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Doctor insights on: Rim Rent Tear Supraspinatus

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What does high grade partial undersurface supraspinatus tear mean?

What does high grade partial undersurface supraspinatus tear mean?

Partial rotator cuff: This tear can respond to rehab, sometimes in higher level athletes a nagging injury will require tear completion and repair. ...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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I have a moderate grade partial thickness tear of supraspinatus from a fall. I am 48 years old. is surgery recommended. the tear was 12mm.

I have a moderate grade partial thickness tear of supraspinatus from a fall.  I am 48 years old.  is surgery recommended. the tear was 12mm.

ConservativeTreatmen: Depends whether it is full thickness tear or partial tear.Most of the time conservative treatment with Physical Therapy and stretching exercises.12 MM tear is rather small and most of the time treated with Conservative Treatment with Physical Therapy and Streching and strengthening exercises.For severe pain sometimes cortisone injections.For small tear 12mm surgery is rarely recommended if ever ...Read more

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Does physiotherapy help in partial supraspinatus tear?

Does physiotherapy help in partial supraspinatus tear?

Yes: Partial thickness(articular or bursal sided)rotator cuff tears esp. In someone only 27 yrs.Old may respond to a rotator cuff strengthening program.... If pain or weakness ( or instability, possibly) worsen than arthroscopic debridement or repair(depending on the thickness of the tear) can be performed in conjunction w/ decompression or capsular plication. See an experienced shoulder specialist. ...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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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?

Supraspinatus tear: If you want a chance for a full recovery surgery is your best option. Otherwise you will have signficantly reduced function (plus ongiong pain) in that shoulder. If you do opt for surgery. make sure you do it some place where anesthesia will do an interscalene block for post op pain relief. Shoulder surgery is particularly painful after surgery. ...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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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 more

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What does a high-grade tear of the anterior supraspinatus muscle at the myotendinous junction mean? How is it treated? I'm 27 years old.

What does a high-grade tear of the anterior supraspinatus muscle at the myotendinous junction mean? How is it treated? I'm 27 years old.

Probably surgery: A shoulder injury in twenties male caused a tear of supraspinatus muscle, which goes over top of shoulder to top of humerus, the upper arm bone. Function of this muscle is to elevate arm in motion called abduction. Since tear is at place that tendon of muscle attaches to shoulder musculotendinous cuff, it will likely not heal spontaneously. Surgery to attach tendon will be required. ...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?

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

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High grade partial tear of subscapularis w underlying tendonisis w low grade partial tear of supraspinatus w reactive bursitis. Is op only option?

High grade partial tear of subscapularis w underlying tendonisis w low grade partial tear of supraspinatus w reactive bursitis. Is op only option?

MORE THEN ONE: OPTION. THERE ARE ALWAYS OPTIONS. IF YOU HAVE A LOT OF PAIN, ACTIVE WITH THAT ARM THEN SURGERY IS THE OPTION. IF IT DOES NOT BOTHER YOU A LOT YOU CAN GO CONSERVATIVE. ...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 
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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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I have a rotator cuff injury and drop arm test shows supraspinatus tear. Do i need to have surgery?

I have a rotator cuff injury and drop arm test shows supraspinatus tear. Do i need to have surgery?

Depends: If you have a complete rotator cuff tear with weakness and night pain in your dominant shoulder then yes, at age 45 you may need surgery. You don't mention having an mri. If you do get an MRI arthrogram as it provides more information. Have you tried any physical therapy yet ? ...Read more

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Known hi grade partial distal supraspinatus tear poss labrum tear experiencing pain above scapula very tender to touch. What could it be?

Known hi grade partial distal supraspinatus tear poss labrum tear experiencing pain above scapula very tender to touch. What could it be?

Rotator cuff: High grade tears generally will not heal by themselves...And will often eventually lead to full thickness tears. Surgical treatment is likely to be eventually needed. There is no harm in trying conservative treatment such as pt, nsaids, cortisone injections, etc...Just realize that this will likely just delay the inevitable. Also, scapular pain may not be rotator cuff, but rather neck related. ...Read more