treated without surgery. 10. Original injury was 4 years ago in a MVA and I've been experiencing pain when sleeping on injured side, intermittent loss of sensation for the entire arm resulting in dropping things, loss of muscular endurance and increased pain for repetitive activities ranging from ribcage level and upward, loss of muscular strength and increased pain for lifting objects at the present moment equivalent in weight to a litre of milk or heavier, and an overall sense of lack of spacial awareness for the injured arm as if my arm is not "connected" to my body. The lack of a normal amount of synovial fluid in the joint space could potentially be a sign of adhesive capsulitis (also known as frozen shoulder) among some people. Now I have these results stated above. In the beginning of 2012, I returned to the Orthopedic specialist at the VA, and the medical staff seemed very surprised that my god awful pain and discomfort was still going on. Glenohumeral joint effusion and finding may signify capsulosynovitis or perhaps capsular strain. Please enable scripts and reload this page. Titles and abstracts will then be screened by one reviewer for assessment against the inclusion criteria for the review. Of course, all these options should involve regular check-ups with your orthopaedic surgeon in order to make sure the problem isnt getting worse. In most rotator cuff tears, the tendon is torn away from the bone. Shoulder dislocation, shoulder instability, and shoulder subluxation can all coexist or happen as the result of a partial or full thickness shoulder supraspinatus tear, particularly when these tears occur as a result of trauma to the shoulder joint or acute injury. Sought 2 nd opinion 3weeks later due to the server pain. In these cases often a multidisciplinary treatment team skilled in treating whiplash can be very useful (this may include health professionals like physiotherapists, psychologists, occupational therapists and doctors). Supraspinatus tendon tears are the most common tendon tear in the shoulder region. Also if I don eventually need surgery will it hurt to wait until I absolutely need it. No visible labral tear. Large tear involving the supraspinatus and infraspinatus Fig. Fluid signal anterior to the proximal humerus as well as within the sucoracoid bursa. Large rotator cuff tear with poor quality tissue Fig. Arthroscopic shoulder surgery may be required, or even rotator cuff tear procedures may be advised depending on the extent of the injury or damage to your supraspinatus muscle and surrounding bones, tendons, and muscles. I say promising because work in basic science and animal studies have demonstrated some quite promising findings. Been thoroughly researching (scr surgery)Superior capsular reconstruction. The supraspinatus muscle runs along the top of the shoulder blade and inserts at the top of the arm (humerus bone). Supraspinatus tendon tears are the most common tendon tear in the shoulder region. The size of the tear may increase over time. These are recommendations only and may not apply to every case. At approximately the 3:40 mark in the video above, there are a few exercises to help increase the range of the movement in the shoulder. A few months passed, and I was called into the orthopedic surgen, who was a shoulder specialist, for a "pre surgery consultation". If in doubt call your surgeons office. Geary MB, Elfar JC. @anonymous: Hi Bobby, Thanks for stopping by and leaving a comment. @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. 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). Here I am 5 days post op. while that helped in the short term and improved my left arm motion range, after i stopped the therapy the pain came back and reduced the range. What do you think of the other therapies? Abstract Background: 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. The supraspinatus tendon is located on the back of your shoulder and helps your arm to move throughout its full range of motion and helps with power and strength. perhaps if delay is likely to lead to a complete rupture that could be prevented with early surgery). Supraspinatus tendon tears require specific rehabilitation of the rotator cuff and muscles that stabilize the shoulder blade. These four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) stabilize the glenohumeral joint, enable rotation around the joint, and provide a counterforce to . Gumina S, Carbone S, Campagna V, Candela V, Sacchetti FM, Giannicola G. The impact of aging on rotator cuff tear size. Good luck! coracoacromial ligament. Thanks for stopping by and leaving a comment. Mild AC arthropathy. Small area of subacromial bursitis present. Many professions require repetitive or heavy overhead work (roof plasterer etc.). Lots of people express feeling useless, frustrated, and angry at times. HubPages is a registered trademark of The Arena Platform, Inc. Other product and company names shown may be trademarks of their respective owners. 2012 completed their search in 2009.25. 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. But shoulder exercises from now until I die. The rotator cuff contributes to both stability and movement of the glenohumeral joint and is vital to the functioning of the upper limb.1 It consists of the supraspinatus, subscapularis, teres minor and infraspinatus muscles. Come September of 2010 I chose not to re-enlist and returned home. Effects of Rotator Cuff Pathology and Physical Therapy on In Vivo Shoulder Motion and Clinical Outcomes in Patients With a Symptomatic Full-Thickness Rotator Cuff Tear. 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 am sorry I can't give you any specific advice over the internet, but here are some thoughts that may be useful to you. Good luck! I have lost about 45+% of my ROM in my right arm. Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. Partial tears can be just 1 millimeter deep (only about 10 percent of a tendon), or can be 50 percent or deeper. I agree that shoulder pain for years, that has not resolved is definitely a good indicator that seeing a doctor is a good idea!

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