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Need some help with my MRI results

gomit

Member
Registered
Joined
Sep 13, 2012
Messages
339
Hey guys its been a while since I've posted. I had full labrum reconstruction about 10 months ago .. surgery went great recovery went great etc etc...Then in November after being back in the gym for a bit , i was in a nasty car wreck in which a lady ran a stop sign flew into the intersection and I T boned her car.

My shoulder got pretty bruised, i got a concussion and two broken fingers from the wreck, but alive so can't complain. I took another month of the gym from that to let it heal and let the insurance stuff get figured out(she was found 100% at fault) So i just recently got an MRI as now i know her insurance is paying for it and just received my results as i will post below.


Your mri report is back. I have pasted the full radiology MRI results below. Looks like there is some partial tearing of both the supraspinatus and infraspinatus tendons of the left rotator cuff. I think it would be a good idea to get back in w/ Dr. (blank) to discuss these findings. It is difficult to say what he will recommend, but likely more of a rehab approach as surgeons are often reluctant to "repair" partial tears as that means cutting and reattaching a tendon that is already attached. He will know best how to advise you on next steps. Sorry! Hope the shoulder is feeling a bit better.


Narrative
EXAM: MR Arthrogram Shoulder, Left - Direct Contrast
EXAM DATE AND TIME: 01/10/2018 16:21:00

HISTORY:Car accident 4 weeks ago now w/ lingering shoulder pain. Hx
of labrum repair 3/31/2017 SHOULDER PAIN, LABRAL TEAR SUSPECTED,
XRAY NONDIAGNOSTIC

PROCEDURE: Multiplanar, multisequence images were obtained through
the shoulder.

CONTRAST: Contrast was injected into the joint space as a separate
procedure. For additional information, please see the report for
that procedure. No IV contrast was administered.

COMPARISON: Left shoulder radiograph from 10/24/2017. MRI left
shoulder from 1/27/2017.

FINDINGS:

A solution of dilute gadolinium moderately distends the glenohumeral
joint.

OVERVIEW: Patient motion is present on the axial T1-weighted
images, which were repeated.

ACROMION / AC JOINT: Type I acromion. The acromioclavicular
joint is normally aligned. The subacromial space is preserved.
Mild subacromial/subdeltoid bursal fluid is present.

ROTATOR CUFF: Supraspinatus and infraspinatus tendinosis. There
is a moderate grade partial articular surface tear and
intrasubstance tear involving the posterior fibers of the
supraspinatus and anterior fibers of the infraspinatus at the
footprint with a delaminating component that propagates along the
anterior infraspinatus fibers to the infraspinatus musculature. On
coronal T1-weighted images, intra-articular contrast infiltrate the
supraspinatus and infraspinatus tendons. No extra-articular
contrast to suggest full-thickness tear.

LABRUM / CAPSULE: Postsurgical changes consistent with interval
anterior, superior, and posterior labral repair. Recurrent superior
labral tear (type IV SLAP tear). Irregularity/fraying is identified
in the posterior/superior labrum at the 11:00-10:00 positions and
anterior labrum at the 3:00-5:00 positions, likely related to
postsurgical change. The posterior capsule is patulous.

BICEPS: Intact. Intra-articular contrast infiltrates the biceps
tendon, iatrogenic.

GLENOHUMERAL JOINT: No bone contusion or fracture. Normal
alignment. No discrete cartilage defect or reactive bone marrow
edema.

MISCELLANEOUS: No abnormal fluid collection or mass. No
denervation changes.


Impression:
1. Moderate grade partial articular surface and intrasubstance
tears involving the posterior fibers of the supraspinatus and
anterior fibers of the infraspinatus at the footprint with a
delaminating component extending into the anterior infraspinatus
musculature. No tendon retraction or muscular fatty atrophy.
2. Interval labral repair with type IV SLAP tear. Postsurgical
changes of the posterior/superior and anterior labrum.


I have an appointment with my surgeon for next Tuesday( the fastest they could get me in). I have been back in the gym about two weeks feeling okay, im sore everywhere and haven't noticed the shoulder to much.

Do i completely back of the training again? Have any of you had experience with these same tears.. as you can see from the results my labrum which was repaired in the surgery isn't what tore here..
Do i just start back on my PT band work and try to work around this?
Also would adding something like MK677 help with speeding this up?

Thanks for any input guys i appreciate it.
 

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