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rotator cuff

Old 05-17-19, 01:05 PM
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HardyWeinberg
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rotator cuff

7 years ago I got hit by a car and had a partial tear of my right supraspinatus. Just p/t'd it out and on I went.

This past Feb I toppled (pushed 'walk' button on signal with left hand, just flat flopped to the right) onto my right shoulder and dislocated it. It reassembled itself while I was on the sidewalk trying to figure out how to get up. Took a week off the bike. The following week I was riding super slow toward a bike rack when I hit a sidewalk crack/pothole when I was totally not expecting it and jarred my right arm straight back. That hurt a lot. The following month I had a lot of spontaneous near dislocations but I usually caught them in time. Went to p/t eventually, decided my external rotation was just not happening, yesterday got arthrogram/MRI, confirm 100% tear of supraspinatus and 50% of infraspinatus. The supraspinatus tear is not giant (10 x 8 mm). Also there is a torn labrum. Not sure if it is worse than when it was initially torn in that 2012 collision.

So I am going to see an orthopedist week after next. No real idea what to expect. P/T suggested that since I am right handed he would say that surgery could be indicated if there were a complete tear. I have since learned that some complete tears are worse (or at least bigger) than others (maybe they are not worse, complete is complete).

I bike-commuted today over my wife's objection. Just riding (as long as I don't hit things) doesn't seem to impact the shoulder (not as much as climbing a ladder and cutting down snow-laden branches after an ice storm in between the initial dislocation and followup injury, and I did a lot of that).

Anyway, that is that. If they are doing surgery on the supraspinatus, would they reconnect the infra while they are there? And fix the labrum too? Or just do each item in individual procedures as warranted? There are also 'numerous loose bodies' in the bursa. That sounds fun. I don't know how easy it is to collect and remove all of those.
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Old 06-14-19, 12:14 PM
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CliffordK
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It looks like I missed this post when it came up.

How did your doctor visits go? Surgery?

Mom has had both rotator cuffs worked on, both for range of motion as well as pain management.

The surgery helped alot with pain, and improved range of motion somewhat, although still not perfect. For her, as she got into her late 70's, one surgeon commented that it was really difficult to separate and reconnect the muscles.

Mom ended up with a complete shoulder replacement. Apparently there are two types:

Standard (ball on the humerus, socket in shoulder)
Reverse (ball in shoulder, socket on humerus).

For some things the "Reverse" shoulders are supposed to be more stable.

Good Luck
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Old 06-16-19, 03:27 AM
  #3  
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Originally Posted by CliffordK View Post
.................... Mom ended up with a complete shoulder replacement. Apparently there are two types:

Standard (ball on the humerus, socket in shoulder)
Reverse (ball in shoulder, socket on humerus).

For some things the "Reverse" shoulders are supposed to be more stable.

Good Luck
Which procedure depends on conditions of shoulder at the time ---

" ....A standard total shoulder replacement depends upon muscles and tendons around the shoulder joint to be intact. A normal shoulder replacement is designed to work only if those tendons are intact. In contrast, a reverse prosthesis is designed for situations where the rotator cuff is torn or malfunctioning..... "

YEARS AGO my first ortho tells me.... "Good news is tendons are fine and bad news is a total shoulder replacement is needed." Three years and 3 ortho surgeons later I had my right shoulder replaced by the doctor who told me I would be able to get back on my bike 2 days following the total replacement surgery. I waited until the 3rd day to go for a ride.
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Old 06-22-19, 01:02 PM
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Originally Posted by HardyWeinberg View Post
7 years ago I got hit by a car and had a partial tear of my right supraspinatus. Just p/t'd it out and on I went.

This past Feb I toppled (pushed 'walk' button on signal with left hand, just flat flopped to the right) onto my right shoulder and dislocated it. It reassembled itself while I was on the sidewalk trying to figure out how to get up. Took a week off the bike. The following week I was riding super slow toward a bike rack when I hit a sidewalk crack/pothole when I was totally not expecting it and jarred my right arm straight back. That hurt a lot. The following month I had a lot of spontaneous near dislocations but I usually caught them in time. Went to p/t eventually, decided my external rotation was just not happening, yesterday got arthrogram/MRI, confirm 100% tear of supraspinatus and 50% of infraspinatus. The supraspinatus tear is not giant (10 x 8 mm). Also there is a torn labrum. Not sure if it is worse than when it was initially torn in that 2012 collision.

So I am going to see an orthopedist week after next. No real idea what to expect. P/T suggested that since I am right handed he would say that surgery could be indicated if there were a complete tear. I have since learned that some complete tears are worse (or at least bigger) than others (maybe they are not worse, complete is complete).

I bike-commuted today over my wife's objection. Just riding (as long as I don't hit things) doesn't seem to impact the shoulder (not as much as climbing a ladder and cutting down snow-laden branches after an ice storm in between the initial dislocation and followup injury, and I did a lot of that).

Anyway, that is that. If they are doing surgery on the supraspinatus, would they reconnect the infra while they are there? And fix the labrum too? Or just do each item in individual procedures as warranted? There are also 'numerous loose bodies' in the bursa. That sounds fun. I don't know how easy it is to collect and remove all of those.
I was told by my doc that surgery isn't often done with the elderly, ie 70+. Me being 69 at that time didn't help either. I was sent to physio, although I've never usually benefit from their input; time and exercise with weights got the job done. This was my second time in the same place, but it's fine now. We are talking a couple of years . . . .

Just listen to your missus (guys can be so impatient) and all will be well. As long as you
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Old 06-22-19, 01:38 PM
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Hi folk
.
Well, I have surgery scheduled for 23 July. I agreed to it in late May, but by the time the insurance signed off and the surgeon got me in the 1st available date was 10 July and well the 23rd is more convenient.

I have done some reading and apparently there is no detectable benefit of surgery over non-surgery for 'non-traumatic' tears but there is for traumatic ones (which is what I have).

Surprisingly the ortho is more optimistic about 2 of the 3 tears the radiologist identified, but he is open to doing whatever once I'm on the table. So, the supraspinatus is 100% torn and needs repair. The infraspinatus the radiologist spotted as 50% torn which would not merit repair unless there was already a surgeon there working on other stuff. The surgeon is skeptical of the reading of that tear but will check it and fix it if needed. Finally, the 'slap tear' which was explained to me as cartilage damage 7 years ago now I am told it's a biceps tendon problem. They might relocate my biceps tendon from whatever shoulder bone it's supposed to be attached to, to the humerus. Will be a game time decision.
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Old 06-22-19, 02:37 PM
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Originally Posted by HardyWeinberg View Post
Hi folk. Well, I have surgery scheduled for 23 July.............
Just a

GOOD LUCK!! to you
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Old 06-22-19, 04:36 PM
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Thanks, and thanks for the responses
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