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Hurt shoulder. MRI shows small tear in the rotator cuff, bone spur on acromion. Surgery required?

I was doing some underhand pitching about two months ago when I hurt my shoulder. I had x-rays, they showed nothing, so I was going to physical therapy , that didn t help, so I got a cortisone injection, that also didn t help. yesterday I had a MRI, it showed that I have a small tear to the rotator cuff and a bone spur on my acromion , I do believe. I was told to go talk to a surgeon next week. He said this abnormal sense I am a 16 year old girl. do you think surgery will necessary?
Asked On : Mon, 18 Mar 2013
Answers:  2 Views:  48
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Orthopaedic Surgeon 's  Response
I will advice you to first get a good physiotherapy,if this does not help then you should go for key hole surgery for decompression below acromian.

With best wishes.
Answered: Sun, 28 Jul 2013
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Jul 2013
Hi, thanks for writing to HCM.

Both Rotator cuff tear & degeneration of acromion are two different entities.

A trial of conservative management can be tried in both conditions.

• If tear is a partial or a small one then a trial of conservative treatment may be tried. Conservative treatment includes Analgesic antiinflammatory medicines along with physical therapy to strengthen the rotator cuff and scapular stabilizer muscles.
Steroid injections are contraindicated because they can cause the
remaining cuff to weaken and tear further
Surgical treatment is direct repair of the rotator cuff back to its bony insertion on the greater tuberosity; surgery can be open,
mini open (small split in the deltoid), or Arthroscopic repair.

• Initially treatment is with Analgesic antiinflammatory medicines and activity
• Steroid injections are frequently helpful in alleviating pain
• If conservative treatment fails, an arthroscopic or open distal clavicle
resection may be needed.

Hope this information is helpful. Good day

Answered: Sun, 28 Jul 2013
I find this answer helpful
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