Rotator cuff surgery with a cadaver graft?

[Ryan Avery]

The surgeon wanted an updated MRI, it's just made-up words to me, but it doesn't sound good...

FINDINGS:Coracoacromial Arch:Mild AC joint arthrosis. Trace effusion.Rotator cuff and muscles:- Supraspinatus/Infraspinatus: Acute on chronic complete superior cuff tear retracted to the level of the glenoid with associated stage IIsupraspinatus and stage I infraspinatus atrophy.- Subscapularis: Mild insertional tendinosis with tearing of thetransverseligament.- Teres minor: Intact and without tendinosis.Glenoid labrum and Capsular Structures:Circumferential labral degenerationOsseous Structures and Articular Surfaces:No fracture, dislocation or marrow replacement.Near full-thickness inferior glenohumeral cartilage damage.Small glenohumeral effusion with axillary recess synovitis.Soft Tissues and Biceps tendon:Soft tissues unremarkable. Medial extra articular dislocation of thebicepstendon

 

[WyoWild]

Yeah that is some fairly advanced degenerative wear. I am sure they are proposing the repair with cadaver graft of the tear involving the supraspinatus and infraspinatus.

What kind of symptoms are you having shoulder pain, weakness or both?

In your case even after repair I am guessing you will still have some degree of pain as there is also some degeneration of the labrum and also cartilage loss inside the shoulder (glenohumeral joint) which is referred to as osteoarthritis. Repair should still be possible for your cuff but it looks like your tear is more chronic given that the muscle is retracted and atrophied. Makes the recovery a little longer and may be more difficult to get full range of motion back. Hope all goes well, let us know what you decide to do.

 

[Ryan Avery]

Yeah that is some fairly advanced degenerative wear. I am sure they are proposing the repair with cadaver graft of the tear involving the supraspinatus and infraspinatus.

What kind of symptoms are you having shoulder pain, weakness or both?

In your case even after repair I am guessing you will still have some degree of pain as there is also some degeneration of the labrum and also cartilage loss inside the shoulder (glenohumeral joint) which is referred to as osteoarthritis. Repair should still be possible for your cuff but it looks like your tear is more chronic given that the muscle is retracted and atrophied. Makes the recovery a little longer and may be more difficult to get full range of motion back. Hope all goes well, let us know what you decide to do.

Both pain and weakness, especially anything with my hand away from my body or over my shoulder.

 

[Hnthrdr]

All I read was you are turning into a quasi zombie also would be cool if you could pick who you get the used cuff from…

 

[Moccasin]

That grunt life is hard on the body.

 

[Antares]

The surgeon wanted an updated MRI, it's just made-up words to me, but it doesn't sound good...

FINDINGS:Coracoacromial Arch:Mild AC joint arthrosis. Trace effusion.Rotator cuff and muscles:- Supraspinatus/Infraspinatus: Acute on chronic complete superior cuff tear retracted to the level of the glenoid with associated stage IIsupraspinatus and stage I infraspinatus atrophy.- Subscapularis: Mild insertional tendinosis with tearing of thetransverseligament.- Teres minor: Intact and without tendinosis.Glenoid labrum and Capsular Structures:Circumferential labral degenerationOsseous Structures and Articular Surfaces:No fracture, dislocation or marrow replacement.Near full-thickness inferior glenohumeral cartilage damage.Small glenohumeral effusion with axillary recess synovitis.Soft Tissues and Biceps tendon:Soft tissues unremarkable. Medial extra articular dislocation of thebicepstendon

Hey Ryan - I'm getting a CT this afternoon so my surgeon can decide if he wants to do a bone graft when he does a revision of my previous Bankhart/remplissage. PM me if you want to trade notes (e.g., hot tips for wiping your ass left handed, etc.). Good luck!