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jasonsteele
01-11-2005, 09:24 AM
Can anyone tell me......does a full thickness tear of the supraspnatus tendon usually require surgery? I havent had much luck with getting answers from the Specialist(this is the guy who based his report on the wrong shoulder xray!)
I just started physiotherapy and have another specialist appt in 2 weeks. This is an injury caused by a fall onto the ice at a hockey practice.(37 years old)
I have only had ultra-sound and the report stated:

The biceps tendon is normally positioned, with normal appearance on ultrasound. There is a small amount of fluid in the sheath.

The supraspinatus tendon demonstrates a near full thickness tear. The tear appears to be predominantly articular surface, with a few remaining resudual fibers present in the bursal surface of the tendon. There is no fluid in the subscapularis/subdeltoid bursa.

The subscapularis tendon is somewhat heterogeneous, suggesting a degree of tendinopathy. The infraspinatus tendon is normal.

There are mild hypertoophic degenerative changes of the acromioclavicular joint.

IMPRESSION:
Near full thickness articular surface tear of the supraspinatus. There are only a few thin residual fibers intact along the articular surface of the tendon. Tendinopathy of the subscapularis tendon.

::::Before I go to get a 2nd opinion, I would really be interested in getting some feedback.
Thank you

Unregistered
05-03-2006, 12:05 AM
http://www.massagetherapy.com/articles/index.php/article_id/748

This might help you.

debbie clarke
15-04-2007, 07:54 PM
Can anyone tell me......does a full thickness tear of the supraspnatus tendon usually require surgery? I havent had much luck with getting answers from the Spe******t(this is the guy who based his report on the wrong shoulder xray!)
I just started physiotherapy and have another spe******t appt in 2 weeks. This is an injury caused by a fall onto the ice at a hockey practice.(37 years old)
I have only had ultra-sound and the report stated:

The biceps tendon is normally positioned, with normal appearance on ultrasound. There is a small amount of fluid in the sheath.

The supraspinatus tendon demonstrates a near full thickness tear. The tear appears to be predominantly articular surface, with a few remaining resudual fibers present in the bursal surface of the tendon. There is no fluid in the subscapularis/subdeltoid bursa.

The subscapularis tendon is somewhat heterogeneous, suggesting a degree of tendinopathy. The infraspinatus tendon is normal.

There are mild hypertoophic degenerative changes of the acromioclavicular joint.

IMPRESSION:
Near full thickness articular surface tear of the supraspinatus. There are only a few thin residual fibers intact along the articular surface of the tendon. Tendinopathy of the subscapularis tendon.

::::Before I go to get a 2nd opinion, I would really be interested in getting some feedback.
Thank you
I ALSO HAD A TEAR OF SUPRASP. NOW HAS BEEN 7 WEEKS AND ALL THEY SAY IS REST AND CORTISONE SHOTS. I HAVE HAD 1 CORT INJECT AND REFUSE TO HAVE ANY MORE. I AM TRYING BOWEN THERAPY AND IT SEEMS TO RELAX THE NERVES BUT I DONT THINK THERE WILL BE ANY QUICK FIX. I ALSO HAVE FLUID ON BURSA AND INFLAMATION WHICH CAUSES GREAT DEAL OF PAIN. IF YOU GET ANY RELIEF FROM ANY TREATMENT LET ME KNOW. PHYSIO ONLY AGGREVATED THE TEAR - SO I AM JUST RESTING AND ITS HARD TO STOP GETTING DEPRESSED AFTER BEING SO ACTIVE. GOOD LUCK

angieliu
25-04-2007, 03:56 PM
My suggestion with the tear is to go through with a rehab exercise program. It's better to gind someone who has experience with working with shoulder injuries.

Tears do eventually heal. You need to strengthen the muscles around the tear so that you do not loose to much muscle mass. Rest is probably the best medicine but in this day and age I think many people find it hard. I certainly do. You could also try acupuncutre which will offer some pain relief and increase the blood flow.

Hope this helps.

yardz
27-09-2007, 01:14 AM
Hi there,

I have had a full thickness tear of both the right and left supraspinatus for some time now. Started of as partial tears that gradually degenerated into full thikness tears. Used pain killers and cortizone injections to manage pain and increase mobility of the shoulders and found temporary relief. Cortizones worked well but may have contributed to tear escalating to full thikness. Description of your tear sounds like it is hanging by a thread and so I would suggest that it is not to far from a full thickness tear. You will feel it when it finally goes. Don't want to put you off, but I'll tell it how it is. All the surgeons, doctors and physios advised that even partial tear rarely heals itself. I finally opted for surgery due to ongoing pain and resultant athritis and bone spurs caused by continued use of shoulder after full thikness tear. I am also 37 years of age and surgeons (i sought two opinions) advice was if i want to continue playing golf, tennis, squash etc, surgery was recommended. My father is in his late 50's, has the same injury and same sugeons advised against surgery due to age and related decreased likelihood of full recovery.

I am now 7 weeks post surgery and still far from fully recovered (advised that it would take 3 to 4 months just to get mobility back and a further 3 months of weight training to get strenght back. At the moment I can only move my arm from the elbow, and hopefully if all goes well and I get full shoulder mobility back without pain, I will then proceed to repair the left one.

shane warne had the same injury and was back bowling again within 8 months though it took him a a few months more to get back to his best so I am optimistic despite feeling very handicapped at present.

I hope this helps

yardzy

paolotv
08-10-2008, 01:52 PM
you need surgery, as tears of that size will never heal. physio will help with pain and function but in a few years you may not be able to lift your arm anymore and even surgery won't help anymore because the tendon will be retracted

bennyboy_waltz
17-03-2009, 11:29 PM
I agree with paolotv.

You can survive without your supraspinatus muscle function however your range of movement at the shoulder will be limited to below shoulder height & you will have difficulty with moderate/heavy lifting. Many manual labourers in 3rd World countries have either a torn or partially torn supraspinatus muscle but they function on because they have no choice.

Your best bet is to have a Rotator Cuff Repair +/- an acromioplasty. You would spend 6weeks in a brace with rehab starting the day after surgery involving passive & active assisted exercises. If your supraspinatus muscle has retracted too far it may not be able to be retreived & the surgeon may opt to not complete the RCR or may use another muscle to graft on.

I see around 5-10 of these tyoes of surgery nearly every week & the majority have a good end result. In short - short term pain for long term gain.

Good luck with it all.

TimeToFixIt
02-04-2009, 12:43 PM
Hi all,

I have a partial tear of my supraspinatus tendon that i have been trying to deal with for around 5 years now but i am sick of not being able to perform at my best in my chosen sport rock climbing. As every time i take time off hoping that it will get better then slowly build back up again to where i used to be in terms of performance my shoulder gets really achey and feels weaker and stops me going any further.

Basicaly i'm thinking of having surguery to repair the tendon as i am still relatively young (31) and if surgery can make it like a normal shoulder again i think the short term pain/lost of function will be worth it.

So a few questions if people could help me please.

1)From reading other forums here it seems to me that my problems aren't that bad but still it stops me from doing what i want to do. Do people think it is worthwhile to have surgery and would my shoulder would be better as a result of surgery?

2) Can anybody recommend shoulder specialists, physios(specialising in shoulders), and any other medical professionals i should see in Perth W.A.?

Thanks heaps :-)

stillinpain
13-04-2009, 01:56 PM
can anyone tell me the exact thickness if the supraspinatus tendon

bennyboy_waltz
14-04-2009, 11:08 PM
Timetofixit

Here's my advice from the large number of patients I see who have had this surgery.

1) Some people advise putting off surgery for as long as possible if you can manage. It sounds like you can manage without having the surgery however you are unable to participate in the things you enjoy doing most - therefore I would recommend you have the surgery. Do the rehab & within 6months you will most likely be back to participating fully in all your favourite activities.

2) As for surgeons, ask around your friends & family & see if any of them have had shoulder surgery & if they would recommend their surgeon.
I have had my shoulder operated on by Mr Keith Holt (Perth Orthopaedic & Sports Medicine Centre). Though he has no bedside manner he did a great job of it & I got back to high level sport again with no problems - that was 11 years ago.
Mr Peter Campbell (Western Orthopaedic Clinic) does the Eagles shoulders.
Mr David Colvin (Western Orthopaedic Clinic) is also very very good & has a great bedside manner.
Other surgeons I would recommend include:
Mr Alex O'Beirne (Western Orthopaedic Clinic)
Mr Ben Hewitt (Perth Orthopaedic & Sporst Med)
Mr Paul Jarrett (Murdoch Orthopaedic Clinic)
Mr Allan Wang (Murdoch Orthopaedic Clinic)

There are a few that I wouldn't recommend but if you would like to know who they are just PM me.

stillinpain
15-04-2009, 03:20 PM
ive been put off work as its un safe 4 me to b around fork lifts and machines while on my meds it finally workin now i can push to get the surgery done or see wat they can do got my referal so now just gotta wait till i can get in and get it looked at

Wes01
21-04-2009, 02:58 PM
Hi all
I have just recently taking a full and have now a tear in my right shoulder tendon the ultra sound report says
There is a full thickness subscapularis tendon tear measuring 20x3x21mm
The supra spinatus tendon appears mildly tendinotic at its insertion. The infrasspinatus teres minor and biceps tendons are intact. There is a small biceps tendon sheath effusion.
The AC joint has a normal appearance.
What I am asking is that will I need surgery, for I am very active like to climb and lift weights.
My age is 60 years young
And if so what sought of recovery period would I be looking at

TimeToFixIt
27-05-2009, 12:35 PM
Thanks very much for your help bennyboy_waltz :-)

Joycee
18-07-2009, 06:11 PM
Timetofixit

Here's my advice from the large number of patients I see who have had this surgery.

1) Some people advise putting off surgery for as long as possible if you can manage. It sounds like you can manage without having the surgery however you are unable to participate in the things you enjoy doing most - therefore I would recommend you have the surgery. Do the rehab & within 6months you will most likely be back to participating fully in all your favourite activities.

2) As for surgeons, ask around your friends & family & see if any of them have had shoulder surgery & if they would recommend their surgeon.
I have had my shoulder operated on by Mr Keith Holt (Perth Orthopaedic & Sports Medicine Centre). Though he has no bedside manner he did a great job of it & I got back to high level sport again with no problems - that was 11 years ago.
Mr Peter Campbell (Western Orthopaedic Clinic) does the Eagles shoulders.
Mr David Colvin (Western Orthopaedic Clinic) is also very very good & has a great bedside manner.
Other surgeons I would recommend include:
Mr Alex O'Beirne (Western Orthopaedic Clinic)
Mr Ben Hewitt (Perth Orthopaedic & Sporst Med)
Mr Paul Jarrett (Murdoch Orthopaedic Clinic)
Mr Allan Wang (Murdoch Orthopaedic Clinic)

There are a few that I wouldn't recommend but if you would like to know who they are just PM me.
Thanks for your informative message. I'm an older person with 4mm full thickness tear of the supraspinatus tendon. Happened more than 3 wks ago. My GP given referral to specialist Dr G. Janes. Have to wait 5 weeks for initial appointment. Please send names of surgeons you wouldn't recommend. Iwant to get 2nd opinion. No private health insurance but prepared to pay from savings for quicker consult & operation by recom surgeon. Got any info on cheaper hospital options available? (eg Mercy or Murdoch or Glengarry hospitals) thanks very much

sharynmac
14-08-2009, 10:57 AM
Hi I have a Supraspinatus tendon has a full thickness 9mm tear ..which i did ice skating back in Feburary plus i broke my shoulder as well - i have no fluid in the subscapularis subdeltoid bursa. I also have mild hypertoophic begenerative change of the acromioclavicular joint which is very pain full i seen 2 surgeons the first one said because of my age he wouldnt operate ( im 39 yrs) but the 2nd surgeon sent me for a scan which showed it hasnt healed so now his talk surgery im getting an MRI done next week and seeing him begining of September to wot surgery i need to mend the damage so see another surgeon and see wot he says because its been 7 mths since ive done it i cant work no more and in pain all the time im on 3 different types of medication -Endone and sleeping tablet i was on Valium but i didnt take for long ...I will keep u upto date with wot happens to me GOOD LUCK

Dandy
20-08-2009, 08:25 PM
hi bennyboy,

I live in Perth also and have just been diagnosed with a 3/4 tear of the Supraspinatus after a MRI.
I am contemplating surgery and was wondering whether you know of a Dr Michael Halliday who operates through St John of God, Murdoch? I have also been told of Dr Paul Jarrett who I notice you recommend.
Any feedback would be appreciated.

Jaa
18-10-2009, 12:41 AM
Hi All,
Also live in Perth, same problem 43 yo kitesurfer, seeing Mr Michael Edwards at Mercy hospital next month anybody with recommendations or not?

Thanks
Jaa

aroadrunner
27-12-2009, 06:52 PM
HI all,
I have a 8mm partial tear in the bursal surface of the supraspinatus tendon with AC joint osteoarthritis at the greater tuberosity of the humerus at the rotor cuff attachment ,and don't know what to do as am 58 years old & my doctor doesn't give me much confidence about my condition. Can anyone tell me how wide or deep this torn tendon is. Anyone with this injury knows only to well how painful it can be and am after some guidance as to my options if anyone can help please feel free.

Jaa
20-01-2010, 12:05 AM
Now six weeks post surgery for near full thickness supraspinatus tear and sub acromion decompression. Pleased to report little pain post op, I know everybody responds differently. Have been very encouraged by range of motion even this early on. I have been able to use my lower arm from the first week just no lifting the elbow from my side. My advice based on still active 43 yo body would be get tears surgically repaired asap. I know full recovery will be slow but worth the wait.

PhysioAdvisor
22-04-2010, 12:22 PM
Check out the following link for detailed information on a supraspinatus (rotator cuff) tear including treatment:

Rotator Cuff Tear

(http://www.physioadvisor.com.au/8043750/rotator-cuff-tear-shoulder-injuries-physioadvi.htm)Hope that helps and good luck,

FizzyOHealth
31-07-2010, 12:30 AM
Manual lymph drainage in conjunction with connective tissue manipulation is good for supraspinatus tendonitis

harry44
29-01-2011, 05:30 AM
Hi all, I have a full tear of the supraspinatus tendon 2cm from the bone,I originally hurt it one year ago, when I did a partial tear, then last September I tore it completely. I have an appointment with the surgeon next month. I am a healthy active still working 66 year old. Through therapy I have regained very good flexability and movement with very little discomfort, it feels better now than when it was only partially torn. My question is since it feels so good now, what are the long term consequences of not having the surgery?? thanks in advance

TimeToFixIt
04-02-2011, 03:37 PM
Well just thought i'd share my experiences with people of my shoulder surgery.

I had my shoulder opperated on 6months ago to repair a partial tear of my supraspinatus tendon. The speacialist chose to just scrape away the damaged part of the tendon due to the tear only being about 20% of the tendon thickness. He also scraped away a bit of my acromium so the tendon would not be impinged.

This was good in that i didn't have to have my arm in a sling at all and should of meant a quicker recovery.

The thing is though at 6months i still get some pain from my shoulder when lifting my arms above shoulder level and feel a weakness holding arms above shoulder level and the shoulder feels shorter than the other one. I am trying to get back into my sport of rock climbing and the pain is getting worse.

How long have other people taken to recover and should i be worried or just more patient?

TimeToFixIt
18-03-2011, 11:40 AM
Well went to a physio and they think it is to do with muscle imbalances and judging by the very pronounced difference from right shoulder to left when doing shoulder shrugs with arms out 30 deg from body with light weights (2.5kg) i think they are right.

I have been doing a heap of shoulder rotator cuff strengthening exercises the physio recommended and seems to be getting better. Can see that will have to do for very long term though but it will be worth it!

herty72
05-05-2011, 09:56 AM
Hi,

i have a 9mm tear in my supraspinatus tendon. Not 100% how i did it, but it was either surfing or gym work.I first started experiencing pain in my shoulder about 6 weeks ago. My GP sent me to go an Ultra sound this week.
I have planned a surfing holiday (Surfing causes the most pain at the moment) for August.

At this stage my GP hasnt seen the results of the ultra sound so unsure what treatment he will recommend, but i am wondering what is the best option i have for treatment prior to my holiday.
The holiday will be quite strenuos and there is only 3 months until i go. If surgery is required is it possible to recover prior to leaving or should i try Physio and if necessary surgery when i get back?

Thanks heaps
David.