I am really concerned about success rates for revision surgery. Good luck! @anonymous: Hi LB, Sorry for the delay, I have been away for visiting family for a week or so. (Right) A full-thickness tear in the supraspinatus tendon. Keyword Highlighting (Left)Overhead view of the four tendons that form the rotator cuff. Moraiti C, Valle P, Maqdes A, Boughebri O, Dib C, Giakas G, et al. I'm sorry I can't give you specific advice on your case over the internet. 17. In general terms of the types of MRI findings you have described, a combination of these types of pathology could require surgery; particularly if symptoms persisted after trying non-surgical interventions. A funnel plot will be generated to assess publication bias if there are 10 or more studies included in a meta-analysis. It plays a critical role in movements involving the shoulder joint, particularly arm elevation. @anonymous: Hi Hans, Thanks for stopping by and sharing your story. 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! She did an MRI and said it was tendonosis, and suggested PT. I have been seeing an orthopedic doctor for the past 18 months. The databases to be searched include: CINAHL, Scopus, MEDLINE (PubMed), Embase, Web of Science and PEDro. The tendon will usually retract if a full rupture has occurred. Most tears occur in the supraspinatus tendon, but other parts of the rotator cuff may also be involved. I have had shoulder pain for years and years. Geary MB, Elfar JC. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2010. I hope your shoulder has now recovered! This will help minimize strain on the back. Judging by the description of atrophy in your rotator cuff muscles, I am guessing it has already been some time since the incident occurred. I had subacromial decompression February 2010 a year after a motor vehicle injury (I am currently a 34 year old female). Rotator cuff tear management aims to relieve pain, restore movement and improve function of the shoulder. and retracted 2 cm. Strengthening the rotator cuff is not really like going to the gym and lifting heavy weights. ( x-ray, phys ther,corticosteroid inj. Highlight selected keywords in the article text. I just had an MRI I have a tiny, focal intratendon tear of the supraspinatus fibers at the humeral insertion measuring 2mm with minor impingement changes are noted in the greater tuberosity of the humerus. 3. SLAP type tear of the superior labrum. Where statistical pooling is not possible, the findings will be presented in narrative form including tables and figures to aid in data presentation where appropriate. Jackie. Some will have more training, experience or ability in helping patients to overcome the biomechanical factors that can cause shoulder impingement and supraspinatus tears. @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. To recap I have had debridement and subacromial decompression, am 34 years old and now have arthritis, bursitis, tendinitis and impingement. Have been taking 800 mg Motrin tid. my ROM did increase a very small amount, but my pain and discomfort never went away. Dr Mike, Please help me understand what options I might have or questions to ask the surgeon about my full thickness rotator cuff tear. Cold therapy cold therapy cold therapy!! 4. Not all the time, but it was intermittent. I'm quite apprehensive and nervous about the surgery but more so about the recovery. Kim SH, Ha KI, Park JH, Kang JS, Oh SK, Oh I. Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years follow-up. Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. Berth A, Neumann W, Awiszus F, Pap G. Massive rotator cuff tears: functional outcome after debridement or arthroscopic partial repair. If your shoulder joint has pain and are seriously affecting your quality of life and your ability to work or perform basic everyday tasks without pain, then you need to speak with an orthopaedic surgeon about the next steps. I hope I have not waited to long for having this checked, and the only option will be surgery. Being referrfed to a shoulder specialist Tuesday. Patients 55 years and over have recently been found to be receiving surgical treatment for rotator cuff tears, indicating a rising trend towards surgical repair of rotator cuff tears.24 While surgery is considered an effective treatment, recurrent tears are common, especially degenerative tears, which are frequent in the older population.1 Studies on non-surgical treatments have also demonstrated positive results for full thickness rotator cuff tears.2 Exercise therapy may improve joint stability and reduce translation of the glenoid humeral joint, but has difficulty restoring kinematics to that of an intact rotator cuff.16. The Summary of Findings will present the following information where appropriate: absolute risks for treatment and control, estimates of relative risk, and a ranking of the quality of the evidence based on study limitations (risk of bias), indirectness, inconsistency, imprecision and publication bias. I am sorry, this is not a nice situation to be in, but doesn't sound as though you are at the end of the line yet. 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). Read about knee pain, especially from a torn meniscus. Most people with ongoing pain will usually try the conservative interventions before considering surgery. In the case of a non-retracted full thickness supraspinatus tear and acromioclavicular degeneration, surgery may well be the best option to maximize the long term outcome. If youve experienced a rotator cuff tear, theres a good chance that it could be a supraspinatus tear. 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. He kind of scared me regarding the recovery for this. People doing repetitive work above shoulder height may find themselves at higher risk of a supraspinatus tear. Some studies suggest that young patients with traumatic tears may be best managed with surgery while many atraumatic rotator cuff tears, which is common in older patients, may be amenable to a non-surgical treatment.4 In addition, compared to younger patients (<50), rotator cuff tears in older patients (>70) are characterized by greater retraction in the frontal plane and greater fatty infiltration.6 A study showed that only 82.5% of rotator cuff tear patients older than 70 who exhibited these features had supraspinatus involvement and underwent arthroscopic rotator cuff repair achieved complete healing, compared to 95% in patients under 50. There are several treatment options for a rotator cuff tear, and the best option is different for every person. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. An orthopedic surgeon will be able to provide you with all the information you need regarding surgery, however, regarding exercises to return to badminton it might be wise to see a physical therapist (also known as physiotherapist) who specialises in sports injuries and rehabilitation. shoulder stiffness. I started adding exercise back in to my life a couple of months ago and what had been intermittent pain has once again become fairly continual. If not what is this indictative of. If your tendon were to completely rupture while you were pregnant, this may be very problematic. So my tear went from a near full thickness tear to a full thickness tear. Schmidt CC, Jarrett CD, Brown BT. I've only got a couple of minutes, so I'll keep this short. However, some people will never experience the same level of recovery without the surgery. The surgeon(s) who ordered the imaging are usually the best person to speak with regarding the pros and cons in any particular case. 16. Good luck! The rotator cuff is a group of four muscles that come together as tendons to form a covering around the head of the humerus. Mary Kay. Small area of subacromial bursitis present. It is difficult to know whether your husband will need surgery based on this information alone. Again, I'm sorry I can't provide specific advice, but I hope this general information is useful to you. Keep in touch to let us know how you go. Massive irreparable rotator cuff tear and associated deltoid tear. While it is true that rotator cuff tears are more common among middle aged and older people, they can indeed occur among younger people too; particularly when they are performing heavy work or have some kind of trauma event (contact sport, car accident, gym accident etc.). Very much appreciated. Following an iltrasound scan I have been told I have a tear of the supraspinatus tendon and there is some retraction. People who have partial thickness supraspinatus tendon tears following a fall or mechanical trauma often report similar symptoms to people with whiplash associated disorders (aka whiplash). It is good that you have discussed the recovery with your surgeon already. An initial review of the literature from PubMed, CINAHL, Cochrane Database of Systematic Reviews, JBI Database of Systematic Reviews and Implementation Reports and PROSPERO confirmed that a review as extensive as this has not been or is not currently being done. Nonsurgical treatment options may include: A cortisone injection may relieve painful symptoms. There are some biomechanical and physiological attributes associated with the types of tendon injuries you have described that make them difficult to successfully repair. I returned to the orthopedic surgeon at which point he did an x-ray which looked good and sent for a mri Monday. No visible labral tear. You don't need to lean over as far as demonstrated in this video. It is possible this tear may communicate with the bursal surface anteriorly. Shoulder muscles are very good for stabilizing the ball and socket joint and making large movements (to help lift things, throw objects etc. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. A soft tissue hematoma occurs when a ruptured blood vessel leaks blood into the surrounding fatty tissue. GRADEpro GDT: GRADEpro Guideline Development Tool [Software]. Men over forty are the most likely to have degenerative supraspinatus tears. And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. I all of a sudden lost all my strength in my right arm and dropped the box. It has been helpful. and still end up with an unexpected problem. 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. Ongoing serious pain influencing daily life, sleep etc. We will also discuss surgical interventions for tendon injuries. This will inform the development of a search strategy which will be tailored for each information source. He did say that it can be done in the next few months and no urgent intervention required. I had surgery last Thursday for a complete tear of the supraspinatus tendon due to a car accident and was told the tendon was repaired with titanium staples.My concern is of the staples coming out ,I wear a sling whenever outside but have been taking it off when sleeping in my recliner which I've found the best since the accident.If I am just walking around the house I've let it hang down and do not feel pain at the shoulder so figure there is no risk of them pulling out by doing this,am I correct? 9. However, given that you already have an MRI it sounds like you are already under the care of your doctor, which is great. 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.
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