Anybody know shoulders?
-
I don’t see the orthopedic surgeon until Tuesday.
FINDINGS:
Rotator cuff: There is a high-grade partial-
thickness articular surface tear involving the
entirety of the infraspinatus tendon, spanning 75
% thickness, with delamination and retraction by
5.5 cm to the level of the glenoid (series 6:18).
There is a hematoma at the myotendinous
junction of the infraspinatus measuring 1.6x 3.1
× 1.2 cm. The supraspinatus tendon is intact with
mild tendinosis. The subscapularis and teres
minor tendons are intact. There is edema in the
infraspinatus muscle. The remainder of the
rotator cuff musculature is well maintained
without atrophy or signal abnormality.@jon-nyc the rotator cuff consists of several muscles. Suprapinatus, infraspinatus, teres major and teres minor, and subscapularis.
Sounds like you tore the infraspinatus, but it's not a full-thickness tear. The presence of the hematoma indicates that it might be recent? The edema along the infraspinatus also suggests that.
The infraspinatus is involved with external rotation of the shoulder - hold your arm like holding a pistol, then turn your arm outward, that's external rotation.
The fact that it's not a full-thickness tear is a good thing. It might heal down and scar along the tear - but this can take months.
Most older adults have some degree of rotator cuff disease - the question is whether it needs intervention. Be assured, rotator cuff repair is no fun.
The major reasons to do rotator cuff surgery are to prevent (stop) pain, and to prevent "rotator cuff artropathy. When the muscles no longer support the shoulder, the humerus migrates into the glenoid (socket) and you get bone-on-bone wear.
That takes years to develop, and the only solution is a total shoulder replacement.
I would get more than one opinion on this, and I'd let your degree of disability be your guide.
I tore my right cuff in my sleep (it woke me!). For about 6 weeks, I could not extend my arm and needed to keep my elbow by my side. It made sitting at the piano awkward.
The shoulder is a complicated joint, and only one of two major joints that is not supported by bone abutting bone. Instead all support is by the muscles.
-
I don’t see the orthopedic surgeon until Tuesday.
FINDINGS:
Rotator cuff: There is a high-grade partial-
thickness articular surface tear involving the
entirety of the infraspinatus tendon, spanning 75
% thickness, with delamination and retraction by
5.5 cm to the level of the glenoid (series 6:18).
There is a hematoma at the myotendinous
junction of the infraspinatus measuring 1.6x 3.1
× 1.2 cm. The supraspinatus tendon is intact with
mild tendinosis. The subscapularis and teres
minor tendons are intact. There is edema in the
infraspinatus muscle. The remainder of the
rotator cuff musculature is well maintained
without atrophy or signal abnormality.@jon-nyc said in Anybody know shoulders?:
There is edema in the
infraspinatus muscle. The remainder of the
rotator cuff musculature is well maintained
without atrophy or signal abnormality.BTW: This is hugely important. You're approaching geezerdom (I was 58 when I tore my cuff). It's gonna be uncomfortable, but if this were my MRI, I'd NSAID up and wait half a year.
"Now look here, you Baltic gas passer... " - Mik, 6/14/08
The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.
-
I’m sleeping now but I had a few bad days.
I was rotating my arms jacking up a car on June 8th. It hurt. And I go to the gym 6 days a week.
I figured it was some muscle issue and would resolve in 2-3 days. It got progressively worse for 9 days so I scheduled a visit with a shoulder guy (he was team physician for the Minnesota Twins and was assistant physician for the Yankees - yeah he prolly knows a thing or two about shoulders.)
They did xr on site that showed nothing (as expected) and ordered MRI. MRI was yesterday, but I don’t see him until Tuesday.
I’m in far less pain now but I don’t have full strength (by far) and some basic motions cause pain.
We’ll see what he suggests Tuesday.
-
@jon-nyc said in Anybody know shoulders?:
There is edema in the
infraspinatus muscle. The remainder of the
rotator cuff musculature is well maintained
without atrophy or signal abnormality.BTW: This is hugely important. You're approaching geezerdom (I was 58 when I tore my cuff). It's gonna be uncomfortable, but if this were my MRI, I'd NSAID up and wait half a year.
@George-K said in Anybody know shoulders?:).
It's gonna be uncomfortable, but if this were my MRI, I'd NSAID up and wait half a year.
I can’t do NSAIDs. Transplant meds screw my kidneys.
-
@George-K said in Anybody know shoulders?:).
It's gonna be uncomfortable, but if this were my MRI, I'd NSAID up and wait half a year.
I can’t do NSAIDs. Transplant meds screw my kidneys.
-
Surgeon recommended non-surgical options. That is always comforting.
Going to get a PRP injection and do physical therapy
@jon-nyc said in Anybody know shoulders?:
Surgeon recommended non-surgical options. That is always comforting.
Excellent. With a non through-and-through tear, it should heal up with PT and scar down. It'll be a slow process, however. Mine took about 6-8 weeks to stop hurting.
