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MRI shows mild tendinosis, mild acromioclavicular joint osteoarthritis. Advised surgery. Opinion?

i had an mri which showed: moderate grade partial thickness articular sided tear of junction posterior suprasinatus and interior infraspinatus tendons near footprint ....mildtendinosis suggestion poss tearing anterosuperior portion labrum versus normal variant sublabral forarm small glenohumeral jpint effusion mkild acromioclvicular joint osteoarthrosis. ? for you: does this mean surgery? just had a walk in order the mri and haven t seen an ortho doc yet. the walk in doc said it was major and required surgery. yes?
Asked On : Sun, 31 Mar 2013
Answers:  1 Views:  67
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Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.
The initial management for AC joint arthrits and Partial thickness cuff tear is always conservative by following means -
* activity modification
* heat application
* Non steroidal antiinflammatory medications
* intra articular steroid injections
If the above measures fail to give symptom relief , then an open or arthroscopic excision of distal end of clavicle is indicated.

* Oral antiinflammatory medicines
* sub acromial corticosteroid injections
* activity modification
* physiotherapy for regaining motion and strengthening of rotator cuff muscles

Surgery is indicated if everything else fails

Hope this information is useful. Good day
Answered: Fri, 12 Jul 2013
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