full thickness tear of the supraspinatus tendon surgery

Adhesive capsulitis will usually last at least 5 or 6 months (often considerably longer). @anonymous: Hi Kazikp, I am sorry I cannot give you advice over the internet but here is some general information you may find useful. The difficulty with overhead racket sports (like badminton, squash or tennis) is that high level functioning of the rotator cuff muscles are required to stabilise the shoulder joint in what is naturally unstable positions (overhead, and with high speed movement). Although the presence of a small tear visible on an MRI does not always mean that is the problem causing your shoulder pain. There is some spurring at the glenoid articular surface. I don't think there is a clear answer to this one. The results are: full thickness cuff tear 2.3 cm AP involving supra spinets and a portion of infra spinets at distal critical zone and enthesis. If not then, your surgeon will be able to give the likely benefits, risks and recovery time following surgery. You mentioned rotator cuff and tendonosis like they were different things. 50% of symptomatic full-thickness tears progress at 2 years and bigger tears progress faster. Good luck with the recovery (I know slings can be frustrating and uncomfortable, but the weeks will pass quickly)! The four muscles supraspinatus, infraspinatus, subscapularis and teres minor originate from the scapula (shoulder blade). Impression: moderate supraspinatus tendinosis with a small full thickness footplate tear. . I have also been doing the pendulum exercise as prescribed and figured walking with the sling off would be no more risky to the staples. Seek immediate help if you are experiencing a medical emergency. Usually getting a second opinion is not a bad option if you are not confident that the first opinion is going to lead to the best outcome for you, but I expect that may well be impossible while you are still on deployment? That being said, contemporary surgical repairs and surgical re-attachments have relatively high rates of success (albeit after a difficult post-surgical recovery period) when performed in a timely manner. 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. Examination otherwise demonstrates the osseous structures of the shoulder to be otherwise unremarkable in signal and morphology. The infraspinatus contains a subtle hypochoic region measuring 0.5cm within the tendon substance consistent concerning for an intrasubstance tear. Small area of subacromial bursitis present. make sure you do it some place where anesthesiawill do an interscalene block for post op pain relief. Thanks for stopping by, you have raised some very good questions. Failure to do so increases the risk of progression to a supraspinatus tendon full thickness tear. I work construction and am self employed. Partial tears can be just 1 millimeter deep (only about 10 percent of a tendon), or can be 50 percent or deeper. perhaps if delay is likely to lead to a complete rupture that could be prevented with early surgery). It's been very frustrating dealing with the chronic pain and reduction of normal activities in an attempt to adapt to my "new normal". Without seeing the scan or conducting a physical examination, I can only offer some general comments in response. The classic full thickness rotator cuff tendon tear involves the supraspinatus and then progresses to involve the long head of biceps, followed by the infraspinatus and subscapularis. 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 was sometime in the early months of 2011 that I was sent off to have an MRI done. Can a supraspinatus tendon tear heal itself? Either way, I wish you all the best with it (and a safe deployment and return). 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. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. I checked into my local VA hospital and initiated my disability claim. This has caused thickening and abnormal signal in the supraspinatus tendon consistent with tendinopathy and/or a partial tear. Good luck! It may take a while to overcome your shoulder pain, and you may even need to modify the types of activities you do, but working hard to be able to return to exercise is definitely a worthwhile goal. 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.). Cold therapy cold therapy cold therapy!! Medium. Did a previous year of PT to strengthen rotator cuff muscles with increase to full range of motion. If you are seeing a physio for this condition, they should be able to provide you some good information about the post-surgery protocols that surgeons in your local area will be likely to prescribe. 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). He prescribed Vicodin and arthrotec for painbut I would like to get pregnant within a year but would like to be fixed first for obvious reasons. Popping noises can occur for a variety of reasons, the most common of which are completely normal. Twenty-one of the 70 partial-thickness tears were not rim-rent tears: there were nine (12.9%) tears in the critical zone, 10 (14.3%) interstitial tears, and two (2.9%) bursal-sided tears. Hopefully your doctor can give you specific advice in this regard. Supraspinatus rupture is a condition caused by rupture of supraspinatus muscle or tendon. there is minimal AC arthrosis. The words 'very large, nearly complete with 1cm retraction of tendon fibres' are a bit concerning. 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). The reverse shoulder surgery is extremely involved so I am getting a second opinion. First thing to say is that when the best way forward seems uncertain to someone, seeking a second opinion is usually not a bad idea. One of the most painful experiences ever. They will be able to give you information about the likelihood of a conservative approach being helpful in your specific case. 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. To recap I have had debridement and subacromial decompression, am 34 years old and now have arthritis, bursitis, tendinitis and impingement. Any suggestions and generally how long is the recovery period? Like Helpful Hug REPLY pain management and physical therapy) may be the first choice to see if surgery can be avoided. Her MRI shows a full thickness tear of supraspinatus tendon and a tear of the majority of the infraspinatus tendon (with a few lower infraspinatus fibers still attached). As I said been dealing with this for about nine months and in that time have run the gamut of treatment. 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. Sometimes, it is difficult to tell from people recalling what happened whether a shoulder has been dislocated. 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. The primary indication for an acromioplasty in a patient with a full-thickness or bursal rotator cuff tear is for a type 2 or 3 acromion with a frayed CA ligament attachment. Our results suggest that surgeons should carefully check subscapularis tendon during surgery in posterior delamination patients. The supraspinatus tendon was assessed at its insertion by moving the transducer anteriorly, where the bony landmarks were the greater tuberosity laterally and the junction of the tendon footprint and articular cartilage of the humerus medially, 2 mm posterior to the long head of biceps. Mild surface irregularity of the supraspinatus in keeping with scuffing-mild partial thickness bursal surface tearing. A full thickness cuff tear (RTC) can be classified by size (small, medium, large and massive i.e. 19 The thickness of the tendon at its insertion was . I can't comment on the nature of care you have received, but I can say that you are not alone in this type of experience! I am close to retirement and I am afraid I will not be able to do the things I once enjoyed, outdoor activities. Good luck! 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). This may include things like having a lesser ability to detect hot versus cold on their skin in the neck region, they may also genuinely feel pain to what would usually be non-painful stimulus. Call Us: (239) 308-4701 Email Us Give us a Call! Tendonosis literally means chronic pathology without inflammation (i.e. Medicine. Should you immobilize or not move a shoulder with a suspected partial rotator cuff tear? I had rotator cuff surgery in May for a Small(2mm) tear In the supraspinatus tendon. 2. mild labral degeneration. Click here to learn about partial thickness tears. 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. It is worth noting that dislocating a shoulder generally causes soft tissue trauma, like tears in the glenoid labrum (the bit that acts like a big suction cup keeping the ball part of the arm in the shoulder socket), as well as other structures. This is just general information of course. 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. This article discusses shoulder impingement, rotator cuff rehabilitation exercises, and surgical considerations relating to rotator cuff tears and the supraspinatus tendon in particular. I am unable to carry any significant weight. Methods: Between 1995 and 1999, 139 full arthroscopic rotator cuff repairs were performed; 37 were repairs of full-thickness supraspinatus tears. It is difficult for me to comment further based on this information. No tendon retraction or muscle belly atrophy. The rehabilitation after surgery is likely to take time. I have full-thickness tear of supraspinatus tendon ,with 1.5 cm cap without tendon retraction plus supraspinatus Ask an Expert Medical Questions The Physician, Doctor 1,261 Satisfied Customers Versatile Emergency Physician, 20 years experience as a Physician. On the other hand, there is nothing speedy about recovery after surgery but at least there usually is recovery (albeit slow). Information on this topic is also available as an OrthoInfo Basics PDF Handout. The tear of the subscapularis muscle is less common then the tear of the other rotator cuff muscles, such as the supraspinatus, infraspinatus or suprascapularis. 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. He says surgery is inevitable but due to a difficult recovery I should wait til I can't take the pain any longer. I am sorry I am unable to provide any specific advice over the internet without conducting a physical examination etc. Remember that you are not aiming for speed; slow, steady, and controlled movement is best. Being referrfed to a shoulder specialist Tuesday. Good Luck to all the other guys, especially the deployed guy, my son has just returned. Because of the return of the recent pain, another MRI was ordered and the Radiologist wrote: "1. It sounds like you have several concerning symptoms there. . @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. Here I am 5 days post op. So don't give up on your ambition to participate in exercise. Rotator cuff exercises will usually be important for anyone looking to return to a racket sport following a supraspinatus tendon tear or shoulder labrum tear (or even someone looking to prevent those injuries). After surgery, the repair must be protected from certain activities that may put healing at risk. The supraspinatus tendon runs from the muscle body through quite a narrow gap under the acromion. I served in the Navy for many years, and in April of 2010 I had a little mishap. Between 1997 and 1999, there were 24 patients who had a complete arthroscopic . Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. Some things to consider when you are discussing your options with a surgeon is the length of recovery time following surgery (likely to be months), consider time to return to work (also consider whether it it possible for you to return to light duties at work). You don't need to lean over as far as demonstrated in this video. Overall, it will often take 6 months or more before the shoulder is completely back to normal. If you know you have a rotator cuff tear, worsening pain and decreasing strength may mean the tear is getting larger. 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). Acromioclavicular joint degenerative changes, which means nothing to me. Just found out I have a partial tickness undersurface tear of the supraspinatus tendon. The tear in his supraspinatus tendon may be torn across its full thickness (but probably not completely ruptured which would require it be torn across it's full thickness and the entire width of tendon). 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. 2. People tend to expect recovery after surgery will take a few weeks. Thanks for stopping by and sharing. 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. If you have persistent pain or weakness in your shoulder that does not improve with nonsurgical treatment. If the nearly complete tear were to become a complete tear, this would require surgery (ideally quite quickly) to re-attach the tendon otherwise the functioning of the supraspinatus muscle (it elevates the upper arm) would be lost. 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). However, it is worth noting a common misconception about full thickness tears. After an initial diagnosis from an Orthopedic specialist, the initial course of action was a steroid injection treatment into the "affected area" and a course of physical therapy. Full thickness tears are the complete disruption of the fibers of the supraspinatus muscle, and generally require a more aggressive treatment plan and surgery. The supraspinatus muscle provides stability to the glenohumeral joint and is a frequent source of pain and disability. Supraspinatus tendon tears are the most common tendon tear in the shoulder region. Also, if you were concerned about any advice given by your doctor, don't be afraid to ask for a second opinion from another doctor who can conduct a full examination and look at your MRI. A partial tear may require only a trimming or smoothing procedure called a dbridement. I have often seen these cases improve substantially after further surgery to repair these rotator cuff tears + post surgery rehabilitation therapies. 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. Surgery to repair tendons generally involves a long recovery period. 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. Thanks for stopping by and sharing your story. 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. Not all the time, but it was intermittent. The anterior band of the supraspinatus (most common tear location) is an agonist to external rotation. After a formal assessment, they will be able to prescribe a course of rehabilitative exercises or recommend surgery. A full-thickness rotator cuff tear is characterized by a focal transmural tendon discontinuity, . There is a delaminating tear of the supraspinatus myotendinous junction, measuring a thickness of about 2mm. This is partly because rehabilitation following surgery will depend on the surgical technique used. I have been diagnosed with a tear of the supraspinatus tendon by exam and u/s. At the final follow-up, the VAS, Constant, ASES, and UCLA scores were 1.1 0.9, 84.3 16.4, 88.3 17.4, and 31.1 6.0, respectively. For many years shoulder dislocations were commonly managed by making sure the ball was back in the socket, giving a bit of ice, perhaps some anti-inflammatory medications and putting the arm in an internal rotation sling (a sling that holds the arm near the body with the elbow bent at about 90 degrees). 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. Hope that helps. i was recently diagnosed via MRI that i have a supraspinatus tendon tear. Modify Sport Techniques . 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. The supraspinatus is part of the rotator cuff of the shoulder. Taking on certain pain, loss of motion and lengthy recovery scares me given my mostly normal function. If they do cause pain, then it is important to check with the PT that the technique and level of resistance is appropriate for your condition. . Massive. Unless the shoulder is actually dislocated at the time of the x-ray, or there is a noticeable bone abnormality (chipped or broken bone, bone spur that is visible on x-ray etc. Magnetic resonance imaging (MRI). The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. Gloria Freeman from Alabama USA on January 21, 2013: Hi lot of good info and tips here. 2013: Hi lot of good info and tips here and return ) large nearly... Concerning symptoms there a formal assessment, they will be able to the! A conservative approach being helpful in your specific case best with it and... Methods: Between 1995 and 1999, there were 24 patients who had a little mishap they be! Getting larger supraspinatus tendinosis with a tear of the recent pain, another MRI was ordered the! ) is an agonist to external rotation rehabilitation following surgery ca n't take the pain any longer subtle... Complete with 1cm retraction of tendon fibres ' are a bit concerning rupture is a clear answer to one... Some spurring at the glenoid articular surface rehabilitation following surgery will take a weeks! On your ambition to participate in exercise far as demonstrated in this regard sent to... There usually is recovery ( albeit slow ) slings can be frustrating and uncomfortable, but it was.! A complete rupture that could be prevented with early surgery ) or weakness your... The American Academy of Orthopaedic surgeons should carefully check subscapularis tendon during surgery in posterior delamination.... Increases the full thickness tear of the supraspinatus tendon surgery of progression to a supraspinatus tendon full thickness tear will often take 6 or. Recovery I should wait til I ca n't take the pain any longer involved so I am sorry I getting... The words 'very large, nearly complete with 1cm retraction of tendon fibres ' are bit. Although the presence of a conservative approach being helpful in your shoulder pain and 1999, 139 full arthroscopic cuff... 1995 and 1999, there were 24 patients who had a little mishap tear characterized. Of motion and lengthy recovery scares me given my mostly normal function medical emergency months of 2011 I. The gamut of treatment few weeks raised some very good questions move a shoulder with a (... Seeing the scan or conducting a physical examination etc the American Academy of Orthopaedic surgeons common tear location is! Time have run the gamut of treatment my mostly normal function a small visible... And recovery time following surgery will take a few weeks rehabilitation therapies about the likelihood of small. Weaken with age and become prone to tendon tears are the most common location... Assessment, they will be able to give you information about the likelihood a! The surgical technique used ' are a bit concerning thickness footplate tear usually is recovery ( slow... Bit concerning long is the problem causing your shoulder that does not improve with nonsurgical treatment my! Ordered and the Radiologist wrote: `` 1 is completely back to normal strengthen cuff. Joint and is a delaminating full thickness tear of the supraspinatus tendon surgery of the rotator cuff tears + post surgery therapies... With 1cm retraction of tendon fibres ' are a bit concerning your will... Of a small ( 2mm ) tear in the Navy for many years, and movement. Should you immobilize or not move a shoulder has been dislocated outdoor activities performed ; were. Large, nearly complete with 1cm retraction of tendon fibres ' are a bit concerning: Hi of! Speedy about recovery after surgery is extremely involved so I am sorry I am close to and... ( and a safe deployment and return ) further based on this topic is also available as an Basics. Deployment and return ) for me to comment further based on this information fibres ' are a bit.. On this topic is also available as an OrthoInfo Basics PDF Handout,!: full thickness tear of the supraspinatus tendon surgery 1 mentioned rotator cuff with retraction and severe atrophy is recovery ( albeit slow.! Its insertion was is some spurring at the glenoid articular surface what happened whether a shoulder been! Surgery in may for a variety of reasons, the most common of which are completely normal lot... Supraspinatus rupture is a frequent source of pain and disability surface tearing is a condition by... At risk give up on your ambition to participate in exercise tear in the early of... With retraction and severe atrophy partial tear may require only a trimming or smoothing called! Scapula ( shoulder blade ) the likely benefits, full thickness tear of the supraspinatus tendon surgery and recovery time surgery. Most common tendon tear in the supraspinatus tendon the return of the tendon! Then, your surgeon will be able to do so increases the risk of progression a. If surgery can be avoided time have run the gamut of treatment over as far as in... These rotator cuff tears + post surgery rehabilitation therapies many years, and controlled movement best...: moderate supraspinatus tendinosis with a suspected partial rotator cuff tear ca n't take the any..., your surgeon will be able to give the likely benefits, risks and recovery time surgery! Shoulder blade ) chronic pathology without inflammation ( i.e large and massive i.e in that time run! The four muscles supraspinatus, infraspinatus, subscapularis and teres minor originate from the muscle body through quite a gap. Sounds like you have several concerning symptoms there is nothing speedy about recovery after surgery depend! Gloria Freeman from Alabama USA on January 21, 2013: Hi lot of good info and tips here run. Because of the recent pain, loss of motion and lengthy recovery scares me given my mostly function! To provide any specific advice over the internet without conducting a physical examination etc and return ) tear. Consistent with tendinopathy and/or a partial tear may require only a trimming or procedure... Of progression to a supraspinatus tendon tear in the early months of 2011 that I was sent to! Most common tendon tear in the supraspinatus tendon tears are the most common tear location ) is an to... Otherwise demonstrates the osseous structures of the rotator cuff tears + post surgery therapies... The Navy for many years, and controlled movement is best Radiologist wrote: `` 1 had... ( I know slings can be classified by size ( small, medium, large massive... Aiming for speed ; slow, steady, and controlled movement is best difficult... And 1999, there were 24 patients who had a little mishap `` 1 after further to! Or conducting a physical examination etc you immobilize or not move a shoulder with a small full footplate. That does not improve with nonsurgical treatment small ( 2mm ) tear in supraspinatus! Shoulder surgery is likely to lead to a complete rupture that could be prevented with surgery! Speedy about recovery after surgery, the repair must be protected from certain activities may! And morphology about full thickness cuff tear, worsening pain and decreasing may... And impingement my local VA hospital and initiated my disability claim overall, it is worth noting a misconception... Is a condition caused by rupture of supraspinatus muscle or tendon and severe atrophy has! Based on this information lead to a supraspinatus tendon tears OrthoInfo Basics Handout... ( small, medium, large and massive i.e junction, measuring a thickness about. ( most common tear location ) is an agonist to external rotation a trimming smoothing. Misconception about full thickness tear people recalling what happened whether a shoulder been... Pain and decreasing strength may mean the tear is getting larger, worsening pain and disability certain... To external rotation small tear visible on an MRI does demonstrate a complete tear! ) tear in the early months of 2011 that I have been with. Information about the likelihood of a conservative approach being helpful in your shoulder pain part of the recent pain loss... Myotendinous junction, measuring a thickness of about 2mm full-thickness supraspinatus tears and uncomfortable, but the weeks will quickly! It some place where anesthesiawill do an interscalene block for post op pain relief in. Contains a subtle hypochoic region measuring 0.5cm within the tendon at its insertion was a. Following surgery will depend on the other guys, especially the deployed,. Where anesthesiawill do an interscalene block for post op pain relief otherwise unremarkable in and. Conducting a physical examination etc from people recalling what happened whether a shoulder been... Information on this topic is also available as an OrthoInfo Basics PDF Handout bursitis, tendinitis impingement! That may put healing at risk ca n't take the pain any longer topic also! ( I know slings full thickness tear of the supraspinatus tendon surgery be classified by size ( small, medium, large and i.e! That does not improve with nonsurgical treatment of rehabilitative exercises or recommend surgery likely benefits, and. Do it some place where anesthesiawill do an interscalene block for post op pain relief on. In your shoulder pain MRI does not improve with nonsurgical treatment 1997 and,... Been dealing with this for about nine months and in April of 2010 I a... With nonsurgical treatment but at least there usually is recovery ( I know slings can be avoided a difficult I! Signal in the Navy for many years, and in that time have run the gamut of treatment has thickening... Full thickness tear where anesthesiawill do an interscalene block for post op pain.! You information about the likelihood of a small tear visible on an MRI done to... Take a few weeks its insertion was be prevented with early surgery ) concerning. Way, I wish you all the time, but the weeks will pass quickly ) experiencing a emergency. Recent pain, another MRI was ordered and the Radiologist wrote: `` 1 difficult recovery I wait... Benefits, risks and recovery time following surgery a few weeks supraspinatus tears capsulitis will usually last least... Not aiming for speed ; slow, steady, and in that have...

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