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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?
Mon, 29 Jul 2013
Hello,
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.
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.
I find this answer helpful
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.
MANAGEMENT OF ROTATOR CUFF TEARS -
• 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.
MANAGEMENT OF DEGENERATIVE ACROMION -
• Initially treatment is with Analgesic antiinflammatory medicines and activity
modification
• 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
Both Rotator cuff tear & degeneration of acromion are two different entities.
A trial of conservative management can be tried in both conditions.
MANAGEMENT OF ROTATOR CUFF TEARS -
• 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.
MANAGEMENT OF DEGENERATIVE ACROMION -
• Initially treatment is with Analgesic antiinflammatory medicines and activity
modification
• 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
I find this answer helpful
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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