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. Some can be altered with conservative rehabilitation exercises in order to prevent further tearing and ongoing pain, while others cannot be altered without surgery. He says surgery is inevitable but due to a difficult recovery I should wait til I can't take the pain any longer. The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. I am 55 yrs. [2] INTRODUCTION. MORE VIDEOS Find Your Condition Ankle Pain Arthritis Back Pain 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. MRI does demonstrate a complete massive tear of my rotator cuff with retraction and severe atrophy. 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 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. but can get back fairly good motion about the shoulder . What does he mean by my tendon is failing? 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. Some people will say that exercises didn't work for them, but it turns out actually doing the exercises (rather than just thinking about them) drastically increases the chance of them being effective! 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. The surgeon(s) who ordered the imaging are usually the best person to speak with regarding the pros and cons in any particular case. 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. A moderate size full thickness tear . Rotator cuff tendon augmentation grafts are a promising area of research. Nonetheless, it worth noting that as a general principle, synovial fluid is very important and helps lubricate the joint. Does the fact that it mentions there is some retraction mean the tendon is completely torn or is it possible it is only partly torn. over the years, but not really in recent year, as my shoulders got cranky. In some cases, surgery to repair the tendon is also required. On the other hand, if surgery is inevitable or at least the most likely outcome, then the treating doctor / surgeon(s) may recommend early surgery. To recap I have had debridement and subacromial decompression, am 34 years old and now have arthritis, bursitis, tendinitis and impingement. Generally speaking, treatment options for shoulder injuries that include supraspinatus tendon tears and other findings similar to those you have reported could include surgery, or more conservative treatments like a trial of physical therapy or injections. I plan on asking the surgeon these questions, but wanted your expert opinion. Surgery to repair tendons generally involves a long recovery period. Small area of subacromial bursitis present. I am unable to carry any significant weight. Although I probably wouldn't be forthcoming with the name of the first surgeon or advice given unless the surgeon actually asked about this directly. Good luck with it either way. For awhile I was able to get my arm somewhat back to normal but wilh slight aching. 2023 The Arena Media Brands, LLC and respective content providers on this website. This information is provided as an educational service and is not intended to serve as medical advice. The supraspinatus tendon is the tendon that is most commonly torn when people suffer a rotator cuff tear. @anonymous: Hi Donna, I am sorry to hear about this trouble you are having with your shoulder. Basically, it creates a hole in the tendon. I am sorry I can't offer you specific advice over the internet about whether you should or should not have surgery. Superior subluxation of the humeral head. 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. ,Been dealing with shoulder pain for about nine months now and thought I'd share my experience with you and other readers. Went to an orthopedic surgeon who said I had frozen shoulder and injected the capsule with cortisone and told me to return in 3 months. Equally as important is a discussion about the likelihood of certain outcomes without further surgery. I hope I will not follow suit! Strengthening the rotator cuff is not really like going to the gym and lifting heavy weights. Time passed. When getting a second opinion from another surgeon. The pain is manageable if you stay on top of it with pain medication. Overall my subscapularis does appear intact." She presented initially with active shoulder flexion range of motion (ROM) 0-80 . 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. Thanks for sharing this detailed account with everyone. 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. Overall, it will often take 6 months or more before the shoulder is completely back to normal. Combinations of these shoulder pathologies may well require surgery, however, you should see a local orthopedic surgeon who will be able to speak to you about your symptoms, assess your shoulder in combination with examining your MRI. There are other things your physical therapist may be able to help you with to give you some relief in the short term. Sorry for the delay in response. However, not all tears need surgery. Yes, also a good idea about discussing with your surgeon the potential risks or benefits from delaying surgery in your case. You are also right that many people often don't understand that you are not 'putting on an act'. Good luck! Click here to learn about partial thickness tears. Modify Sport Techniques . Should you tell him what the other surgeons name is and what they advised. All the best with it. I completed 6 treatments of prolotherapy approximately 9 months ago prior to this latest diagnosis. It is one of the most frequently damaged tendons. There is no question that the word 'small' can be misleading regarding the amount of pain and discomfort that a supraspinatus tendon tear can cause. Failure to do so increases the risk of progression to a supraspinatus tendon full thickness tear. I received my first steroid injection treatment during the summer of 2011 and went through a lengthy 6 moth physical therapy treatment. I appreciate your thoughts on this matter. 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. Good luck! 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. Anyone want to shed a little light for a vet? 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)! MRI). infraspinatus tendon had full-thickness tear . Medicine and physiotherapy often help in reducing pain but the effect is temporary. I now am having surgery but is it safe to have with whiplash symptoms. 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. Full thickness tears may involve only part of one tendon (usually the supraspinatus). It turns out, this management approach is not terribly effective in leading to a prompt repair of the damaged structures. Also can I try a more Conservative approach and see a phy therapist that specializes in shoulders before any surgery. I am sorry I can't offer you specific advice over the internet regarding surgery or specific exercises. If you have any follow up questions just post them here and I'll get back to them as soon as I'm able. Does a full thickness tear of the supraspinatus tendon need surgery? Generally speaking, for shoulder pain related to rotator cuff injuries following trauma, often the first strategy is to see whether the pain and other symptoms improve with non-surgical management approaches. Heuberer et al 15 used the knotless cinch-bridge technique for supraspinatus tears. Hi, I have had a partial supraspintus tear for 3 years now, and am wondering if it's too late to anything about it? About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. Thanks for stopping by and leaving a comment. An exercise or physical therapy program is necessary to regain strength and improve function in the shoulder. Sorry for the delay, I have been away. So quite often the best treatment approach is not always immediately clear. Rotator Cuff and Shoulder Conditioning Program, Rotator Cuff Tears: Frequently Asked Questions, Rotator Cuff and Shoulder Rehabilitation Exercises. Copyright 1995-2021 by the American Academy of Orthopaedic Surgeons. 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). I was released from the P.T. Full-thickness tears of the supraspinatus and infraspinatus tendons at their attachment site with retraction of torn fibers up to the lateral aspects of the acromial process. Debridement involves trimming the frayed edges of the tear back to healthy tissue in order to allow it to heal itself. Many professions require repetitive or heavy overhead work (roof plasterer etc.). Dr Mike, Please help me understand what options I might have or questions to ask the surgeon about my full Reallmadhatter Mar 14, 2013 @ 3:44 pm. You're more likely to be at risk of a supraspinatus tear if: you're over the age of 40. 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