This might help you.
Can anyone tell me......does a full thickness tear of the supraspnatus tendon usually require surgery? I havent had much luck with getting answers from the Specialist(this is the guy who based his report on the wrong shoulder xray!)
I just started physiotherapy and have another specialist appt in 2 weeks. This is an injury caused by a fall onto the ice at a hockey practice.(37 years old)
I have only had ultra-sound and the report stated:
The biceps tendon is normally positioned, with normal appearance on ultrasound. There is a small amount of fluid in the sheath.
The supraspinatus tendon demonstrates a near full thickness tear. The tear appears to be predominantly articular surface, with a few remaining resudual fibers present in the bursal surface of the tendon. There is no fluid in the subscapularis/subdeltoid bursa.
The subscapularis tendon is somewhat heterogeneous, suggesting a degree of tendinopathy. The infraspinatus tendon is normal.
There are mild hypertoophic degenerative changes of the acromioclavicular joint.
Near full thickness articular surface tear of the supraspinatus. There are only a few thin residual fibers intact along the articular surface of the tendon. Tendinopathy of the subscapularis tendon.
::::Before I go to get a 2nd opinion, I would really be interested in getting some feedback.
I ALSO HAD A TEAR OF SUPRASP. NOW HAS BEEN 7 WEEKS AND ALL THEY SAY IS REST AND CORTISONE SHOTS. I HAVE HAD 1 CORT INJECT AND REFUSE TO HAVE ANY MORE. I AM TRYING BOWEN THERAPY AND IT SEEMS TO RELAX THE NERVES BUT I DONT THINK THERE WILL BE ANY QUICK FIX. I ALSO HAVE FLUID ON BURSA AND INFLAMATION WHICH CAUSES GREAT DEAL OF PAIN. IF YOU GET ANY RELIEF FROM ANY TREATMENT LET ME KNOW. PHYSIO ONLY AGGREVATED THE TEAR - SO I AM JUST RESTING AND ITS HARD TO STOP GETTING DEPRESSED AFTER BEING SO ACTIVE. GOOD LUCKOriginally Posted by jasonsteele
My suggestion with the tear is to go through with a rehab exercise program. It's better to gind someone who has experience with working with shoulder injuries.
Tears do eventually heal. You need to strengthen the muscles around the tear so that you do not loose to much muscle mass. Rest is probably the best medicine but in this day and age I think many people find it hard. I certainly do. You could also try acupuncutre which will offer some pain relief and increase the blood flow.
Hope this helps.
I have had a full thickness tear of both the right and left supraspinatus for some time now. Started of as partial tears that gradually degenerated into full thikness tears. Used pain killers and cortizone injections to manage pain and increase mobility of the shoulders and found temporary relief. Cortizones worked well but may have contributed to tear escalating to full thikness. Description of your tear sounds like it is hanging by a thread and so I would suggest that it is not to far from a full thickness tear. You will feel it when it finally goes. Don't want to put you off, but I'll tell it how it is. All the surgeons, doctors and physios advised that even partial tear rarely heals itself. I finally opted for surgery due to ongoing pain and resultant athritis and bone spurs caused by continued use of shoulder after full thikness tear. I am also 37 years of age and surgeons (i sought two opinions) advice was if i want to continue playing golf, tennis, squash etc, surgery was recommended. My father is in his late 50's, has the same injury and same sugeons advised against surgery due to age and related decreased likelihood of full recovery.
I am now 7 weeks post surgery and still far from fully recovered (advised that it would take 3 to 4 months just to get mobility back and a further 3 months of weight training to get strenght back. At the moment I can only move my arm from the elbow, and hopefully if all goes well and I get full shoulder mobility back without pain, I will then proceed to repair the left one.
shane warne had the same injury and was back bowling again within 8 months though it took him a a few months more to get back to his best so I am optimistic despite feeling very handicapped at present.
I hope this helps
you need surgery, as tears of that size will never heal. physio will help with pain and function but in a few years you may not be able to lift your arm anymore and even surgery won't help anymore because the tendon will be retracted
I agree with paolotv.
You can survive without your supraspinatus muscle function however your range of movement at the shoulder will be limited to below shoulder height & you will have difficulty with moderate/heavy lifting. Many manual labourers in 3rd World countries have either a torn or partially torn supraspinatus muscle but they function on because they have no choice.
Your best bet is to have a Rotator Cuff Repair +/- an acromioplasty. You would spend 6weeks in a brace with rehab starting the day after surgery involving passive & active assisted exercises. If your supraspinatus muscle has retracted too far it may not be able to be retreived & the surgeon may opt to not complete the RCR or may use another muscle to graft on.
I see around 5-10 of these tyoes of surgery nearly every week & the majority have a good end result. In short - short term pain for long term gain.
Good luck with it all.
I have a partial tear of my supraspinatus tendon that i have been trying to deal with for around 5 years now but i am sick of not being able to perform at my best in my chosen sport rock climbing. As every time i take time off hoping that it will get better then slowly build back up again to where i used to be in terms of performance my shoulder gets really achey and feels weaker and stops me going any further.
Basicaly i'm thinking of having surguery to repair the tendon as i am still relatively young (31) and if surgery can make it like a normal shoulder again i think the short term pain/lost of function will be worth it.
So a few questions if people could help me please.
1)From reading other forums here it seems to me that my problems aren't that bad but still it stops me from doing what i want to do. Do people think it is worthwhile to have surgery and would my shoulder would be better as a result of surgery?
2) Can anybody recommend shoulder specialists, physios(specialising in shoulders), and any other medical professionals i should see in Perth W.A.?
Thanks heaps :-)
can anyone tell me the exact thickness if the supraspinatus tendon
Here's my advice from the large number of patients I see who have had this surgery.
1) Some people advise putting off surgery for as long as possible if you can manage. It sounds like you can manage without having the surgery however you are unable to participate in the things you enjoy doing most - therefore I would recommend you have the surgery. Do the rehab & within 6months you will most likely be back to participating fully in all your favourite activities.
2) As for surgeons, ask around your friends & family & see if any of them have had shoulder surgery & if they would recommend their surgeon.
I have had my shoulder operated on by Mr Keith Holt (Perth Orthopaedic & Sports Medicine Centre). Though he has no bedside manner he did a great job of it & I got back to high level sport again with no problems - that was 11 years ago.
Mr Peter Campbell (Western Orthopaedic Clinic) does the Eagles shoulders.
Mr David Colvin (Western Orthopaedic Clinic) is also very very good & has a great bedside manner.
Other surgeons I would recommend include:
Mr Alex O'Beirne (Western Orthopaedic Clinic)
Mr Ben Hewitt (Perth Orthopaedic & Sporst Med)
Mr Paul Jarrett (Murdoch Orthopaedic Clinic)
Mr Allan Wang (Murdoch Orthopaedic Clinic)
There are a few that I wouldn't recommend but if you would like to know who they are just PM me.