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Doctor insights on: Full Thickness Tear Of Supraspinatus Tendon

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High grade partial thickness bursal surface tear distal junction supraspinatus and infraspinatus tendons?

MRI diagnosis: The best results happen when a clear diagnosis is established with a detailed examination and history and confirmed with testing such as an MRI or emg, not the other way around. Be careful about having surgery based on an MRI report. Learn more: http://www.Theshouldercenter.Com/shoulder-pain.Htm and http://www.Theshouldercenter.Com/rotator-cuff-tear.Htm. ...Read more

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Tendon (Definition)

Tendons are made up of collagen and are the functional tissue that interfaces between muscles and bone. Muscles generate force that is transmitted through its tendon that inserts on a specific bone that is moved in the plane of the connecting joint made ...Read more


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Mri of shoulder mild partial intrasubstance tearing of supra, infras and subsc tendon insertions". Tendinopathy of the intra-articular bicep tendon ?

Mri of shoulder mild partial intrasubstance tearing of supra, infras and subsc tendon insertions".  Tendinopathy of the intra-articular bicep tendon ?

Diagnosis?: Don't make the mistake of determining your treatment based on an MRI reading. If you don't already have a diagnosis that makes sense to you on an anatomic basis prior to the mri, consider a second opinion. For instance, the number of changes you describe may be because of chronic untreated instability. Learn more: http://theshouldercenter.Com/shoulder-pain.Htm. ...Read more

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What does a "full thickness tear of the supraspinatus tendon" mean?

What does a "full thickness tear of the supraspinatus tendon" mean?

Rotator Cuff Tear: If you are 31 and have a full thickness tear of your suprspinatous tendon, you have a problem. The supraspinatous is one of the 4 muscles that make up your rotator cuff. Tears at your age are unusual, often due to trauma and should generally be repaired with surgery. See an orthopaedist to get it checked out. ...Read more

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Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella, subcutaneous edema

Surgery? Degeneration posterior horn of meniscus, tendinosis/partial thickness tearing of patellar tendon at interpolar patella,  subcutaneous edema

When nonop tx fails: Surgery is not usually the first line of treatment for chronic injuries such as you described: degenerative (chronic) PHMMT, and patellar tendinosis (vs partial inferio pole tear). Nonoperative management: physical therapy, stretching program, NSAIDs, rest, ice, may all help considerably. Arthroscopy to debride a degenerative meniscal tear due to persistent mechanical symptoms may be needed later. ...Read more

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What is partial thickness tear of the subacromial subdeltoid bursa with fluid?

What is partial thickness tear of the subacromial subdeltoid bursa with fluid?

Incomplete tear: You most likely have a partial thickness tear of the supraspinatus tendon, one of the rotator cuff muscles, with fluid in the subdeltoid/subacromial bursa. A bursa is a fluid filled sac that decreases friction wear tendon rubs over or attaches to bone. The tear is not completely all the way through, similarly to a partially frayed rope. The fluid in the bursa is a result of the tear. ...Read more

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What is the treatment for full thickness tear in the anterior distal supraspinatus tendon with 1.5 CM of tendon retraction?

What is the treatment for full thickness tear in the anterior distal supraspinatus tendon with 1.5 CM of tendon retraction?

Depends: Depends on if you are having symptoms or not, if it's dominant or nondominant side. Can be treated conservatively initially with strengthening of the rotator cuff, steroid injection if needed. If this fails, ultimately surgery would be required to reconstruct the tendon and put it back where it should be. ...Read more

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Complete full-thickness retear of infraspinatus 1.5 cm retracted after revision rotatr cuff repair. Other rotatr cuff tendons intact.Fixable and how?

Complete full-thickness retear of infraspinatus 1.5 cm retracted after revision rotatr cuff repair. Other rotatr cuff tendons intact.Fixable and how?

Arthroscopic: Most rotator cuff tears, even repeat tears can be fixed using an arthroscopic technique. The tear is mobilized and then reattached to the proximal humerus usually using what are known as suture anchors. Best wishes. ...Read more

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Small full thickness tear needs surgery?

Small full thickness tear needs surgery?

Depends: So depends on wear tear is. Is it just a laceration or cut on the hand or skin? If it is superficial or small then it does not require any stitches/sutures. If deeper it may benefit from some stitches. But usually not surgery. This can be assessed in a local urgent care or emergency room or even by your doctor. At this point, keep it clean with antibiotic ointment and occlusive dressing/bandaid. ...Read more

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Revision rotator cuff surgery failed w/complete full-thickness infra tear w/1.5cm retraction.All 3 other tendon intact. Can get cuff tear arthropathy?

Revision rotator cuff surgery failed w/complete full-thickness infra tear w/1.5cm retraction.All 3 other tendon intact. Can get cuff tear arthropathy?

Frozen Shoulder: You are at high risk of developing a frozen shoulder if the revision of a full thickness tear of the conjoint tendon of the rotator cuff failed. I hope you are in physical therapy and have a set of low cost safe resistance bands at home to reduce impingement. By the way, the three main muscles of the rotator cuff are supraspinatus, infraspinatus and Teres minor. They insert via a common tendo ...Read more

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Is a full thickness bicep tendon tear painful and requires surgery?

Is a full thickness bicep tendon tear painful and requires surgery?

Depends on extent of: injury, which can be determined by an MRI. Please seek immediate orthopedic evaluation. If you cannot raise or flex the affected arm there may be nerve damage. Please seek immediate attention. ...Read more

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Whats a high grade partial tear of patella tendon?

Whats a high grade partial tear of patella tendon?

Be seen: The patellar tendon connects the knee cap to the tibia. Without your patella tendon, you can not straighten your knee and it would be difficult to walk. A partial tear means it is not completely torn, but a high grade means it is pretty close to a complete tear. It is probably going to need to be fixed or you may have a poor outcome. Thank you. ...Read more

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Knee MRI shows complete rupture of acl, inner margin tear of medial meniscus posterior horn and body w/mild partial thickness. what's usual treatment ?

Knee MRI shows complete rupture of acl, inner margin tear of medial meniscus posterior horn and body w/mild partial thickness. what's usual treatment ?

ACL injury : You'll likely need surgery. I usually recommend to my patients to get a second opinion and research your orthopedic surgeon before committing to surgery for ACL and meniscal repair . ...Read more

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Will a full thickness rotator cuff tear always require surgery?

Will a full thickness rotator cuff tear always require surgery?

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

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I have a rim rent partial thickness tear involving the articular surface of the infraspinatus tendon 2/3rd of the thickness what treatment would recom?

Depends: Depends if you are having shoulder pain and your exam correlates w/ your pain and MRI findings.Your history doesn'tmention shoulder pain. If u do and it meets criteria above then arthroscopic repair(for2/3 partial thickness tear) would be done.Your symptoms suggest other possibilities in addition to your "mri diagnosis". See an experienced ors... Gl! ...Read more

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Is surgery required when diagnosis says full-thickness tear of supraspinatus tendon is seen? been 4 mos. What's consequence when surgery is not done?

Is surgery required when diagnosis says full-thickness tear of supraspinatus tendon is seen? been 4 mos. What's consequence when surgery is not done?

Depends: Often surgery is required but some people do really hard rehab and come back maybe nit100% but well enough to reach up to their expectations . Each person is different . ...Read more

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What does a "full thickness tear of the supraspinatus tendon" mean?

Rotator Cuff Tear: If you are 31 and have a full thickness tear of your suprspinatous tendon, you have a problem. The supraspinatous is one of the 4 muscles that make up your rotator cuff. Tears at your age are unusual, often due to trauma and should generally be repaired with surgery. See an orthopaedist to get it checked out. ...Read more

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What is the treatment for full thickness tear in the anterior distal supraspinatus tendon with 1.5 CM of tendon retraction?

Depends: Depends on if you are having symptoms or not, if it's dominant or nondominant side. Can be treated conservatively initially with strengthening of the rotator cuff, steroid injection if needed. If this fails, ultimately surgery would be required to reconstruct the tendon and put it back where it should be. ...Read more

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I have a distal full thickness supraspinatus tendon tear with12mm retraction , increased in size since last scan 6 months ago . Will this need surgery?

I have a distal full thickness supraspinatus tendon tear with12mm retraction , increased in size since last scan 6 months ago . Will this need surgery?

Orthopaedic opinion: Full thickness tear usually requires orthopaedic review for consideration of surgical intervention. Please discuss this with your GP. ...Read more

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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 ?

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

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Hi, I have pain in my right shoulder. I had an MRI done. Can you please tell me what the following findings mean? 1. Extensive tendinosis versus full-thickness focal tear of the supraspinatus. Tendinosis of the infraspinatus and subscapularis tendons.

Hi,
I have pain in my right shoulder.  I had an  MRI done.  Can you please tell me what the following findings mean?
1. Extensive tendinosis versus full-thickness focal tear of the supraspinatus.  Tendinosis of the infraspinatus and subscapularis tendons.

Rotator cuff: Your rotator vuff is a group of 3 muscles which r on top of the shoulder blade I t attaches to the humerus by three tendons ,supraspinatous , infraspinatous and teres minor. These tendons r very thick so when they tear they usually tear partially ,not unlike a shoe string that begins to unravel. Subscapularis tendon helps piUll your arm back towards the midline.it and the infraspinatous tendons ...Read more

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I have a 9 mm full tear of supraspinatus tendon. In the anterior footplate. Is surgery needed? Assuming so. Anything I should know?

I have a 9 mm full tear of supraspinatus tendon. In the anterior footplate. Is surgery needed? Assuming so. Anything I should know?

Sometimes....: 9mm tear still means that the other half (posterior) of your supraspinatus is intact. If the pain is minimal and you can avoid overhead activity then you can wait and see if it fully tears before you undergo surgery. Some would say that eventually it will completely tear so better just to get it over with now. ...Read more

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High grade partial thickness bursal surface tear distal junction supraspinatus and infraspinatus tendons?

MRI diagnosis: The best results happen when a clear diagnosis is established with a detailed examination and history and confirmed with testing such as an MRI or emg, not the other way around. Be careful about having surgery based on an MRI report. Learn more: http://www.Theshouldercenter.Com/shoulder-pain.Htm and http://www.Theshouldercenter.Com/rotator-cuff-tear.Htm. ...Read more

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Do I need surgery for fluid in the subcromial/subdeltoid bursa and a high grade partial thickness articulare sided tear supraspinatus tendon?

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

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My ultrasound shows there's a partial thickness articular surface tear of the supraspinatus tendon messing 4x3x9mm. What's the best way to heal it?

My ultrasound shows there's a partial thickness articular surface tear of the supraspinatus tendon messing 4x3x9mm. What's the best way to heal it?

Take it easy: Healing rotator cuff tears without surgery can be difficult. The tenets of conservative care are a structured physical therapy program, antiinflammatories for pain, and avoidance of any offending activities. Overhead work should be limited for up to 12 weeks. ...Read more

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What is the best prescription for hi grade partial undersurface tear of distal supraspinatus tendon?

Arthroscopic eval: A high-grade tear of the rotator cuff acts like a full-thickness tear, although there are still some intact fibers. Injections and therapy may provide temporary relief of pain at night and with activities. The most effective may to achieve long-term pain relief and improved function is with shoulder arthroscopy. See a board certified orthopaedic surgeon for evaluation and treatment. ...Read more

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Can an undersurface tear of the supraspinatus tendon be seen visually using arthroscopy and if so can it also be repaired arthroscopicaly?

If no a full tear...: ...only fraying, it is usually just shaved to smooth it out. if it 50%or larger depending on what it looks like , it most likely will B repaired. ...Read more

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Can supraspinatus intrasubstance tendon tear (7x1x6 mm) heal by itself without surgery? How long may it take for a healthy 62 years old to heal?

Can supraspinatus intrasubstance tendon tear (7x1x6 mm) heal by itself without surgery? How long may it take for a healthy 62 years old to heal?

Unlikely: Partial thickness rotator cuff tears rarely'heal'. They may become less painful occassionally in some patients who are able to 'tolerate' them.However, most progress( esp.in older adults) w/time to small full thickness tears, etc. If u are not improving w/ pt, NSAIDs , etc.consider having an experienced arthroscopist perform repair( intrasubstance or 'taken down' and repair to bone).Pain relief! ...Read more