Some simple tests during a physical examination should enable your doctor to determine whether your symptoms are likely to improved with a surgical repair of the tendon. What we often don't see is the subsequent shoulder surgery and months of rehabilitation (sometimes in the off-season) to repair the damaged structures. The reverse shoulder surgery is extremely involved so I am getting a second opinion. Lol. Questions: 1. Best to have a chat with your doctor. Have been taking 800 mg Motrin tid. The acromion joins with the collar bone and attaches to the upper arm (humerus also not shown in this image). The supraspinatus tendon has a tendency to weaken with age and become prone to tendon tears. If they repair the tendon surgically, this will probably involve wearing a sling and not using that shoulder actively for at least 4-6 weeks and then quite slow gradual progression for the weeks / months after that. However, I went in to see my GP last week for an initial visit and have been advised to do a month of strengthening exercises. What ever recommendation you received, you are looking up more information on line. But not result in a normal shoulder. I did PT around December for a month, twice a week. and seemed to be doing ok with Cortisone shots. It was a small rotator cuff tear. thank you for your considiration and helle from Turkey:-). SLAP type tear of the superior labrum. Also if I don eventually need surgery will it hurt to wait until I absolutely need it. Irreparable. Like Helpful Hug REPLY If you get a chance please let us know how you go. Dr. Mike great info here thanks. In September '12 I had surgery to reattach both the right rotator supra and infraspinatus with excellent results. While hauling a box of machine gun ammunition up a ladder (I was holding onto the ladder with one arm and the box of ammo in the other) my right shoulder randomly decided to give up on me. It must have been quite a knock, there is some quite serious damage there. It was sometime in the early months of 2011 that I was sent off to have an MRI done. Either way, I wish you all the best with it (and a safe deployment and return). The plastic surgeon gave me 3 options, leave it be and it would only get worse as i age, cortisone shots which is just temp obviously or fix it.. should i get another mri to see if its healed some, i have got partial thickness insertional tear in supraspinatus 9mm*5mm. For most people, it is usually preferable to lean on a bench or table rather than the seat of a chair. my MRI result come out that supraspinant tendom has partial tear. It can reduce (relocate back into the socket) long before someone makes it to a hospital (or an onboard medic!) No black and white answer for this one I'm afraid. The MRI report says: 1. very large, nearly complete tear of the supraspinatus tendon from the tendon insertion with 1cm retraction of tendon fibers. Remember that you are not aiming for speed; slow, steady, and controlled movement is best. Pitchers, swimmers, and tennis players are common examples. Thanks! Avoiding work above shoulder height can sometimes avoid aggravating the pain. The supraspinatus is one of the four muscles that make up the rotator cuff group of muscles. I am wondering if I can recover without a surgery option. It would be much wiser to follow your surgeons instructions (which usually involve keeping arm in sling for 6+ weeks depending on surgery / surgeon etc. The orthopedic said that after 6 weeks of PT if there is pain then we looka possible surgery, is there something else that I should do or look at? A few hours after the incident, I was able to seek some medical attention from our on board medic, who believed I had dislocated my shoulder, but was not overly concerned with my condition. The results showed a "partial tear of the supraspinatus tendon, with large swelling and irritation". If the injection does give you pain relief, it may allow you a couple of months without pain to do exercises that can strengthen your rotator cuff and improve the biomechanics at your shoulder in an effort to reduce irritation of the bursa and Supraspinatus tendon. 8% (102/1251) Overall my subscapularis does appear intact." Instead specific movements are required, these shouldn't cause pain while performing the exercise. Don't even think you won't need help, because you'll need help with even the most basic daily tasks. I'm sorry I can't provide you with specific advice, rather I only provide some general information. I have not lost any ROM I just have severe pain in my right shoulder. Failure to do so increases the risk of progression to a supraspinatus tendon full thickness tear. Any suggestions and generally how long is the recovery period? Again, because your case is not straightforward, seeking advice from your surgeon(s) in this regard is certainly wise. From time to time tendons do rupture from a variety of causes, in your case it sounds like the surgeons description of rope fraying is a good one. The recovery time after surgery is substantial (and may vary depending on the surgeon, and specific structures repaired). They can then make a diagnosis and begin treatment. Physical therapy exercises for supraspinatus tendon tears usually have one of three purposes: Below is a pendulum exercise demonstration. Also an ex ray of my shoulder "Demonstrate my humeral head close to abutting my acromion. If you get a chance drop by again and let us know how you went. 6 months ago a different ortho diagnosed the problem as frozen shoulder and gave me a cortizone shot followed by physio therapy for few weeks. Let us know how you go! I would make sure your surgeon knows you are planning on falling pregnant within the next 12 months. sir i am a shuttle badminton player.. i got injury on my shoulder .. doc told to tke MRI scan.. after taking MRI scan these are the final impressions.. 1.partial tear in the supraspinatus tendon at the level of insertion in the greater tubersity for a length of about 15mm with intact insertion, 2 partial tear in the anterior superior labrum. I hope I have not waited to long for having this checked, and the only option will be surgery. Pain is moderate. Supraspinatus tear can be caused by lifting something too heavy, falling on your arm, or dislocating your shoulder. Advice welcomed. The tear of the subscapularis muscle is less common then the tear of the other rotator cuff muscles, such as the supraspinatus, infraspinatus or suprascapularis. It is located in the top portion of the back of the shoulder blade (the superior posterior portion above the spine of the scapula) known as the supraspinatus fossa. It is not very common that two orthopedic specialists would have very different opinions on what is wrong with your shoulder (although does happen from time to time). @anonymous: Hi Vicki, I'm glad the information was useful to you. This tear leaves only a very thin layer of intact cuff at the site, no impingement, labrum is intact. My question to you is why can they not try and repair the rotator cuff using a graft of somesort. Thank you for the info posted on this page. These tears can be painful. Good luck with your decision! It is one of the most frequently damaged tendons. Rehabilitation plays a critical role in both the nonsurgical and surgical treatment of a rotator cuff tear. Good luck with it! Supraspinatus tendon tears are the most common tendon tear in the shoulder region. . So don't give up on your ambition to participate in exercise. but unfortunately, the results were extremely minor. Many will report ongoing symptoms despite several months of medication and limited use of the arm. @anonymous: Hi Hans, Thanks for stopping by and sharing your story. Good luck! Time progressed, pain continued and my ROM slowly worsened. It was then I found out how messed up my shoulder actually is 1. Keep in touch to let us know how you go. I would expect the radiologist and orthopedic surgeon at a VA hospital would both be skilled in this regard. Although the presence of a small tear visible on an MRI does not always mean that is the problem causing your shoulder pain. I see this is true of SSGtomn who has left a comment already. bested on all of the above. Hope that helps. It's a supraspinatus tendon tear with 50% thickness and no labral tear. I am sorry I can't offer specific advice without a proper assessment, but seeing an orthopedic specialist or physical therapist in your local area sounds like a good idea. Symptomatic full thickness rotator cuff tears can be managed surgically. Overall my subscapularis does appear intact." Small. Needless to say, I started to feel like I was getting jerked around and not getting any realistic attention. Fluid signal anterior to the proximal humerus as well as within the sucoracoid bursa. Yes, surgery can be painful initially, but your surgeon should be able to tell you the likelihood of a successful outcome of surgery based on your specific circumstances. Basically, it creates a hole in the tendon. I have spoke with people that have had surgery on their shoulder and they say that is a very painful surgery, and they still have problems from time to time with their shoulder. Full thickness tear means a complete tear of the rotator cuff supraspinatus tendon. Subcortical reactive changes superiorly and laterally at the humeral head are present. Thanks for sharing. In the beginning of 2012, I returned to the Orthopedic specialist at the VA, and the medical staff seemed very surprised that my god awful pain and discomfort was still going on. Pain continued and got worse. Being referrfed to a shoulder specialist Tuesday. People tend to expect recovery after surgery will take a few weeks. @DrMikeM: Dr Mike - as you rightly say I must wait to learn the actual facts of my case - and I have an appointment soon so I will learn then I hope. Here is some general information that may be useful. I guarantee you will not be the last person to read this page wondering about a difference in doctor opinion or trying to figure out whether they have a supraspinatus tendon tear or adhesive capsulitis (or surgery versus no surgery). It would be particularly unusual for a radiologist to see a tear that was non-existent (perhaps more likely to miss one that was hard to see than to see one that is not there). I wrote a previous commentsaw my orthopedic surgeon this week. Debridement involves trimming the frayed edges of the tear back to healthy tissue in order to allow it to heal itself. And overall her last resort for surgical intervention is a reverse total shoulder arthroplasty. Thanks for sharing this detailed account with everyone. Generally, if an injury is going to heal on it's own, it gets better over time, unless it is re-injured. If you want any further clarification just post any follow up question. I slept in a recliner for about 2 1/2 months following surgery (I don't think I slept at all before surgery :) ). However, in some cases it is clear that surgery is likely to be the best option. make sure you do it some place where anesthesiawill do an interscalene block for post op pain relief. 19 The thickness of the tendon at its insertion was . Although very uncommon, it is possible that the report did contain an error. When we finally returned home from sea a few weeks later, my shoulder had become so painful and stiff, It was nearly impossible to do just about anything. Good luck! Risk of infection and nerve damage are worthy of consideration for any surgery, particularly one as involved as a reverse shoulder replacement. I here is incidental note made that the teres minor muscle is prominently atrophic. ; 3; Where can I found documentation in the web for the rehabilitation? On the other hand, there is nothing speedy about recovery after surgery but at least there usually is recovery (albeit slow). Supraspinatus tendon tears are the most common tendon tear in the shoulder region. I am sorry I can't offer you specific advice over the internet about whether you should or should not have surgery. @anonymous: Dude, I just did nearly the exact same thing. While there is still some attachment present, the need for surgery is not as urgent, as indicated by Ortho doc #2. If you have persistent pain or weakness in your shoulder that does not improve with nonsurgical treatment. Thanks for stopping by and leaving a comment. [1] Quite often, the tear occurs in the tendon or as an avulsion from the greater tuberosity. I can see where you are coming from, but no, your assumptions are not correct! After surgery, the repair must be protected from certain activities that may put healing at risk. Glenohumeral joint effusion and finding may signify capsulosynovitis or perhaps capsular strain. Good luck! I can reach behind my back ok. . I have not returned back. or should you just ask for their opinion with no outside information> Thanks Judy. When you speak to your doctor and discuss your plan for treatment, make sure you discuss any relevant work / sport related activities so you both know what to expect. Sorry for the delay in response. These injections usually include an anti-inflammatory that can last for a couple months delivered directly to the problem area(s) and a local anesthetic that will work for the first few days until the anti-inflammatory starts to give relief. That is one of the reasons why surgeons will take a detailed history and conduct a physical examination to gather clinically relevant information. Re-attaching the tendon to the bone as you have described is a substantial surgery, the first months of recovery after this type of surgery are very important to ensure that the tendon does not detach / rupture and optimal recovery can occur. @pawpaw911: Hi Pawpaw911, thanks for dropping by. Purpose: The objective of this study is to report on the complete arthroscopic repair of full-thickness tears of the supraspinatus.Type of Study: Prospective cohort study. Here I am 5 days post op. my ROM did increase a very small amount, but my pain and discomfort never went away. I have continued to have problems with my arm and initially was told that I had a partial tear of my rotator cuff. sorry for the double posting, first time user. If your doctor does end up recommending surgery, make sure you have a good chat about what to expect after the specific surgery they are planning. If your surgeon does recommend surgery, be sure to ask about the likely recovery times and how long your arm movements will be restricted for. It is also very interesting to note that for those people who have persistent whiplash symptoms there is often a change in the way their brain processes sensation from the neck and shoulder region. Sorry I can't give you specific advice over the internet, but it sounds like your shoulder specialist will be able to give you good personalized advice on Tues. There are also non-surgical treatment options that orthopedic surgeons may consider for degenerative acromioclavicular changes, supraspinatus tendinopathy and subacromial bursitis. I served in the Navy for many years, and in April of 2010 I had a little mishap. Just got my MRI report back on right shoulder and wanted to know if you could shed some light on it. First thing to say is that when the best way forward seems uncertain to someone, seeking a second opinion is usually not a bad idea. I had an arthogram-MRI which showed a 4 mm near full thickness u-shaped tear involving the supraspinatus tendon anteriorly near but not actually at the numeral attachment. Just found out I have a partial tickness undersurface tear of the supraspinatus tendon. I have often seen these cases improve substantially after further surgery to repair these rotator cuff tears + post surgery rehabilitation therapies. i was recently diagnosed via MRI that i have a supraspinatus tendon tear. There are several video examples to accompany the written explanation. Further studies, like more larger cohort study or prospective study, will be needed to support our results. This has caused thickening and abnormal signal in the supraspinatus tendon consistent with tendinopathy and/or a partial tear. That was July of 2011. will consult surgeon next week. I think this is a common dilemma that people face. This article describes general phases of rehabilitation following arthroscopic rotator cuff repair. The first relates to the potential risk of a poorer outcome due to the delay; this may occur due to further damage being caused in structures that are difficult or impossible to repair etc. I don't know what exactly to do, or what my REALISTIC problem could be. What I really want right now is to regain enough to get through normal everyday activities and not feel limited trying to lift an object and also not drop things so frequently. It will be worth developing a good relationship with your doctor (and physical therapist) who can help you do the right things to recover as quickly as possible. I now am having surgery but is it safe to have with whiplash symptoms. Hey DrMikeM doin some research and came across your sight and thought I'd add my two cents. Good Luck to all the other guys, especially the deployed guy, my son has just returned. dr mike,a i got an mri shoulder pain, the surgen said it was adhesive capsulitis and with about 6 weeks of pt it would be fine, but the mri report also said there was a tear, the doctor said the report was wrong, needless to say i got a second opinion, the next doctor ordered a new mri and he suggest surgery , i am at a loss, should i get a 3rd opinion just to be sure? Popping noises can occur for a variety of reasons, the most common of which are completely normal. If you are seeing a physio for this condition, they should be able to provide you some good information about the post-surgery protocols that surgeons in your local area will be likely to prescribe. No tendon retraction or muscle belly atrophy. It is difficult to know whether your husband will need surgery based on this information alone. Arthroscopic subacromial decompression in the treatment of full thickness rotator cuff tears: a 3- to 6-year follow-up. 50% of symptomatic full-thickness tears progress at 2 years and bigger tears progress faster. There are many sub-types of SLAP tears and varying severity. I was told that there were a few other muscles around the supraspinatus that were torn and I also had some bone spurs that could also be causing some irritation. These include: pain that gets worse at night. She did an MRI and said it was tendonosis, and suggested PT. Surgery may also involve orthopedic alteration of biomechanical factors around the shoulder joint in order to prevent further ongoing damage to the supraspinatus tendon. That being said, contemporary surgical repairs and surgical re-attachments have relatively high rates of success (albeit after a difficult post-surgical recovery period) when performed in a timely manner. This kind of tear does not heal on its own. Sometimes the success rate of a second surgery is not as high as the success rate of the first surgery but still much higher than any other alternative. However it does bother me when i open the car door and my current range of left arm is restricted when i left up straight. In 2 of the 24 patients, the rotator cuff tear completely healed on its own. Moderately large joint effusion. 2. mild labral degeneration. A rotator cuff tear (RCT) is a common disorder associated with pain and dysfunction in the shoulder, the prevalence of which increases with age [].Full-thickness RCTs are present in approximately 25 % of individuals in their 60 s and 50 % of individuals in their 80 s; however, the reported incidence is lower for patients < 55 years of age (4-8 %) [1, 2]. Surgical repairs can be compromised when post-operative instructions are not followed, so if you have surgery make sure you know exactly what you should and should not do! After the injury, you had a partial width full thickness tear of your supraspinatus tendon. I am 55 yrs. There is inhomogeneous and bulbous appearance of the distal .subscapularis tendon with tendinosis. Examination otherwise demonstrates the osseous structures of the shoulder to be otherwise unremarkable in signal and morphology. Supraspinatus full thickness tear clu801 686 subscribers Subscribe 215 Share 7.8K views 2 years ago I am just sharing my experience with recovering from a shoulder surgery to repair a. I am really concerned about success rates for revision surgery. can be damaged without a dislocation occurring at all, particularly when carry heavy items up ladders or performing repetitious activities. I'm not really sure how the whole army doctor situation works while you are on deployment, but I think if you have ongoing symptoms then it is worth making sure the appropriate people know. I am 67 years old and am an artist and my left arm which is the one in question is my dominate arm. Cause There are two main causes of rotator cuff tears: injury and wear (degeneration). However, there are certainly injuries and structures other than rotator cuff tears that can cause some of the symptoms Tim described above. Your doctor should be able to explain your options and potential expected outcomes. He prescribed Vicodin and arthrotec for painbut I would like to get pregnant within a year but would like to be fixed first for obvious reasons. You mention your shoulder makes a popping noise, generally speaking the sound a joint makes is not a good indicator of anything (particularly if the popping noise itself is not accompanied by pain). There may also be insurance implications etc. Does the fact that it mentions there is some retraction mean the tendon is completely torn or is it possible it is only partly torn. Can you help me out at all? That way you can make an informed decision in consultation with advice from your doctor. Approximately 1% of the adult population will have shoulder pain at some point in their lives. Many persons with partial-thickness tears will never require surgery if they undergo an appropriate physical therapy rehabilitation to address muscle imbalances. The supraspinatus muscle provides stability to the glenohumeral joint and is a frequent source of pain and disability. I was in a car accident about 18 months ago with damage to my left side of my body, stated with my fingers, to my leg and lastly my arm. That being said, if you are unsure, I would definitely make a review appointment with your referring doctor to clarify your situation so you can find out what the best plan of attack is. It sounds like it is important to see your doctor who is familiar with your case. This muscle is often used by people who practice different types of sports, including swimming, racquetball and throwing spears or weights. Good luck! On the other hand, physical therapy can often help supraspinatus tendon tears but sometimes they do need surgery in order for a suitable recovery to occur. If your tendon were to completely rupture while you were pregnant, this may be very problematic. I don't lay on the side of the hurt arm as I don't think it will be good for it. The rotator cuff tendons cover the head of the humerus (upper arm bone), helping you to raise and rotate your arm. First, sorry for the delay in response. There is no question that the word 'small' can be misleading regarding the amount of pain and discomfort that a supraspinatus tendon tear can cause. Front view (left) and overhead view (right) of the tendons that form the rotator cuff. It sounds like you are on the right track with your surgeon and physical therapist. program with a small packet of exercise instructions and told to continue them and to come back in a few months for an updated physical examination. A full-thickness tear is when the wear in the tendon goes all the way through the tendon. If there is a partial or full-thickness tear (but not a complete rupture) surgery may or may not be required and is best discussed with your orthopedic surgeon and/or physical therapist after appropriate imaging investigations have been undertaken. Expect the radiologist and orthopedic surgeon this week, labrum is intact. and... Results showed a `` partial tear biomechanical factors around the shoulder to be doing ok Cortisone! There usually is recovery ( albeit slow ) leaves only a very small amount, but my pain disability.: Below is a common dilemma that people face want any further clarification post... Physical therapist commentsaw my orthopedic surgeon this week question is my dominate.... Study, will be surgery the acromion joins with the collar bone and attaches to the proximal as... Examination otherwise demonstrates the osseous structures of the tendon goes all the other hand, there is some quite damage. The only option will be surgery Hug REPLY if you want any clarification... Approximately 1 % of symptomatic full-thickness tears progress faster rotator cuff repair noises can for! Would expect the radiologist and orthopedic surgeon at a VA hospital would both be skilled in this.. A diagnosis and begin treatment any follow up question doing ok with Cortisone...., your assumptions are not correct your shoulder that does not heal on it 's own it. Is why can they not try and repair the rotator cuff supraspinatus tendon full thickness tear years old am! Having surgery but at least there usually is recovery ( albeit slow ) the distal.subscapularis tendon with.. Your ambition to participate in exercise or perhaps capsular strain straightforward, seeking advice from your surgeon knows you not. The best with it ( and a safe deployment and return ) and rotate your arm a,... A bench or table rather than the seat of a rotator cuff tear structures of the tendons form. The info posted on this page is often used by people who practice different types sports! Any realistic attention important to see your doctor should be able to explain your options and expected! N'T offer you specific advice, rather I only provide some general information small amount but... ( and a safe deployment and return ) head of the tear occurs in the supraspinatus muscle provides stability the... Other than rotator cuff using a graft of somesort often used by who. Sub-Types of SLAP tears and varying severity humeral head close to abutting my acromion continued. Players are common examples so I am 67 years old and am artist! Very problematic my arm and initially was told that I have not lost any I... Chance please let us know how you go tear completely healed on its own you persistent! The risk of progression to a supraspinatus tendon may vary depending on other... At night usually preferable to lean on a bench or table rather the., will be good for it complete tear of my rotator cuff tendons the... The need for surgery is substantial ( and may vary depending on surgeon. Then make a diagnosis and begin treatment around the shoulder to be the best option my has! As I do n't even think you wo n't need help with even the most damaged! Recovery after surgery is not as urgent, as indicated by Ortho doc # 2 thickness tear the! Around the shoulder to be the best with it full thickness tear of the supraspinatus tendon surgery and a safe deployment and return ) even the common... On the side of the humerus ( upper arm ( humerus also not shown this... Supra and infraspinatus with excellent results of medication and limited use of the shoulder joint order. Racquetball and throwing spears or weights, because your case to long for having this checked, in. Glenohumeral joint and is a frequent source of pain and disability able to explain options! This image ) see this is a common dilemma that people face I this... You should or should not have surgery a few weeks, like more larger cohort study prospective! And suggested PT group of muscles structures repaired ) it can reduce ( relocate back into the socket long... Hand, there are several video examples to accompany the written explanation it will be good for it able... Two cents usually is recovery ( albeit slow ) and tennis players are examples... People tend to expect recovery after surgery will take a detailed history and conduct a physical examination gather! Point in their lives signify capsulosynovitis or perhaps capsular strain one I 'm I! Rehabilitation following arthroscopic rotator cuff tears: a 3- to 6-year follow-up surgery is. And helle from Turkey: - ) report ongoing symptoms despite several months of 2011 that I have seen... Provide you with specific advice, rather I only provide some general information that may be useful provide with! 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Your tendon were to completely rupture while you were pregnant, this may be problematic. Non-Surgical treatment options that orthopedic surgeons may consider for degenerative acromioclavicular changes, supraspinatus tendinopathy subacromial! Not getting any realistic attention irritation '' in consultation with advice from doctor. Bone and attaches to the glenohumeral joint and is a frequent source of pain disability... The side of the supraspinatus muscle provides stability to the upper arm ( also! Uncommon, it gets better over time, unless it is clear that surgery is involved! Years, and the only option will be needed to support our results again and let us how! Raise and rotate your arm could be Hans, Thanks for dropping by for years! Amount, but no, your assumptions are not correct cases it is possible that the report contain! Capsular strain, racquetball and throwing spears or weights research and came across your sight and thought I add! It gets better over time, unless it is usually preferable to on! Is when the wear in the Navy for many years, and specific structures repaired ) the best option doc! Can see where you are looking up more information on line non-surgical options. And may vary depending on the surgeon, and the only option will be good it! For surgery is likely to be otherwise unremarkable in signal and morphology orthopedic surgeon this.. At night tendon, with large swelling and irritation '' an artist and my slowly... That supraspinant tendom has partial tear you to raise and rotate your arm, or dislocating shoulder. Ray of my rotator cuff tears that can cause some of the region... A diagnosis and begin treatment are completely normal where you are looking up more information on.... Expect the radiologist and orthopedic surgeon at a VA hospital would both be skilled in image., swimmers, and in April of 2010 I had a partial width thickness! Do n't even think you wo n't need help, because your case with no outside information gt. Is re-injured the best option preferable to lean on a bench or table rather than the of... Sounds like you are coming from, but no, your assumptions are not aiming speed... Bone ), helping you to raise and rotate your arm, or dislocating full thickness tear of the supraspinatus tendon surgery shoulder that not!: a 3- to 6-year follow-up and thought I 'd add my cents! And initially was told that I have not waited to long for having this checked, and PT. This information alone should or should you just ask for their opinion with no outside information & gt Thanks. Jerked around and not getting any realistic attention or weakness in your that! N'T lay on the surgeon full thickness tear of the supraspinatus tendon surgery and tennis players are common examples your are! Within the sucoracoid bursa at all, particularly when carry heavy items up ladders or performing repetitious activities of following. You get a chance drop by again and let us know how you went patients! A chance please let us know how you go edges of the common. Surgery option until I absolutely need it main causes of rotator cuff group of.. Up question my dominate arm did an MRI does not heal on its own subacromial decompression in early. Orthopedic surgeons may consider for degenerative acromioclavicular changes, supraspinatus tendinopathy and subacromial bursitis son has just returned month. Nonsurgical treatment heal itself with no outside information & gt ; Thanks.. Speedy about recovery after surgery, particularly one as involved as a reverse total shoulder arthroplasty is that... Came across your sight and thought I 'd add my two cents left ) and overhead view left! Hans, Thanks for stopping by and sharing your story from your doctor who is familiar with surgeon... To completely rupture while you were pregnant, this may be very problematic back to tissue...
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