Doctor insights on:
Do People With Full Thickness Tear Of Posterior Rotator Cuff Do Very Well Without Revision Surgery
Tear involving the supraspinatus tendon
without evidence of a full thickness rotator cuff dose it got any thing to do with pectoralis major m pain
Sometimes: Sounds like a partial year of the supraspinatius which is actually a very common MRI finding. Most patients describe pain over the deltoid but have seen some describe pectoral pain. You should be examined to confirm it is your shoulder and treatment should be effective with pt and possibly an injection. ...Read more
How likely will you develop cuff arthropathy if you don't fix a complete full-thickness retear of infra with 1.5cm retraction to superior humeral head?
Difficult to answer : It can be unpredictable who develops significant arthritis years to decades after a full thickness rotator cuff tear. I would make my decision regarding another surgery based on your pain and function levels, including whether you have range of motion and strength deficits. Regenerative injections such as PRP could be a nonsurgical option if you hope to avoid surgery. ...Read more
Do I need surgery for fluid in the subcromial/subdeltoid bursa and a high grade partial thickness articulare sided tear supraspinatus tendon?
Varies: Full thickness tears of the rotator cuff will often retract and not heal; so if someone is young and reasonably active surgery usually optimizes outcome. Partial tears can heal at times without surgery. A high grade partial tear is very close to a complete tear; you would certainly want to be followed closely by an orthopedic surgeon to discuss your progress. ...Read more
Is complete tear of proximal third of the ACL with ligament laxity very serious ? Do i need surgery ? Or can it be strengthern by exercise and physio
Probably surgery: Acl tears themselves usually do not heal, and the acl is a very important part of the stabilizers of the knee. There is a fairly small benefit strengthening the leg. Most people either have to accept that they will have to have a fairly inactive lifestyle, perhaps with a brace, or they will have to have it fixed. Thank you for your question. ...Read moreSee 1 more doctor answer
Depends: Surgical treatment for full thickness rotator cuff tears (RCT) depends on age, activity level, pain level, weakness, and tear characteristics (size, location, amount of retraction, chronicity). Your orthopaedic surgeon will discuss these issues to help you decide if and when surgery is appropriate. 33 is very young to have a RCT and I usually recommend surgery for acute tears at this age. ...Read more
What would you suggest about having partial rotator cuff surgery and is this tear a high risk of increasing? I've just been diagnosis with a partial focal tear of the supraspinatus at insertion with most anchor fiber intact. After steriod injection, my ri
I : I don't have all the answers, but i might be able to clarify a few things. First of all, when a test is interpreted as showing a "tear", that implies damage that should be repaired. But rotator cuff tendinopathy is more like greying and hair loss--expected changes with age. I find the term "partial tear" particularly misleading and even sinister. It's really just a signal change on MRI due to the changes in the tendon. You don't state your age and sport. If you are a throwing athlete under 40 years of age, the process is different. Second, and to reinforce the first point, not all of these tendon changes cause pain. We know this from studies of patients with no shoulder pain and from studies of a patient's non-painful shoulder. Third, like greying and hair loss we do know that rotator cuff tendinopathy is progressive. Finally surgery does not cure the problem any more than hair plugs or rogain cures hair loss--it just patches things up for a bit. The larger the defect, the quicker it will recur. Surgery helps many people feel better, but you should not have surgery under the misconception that it is necessary. ...Read moreSee 1 more doctor answer
What are options for recovery for a partial tear of the biceps anchor OR tear of the biceps anchor-superior labral interface---PT 5 weeks w/o change?
How would you know if and when the tendon has healed to the bone after revision rotator cuff repair surgery for a full thickness tear?
Shoulder/arm pain for months with ultrasound that found. Partial thickness bursal surface tear of mid/posterior fibres of supraspinatus 4×2×2mm & involving 75% of fibre thickness with associated subacromial bursitis & impingement. Will i need surgery?
Had revision rotator cuff surg in 9/2016. Re-tear of infra w/1.5cm retraction at 15 wks postop.If I do not fix it,can I develop cuff tear arthropathy?
Rotator cuff tear: It would be unusual to develop an arthropathy with just an Infraspinatus tear. It is more common with large chronic Supraspinatua tear ...Read more
Rotator cuff have bilateral full thickness tear 10mm anterior to posterior and 11 mm medial to lateral is this surgery painful does this mean 2 tears?
They're fixable: We generally think in terms of centimeters - if both shoulders have similar size tears, then they are in the 'small' category, 1-2 cm in size. As long as the tissue quality is good and the mris are recent, they should be repairable, likely arthroscopically. However, the full recovery time is in the 3-6 month range regardless. As for pain, that depends more on the patient than the surgery. ...Read moreSee 1 more doctor answer
Full thickness tear of the ACl and "Bucket handell tear of the medial meniscus. is it possible to not go into operation, and only conservative soluti?
Poss surgery: The bucket handle tear of the meniscus will likely cause you problems - should probably be dealt with via arthroscopic approach. The ACL tear can wait - do PT and make a decision later if you want to have an ACL reconstruction done. Not everyone needs ACL repair - talk to your doctor about the pros and cons. ...Read moreSee 1 more doctor answer
I'm having lateral ligament surgery soon (chronic complete ATFL tear, CFL lax). I also have a deep deltoid tear, shown on MRI 5 weeks post inversion. Is the deltoid tear likely to cause ongoing instability issues, with the repair only being lateral?
Ii fall at work, I had a MRI done the impression said, full-thickness to full Thickness tear of the distal Supraspinatus 8mm.do this require surgery?
Depends: Are you sure they did not mean full thickness, full width or complete tear? Depending on how long ago or chronic the tear is, and whether or not there is fatty atrophy of the Supraspinatus muscle bulk, you might need surgery (especially yes if the tear is a recent full thickness , full width tear with retraction of the tendon, and there is no fatty atrophy of the Supraspinatus muscle) ...Read moreSee 1 more doctor answer
Complete full-thickness infra tear 1.5 cm retract,other tendons intact.If no surgery just rehab,can tear get bigger&shlder get worse if play tennis?
Infraspinatus tear: the natural history of a rotator cuff tear is that it will likely continue to tear given that it is contiguous with the adjacent tendons of the rotator cuff. with rehab alone, your discomfort may recede but the tear will not heal. it could get worse with tennis play. ...Read more
Sub capsular shoulder tear amongst other minor tears, with history of previous bankart repairs of the superior/ anterior (instability) and infection 1yr. After last repair, also major arthritis. Will this be much better or worse as it seems after each(3)
Tough problem: A very difficult clinical scenario. Options are limited. Subscapularis tears don't heal on own. Pt, arthroscopic subscap repair, humeral head allograft transplant, resurfacing hemiarthroplasty are options but in setting of prior infection its risky. Consult a shoulder specialist for a full work up and discussion of options. A challenging case indeed. Good luck. ...Read moreSee 1 more doctor answer