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Treatment for rotator cuff tear - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3621 Questions
User :   Hi, I was in a motor vehicle accident on Nov 1, 2010. Immediately after I experienced left shoulder pain. The pain did not subside after a couple days so I went for an xray. The xray revealed a separted shoulder. Later an MRI revealed a torn rotator cuff, but also to my suprise it revealed advanced osteo arthritis in th e glenohumeral joint, This shoulder has never given me any problems until after my accident. I know the shoulder separation and tear are results of the accident, my question is, will the other circumstances inhibit my ability to heal my rotator cuff tear and shoulder separation. I am a 33 year old male.
Doctor :   Hi,
User :   hi doc
Doctor :   Please give me a minute to read your post
User :   ok
Doctor :   after how much time later did you get the MRI done after the accident ?
User :   accident on the 1st of nov and mri on the 10th
User :   xray was done a couple days afterwards
User :   the accident
Doctor :   the osteoarthritis is also a common complication of the trauma
User :   would it be advanced that quickly?
Doctor :   i consider the lone cause of the arthritis in you is the trauma during the baccident
Doctor :   yes, it could be , depending on the structures involved
User :   would u like me to type the mri results exactly?
Doctor :   yes, please
User :   1.) localized partial thickness rotator cuff tear involving the supraspinatus tendon with supraspinatus tendinitis.
User :   2.) no full thickness of rotator cuff tear
User :   3.) moderate to severe impengement related to osteophytes at the level of the acromioclavicular joint.
User :   4.) advanced glenohumeral osteoarthritis
User :   5.) the labrum is intact
User :   thats it
Doctor :   ok,
Doctor :   all these findings are in favor of trauma induced osteoarthritis
Doctor :   as there is tendinitis ( inflammation of the muscle tendon )
User :   could the arthritis become so advanced in just a few days?
Doctor :   which would be due to immune reaction to the injury resulting into inflammation
Doctor :   yes,
Doctor :   if its due to other causes it would have presented with minor pain
User :   will all these factors cause the healing of the cuff and shoulder sepaartion to be longer?
Doctor :   and it will take months to years to evolve by other causes
Doctor :   no,
User :   i have an appointment with a orthopedic surgeon on the 19th
Doctor :   its a common scenario
User :   i see
Doctor :   you may be put on anti inflammatory and antibiotics to reduce the inflammation and then considered for further treatment
Doctor :   and its a reversible condition
User :   can the osteophytes develop so quickly?
Doctor :   yes,
Doctor :   and for the bone healing you may be placed on calcium and Vit D3 suppliments
User :   your diagnosis would help me immensly in court
Doctor :   confirm my opinion with the orthopedician
User :   ok thank you
Doctor :   Thank you for consulting me
User :   goodbye
Doctor :   kindly provide your feedback
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