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Old 03-14-2011, 04:41 PM   #1
Kevin McCahill
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Anyone ever rupture a RC tear anchor?

Quick backround - Rotator cuff torn and labrum repair 6.5 months ago. Push presses last week have me worried. Visited my surgeon and he gave me pills for swelling and did basic assessment. He said wait two weeks and if I still feel pain we will do an MRI. He seems to think an MRI will not be very helpful and he would have to go in upon my request.

I am 4 days of pills and still have the sharp pain in the front RC. My questions:

If it is less of a tear, will the recovery be quicker or will I go back to square one once he enters the shoulder again. Can't believe I am facing this recovery again!

Thanks,
Kev
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Old 03-14-2011, 04:49 PM   #2
Everett Steinbarger
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Re: Anyone ever rupture a RC tear anchor?

If the cuff has to be repaired again you are starting over at the beginning.

Regardless of the size of the tear, large or small, healing time remains the same.
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Old 03-15-2011, 05:49 AM   #3
Kevin McCahill
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Re: Anyone ever rupture a RC tear anchor?

Thanks Everett...I thought that was the case. I am thinking of just asking my Doc to order the MRI now instead of waiting another week. I doubt it is a swollen bursar sack b/c I have a sharp weak feeling in my front shoulder, and it clicks. Darn OH presses!

Thanks for stearing me in the right direction.

Kevin
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Old 03-15-2011, 06:42 AM   #4
Everett Steinbarger
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Re: Anyone ever rupture a RC tear anchor?

I agree with you Kevin, just get the MRI done and out of the way. It may show an intact cuff, you never know.

Anytime.
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Old 03-15-2011, 07:44 AM   #5
Steven Low
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Re: Anyone ever rupture a RC tear anchor?

Again, overhead pressing is fine. Not to near maximal weights. Definitely no momentum on a recently repaired shoulder.

You were far out enough that overhead pressing is likely beneficial.... but you went near maximal with momentum... and there you go.

MRI contrast likely good.

Keep strengthening and mobilizing it as much as possible if you suspect thaty ou have to go under the knife again
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Old 03-15-2011, 10:10 AM   #6
Kevin McCahill
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Re: Anyone ever rupture a RC tear anchor?

Thanks Steven. Makes feel like less of a nut for doing presses 6 months out of surgery. I felt great, that was the problem. Yeah I was doing push/jerk presses with 135 lbs 5x3 and I guess it was too much.

Two quickies:

You mention strength and mobility - are there specific movements? (dumbell work, bands, rows. My shoulder doesn't hurt when I do pulling, only pushing) Can this tear it even more or is the damage done and the post surgery benefits are worth the stress?

My Dr. did not use contrast last time, what if the MRI doesn't show anything? Is it patient preference as to surgery or not?

Thanks again for your advice and feedback. I love this cfit community!

Kevin
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Old 03-15-2011, 10:22 AM   #7
Everett Steinbarger
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Re: Anyone ever rupture a RC tear anchor?

The decision for surgery will be between you and the surgeon. The MRI may give additional information to aid in making that decision. If the MRI shows a definitively intact RCuff, then the surgeon will probably recommend waiting it out a little longer.

Contrast, Technetium99, (also known as Tc99), may not be of any significant help. In fact, sometimes the contrast is so bright that it can hide details. Many of us never use it. Some places will inject with Normal Saline rather than the Tc99, as the saline is not as bright on some of the spin series, (T2 weighted), and is less likely to hide the finer details.

Let your surgeon decide if he needs the contrast or not.
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Last edited by Everett Steinbarger : 03-15-2011 at 10:24 AM. Reason: typo correction
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Old 03-15-2011, 11:25 AM   #8
Everett Steinbarger
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Re: Anyone ever rupture a RC tear anchor?

WHOOPS!

Got my contrast agents mixed up!

Gadolinium is used in the MR Arthrograms, not Tc99m.

All of the above about the contrast still applies, just had the name of the agent wrong, sorry.
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Old 03-15-2011, 01:05 PM   #9
Kevin McCahill
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Re: Anyone ever rupture a RC tear anchor?

Ok...I'll mention it to my Dr. Just got an appointment for tomorrow.

Any advice on the pre-surgery working out? I'm looking to limit the length of the rehab as much as possible since I literally just went throught this ordeal. I read that eating clean, fish oil, and being strong going in are good ways to prep for the recovery.

Thanks,
Kev
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Old 03-15-2011, 08:47 PM   #10
Steven Low
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Re: Anyone ever rupture a RC tear anchor?

Nah, i'd play the strengthening just by general pain feel.

Hit up the regular rotator cuff exercises if possible and some LYTPs wfs

http://davedraper.com/blog/2009/07/2...-become-lytps/


Usualy contrast makes any labrum/cartilage/tendinous stuff show up better which if they suspect some damage there that would be good. But hey, I guess it's up to your doc anyway.

We've seen a bunch of cases on this forum where people have had to go back for contrast because regular didn't show anything with suspected diagnoses above, Shrug.
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