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Old 03-16-2011, 02:44 AM   #11
Everett Steinbarger
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Re: Anyone ever rupture a RC tear anchor?

Trust me,I would never argue that contrast has no place. It can make things more obvious, but even contrast is not fool proof. I would get one or the other, but not both.

I've seen plenty of cases where contrast showed the tear that was less than obvious on a regular MRI. I have also seen some of those cases go to the OR, and once the scope is in the shoulder the defect can't be found.

My personal belief is that if there is dysfunction or pain, why repeat an expensive and invasive test. Lots of people here worry about NSAIDS and cortisone, but what about the 1/2 life of the contrast agent, or the possibility of an infection?
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Old 03-16-2011, 04:59 AM   #12
Kevin McCahill
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Re: Anyone ever rupture a RC tear anchor?

Leaving for Dr. appt in 20 min...I'll share with him all the knowledge you have both given me on this forum. Again, I appreciate it boys!

Thanks!

Kev
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Old 03-17-2011, 01:33 PM   #13
Kevin McCahill
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Re: Anyone ever rupture a RC tear anchor?

OK...I asked if he would order contrast MRI and he thought about it for a second and said yes. He did not jump on it but said it can't hurt...I'll post with the news in a few...

Thanks again.

Kev
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Old 03-17-2011, 01:35 PM   #14
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Re: Anyone ever rupture a RC tear anchor?

Excellent, hope the news is good.
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Old 03-17-2011, 02:53 PM   #15
Steven Low
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Re: Anyone ever rupture a RC tear anchor?

Good luck sir.
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Old 03-17-2011, 05:04 PM   #16
Kevin McCahill
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Re: Anyone ever rupture a RC tear anchor?

Thanks fellas!

In the interest of being positive; am I crazy to think I triggered bursitis or inpingement syndrome with these push presses? Can an MRI identify these? I noticed someone on this board posting mri results showing bursitis.

The extreme sharp pain has subsided but I still "click" and have an aching pain when I lift my arm above the head in certain ways. (good thing is sometimes I can lift it and I have no pain, it is only certain movements...) As I wait for insurance and schedule for contrast MRI I am "babying" the shoulder and iceing everyday...that's how you treat inpingement right?

Thanks!
Kev
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Old 03-17-2011, 07:46 PM   #17
Everett Steinbarger
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Re: Anyone ever rupture a RC tear anchor?

Those things are possible, I never count anything out until the problem is actually settled.

Personally I would never let an MRI report have the final say in how a patient is doing. IMHO, physical evaluation of the patient trumps the MRI. In your case, the MRI is the best look into the shoulder without actually going to the OR with a camera.

MRI is great for telling you that there is a car in a parking lot. MRI is poor at telling you that there is a red 1979 Corvette with a ding in it's rear fender and a scratch on the hood parked next to an Edsel.
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Old 03-18-2011, 04:46 AM   #18
Kevin McCahill
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Re: Anyone ever rupture a RC tear anchor?

True...like the analogy. Yeah, I have full ROM but like I mentioned I still click and have moments of pain. Been doing deep massage under heat and icing at night. Thanks!

Kev
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Old 03-18-2011, 05:49 AM   #19
Steven Low
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Re: Anyone ever rupture a RC tear anchor?

FWIW doesn't sound like impingement or bursitis.

These types of things typically worsen when you go overhead and move them a lot but don't really ache until you take them off the painful position(s).

Deep ache sounds like some sort of tendon or labrum issue for the most part.
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Old 03-19-2011, 06:03 AM   #20
Michael Bailey
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Re: Anyone ever rupture a RC tear anchor?

Hope it went well Kevin. Interesting note on my RC issue. When tested by the ortho I got a 5 out of 5 on strength for all movements associated with RC tears. The only test I couldnt do was called the "obrien's test" which indicated a labrum tear. I had an MRi with contrast and they found a 6 x8 mm tear in the supraspinatus tendon which didn't present during the physical exam strength test. My doc said there was a possibility he would go in and not find a tear (MRIs can be wrong) but the only way to know for sure was to go in. Well he went in and there was a tear but my labrum was fine. Day four of recovery for me....5 and a half more weeks of wearing a sling full time
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