Rotator Cuff Surgery - the shit just got real! (completed surgery description)

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    Jun 22, 2012 2:56 AM GMT
    If you really want to know what it means to have rotator cuff repair surgery...one example.

    Keep in mind, I had no pain from the injury and I was swinging and rowing a 45 lb kettle bell with this arm the day before diagnosis.

    Description of the surgery on May 3

    The patient was brought to the operating room and place in supine position. After adequate laryngeal mask anesthesia and interscalene block, the right shoulder was placed in a beach chair position. The right shoulder girdle was then prepped and draped in sterile fashion. The bony landmarks of the right shoulder were marked with a pen. Standard posterior portals were made with #11 blade. Scope was inserted through the posterior portal into glenohumeral joint without difficulty. There was evidence of near full thickness tearing of his biceps tendon. There is a complete tear of his supraspinatus and a portion of his infraspinatus. Subscapularus definitely had some damage superiorly with some splitting, but it's insertion was largely intact. The glenohumeral joint did not show any obvious arthritis. At this point, the biceps tendon is released from its origin in the supraglenoid tubercle with the electrocautery device. Scope was removed and placed into the subacromial space. The anterior portals and posterolateral portal was made with #11 blade. A 7 mm screw and cannula was placed. The tear seemed to be an L-shaped tear and is easily reproducible arthroscopically. A greater tuberosity smoothing was done with the 4 mm barrel burr and at this point shoulder was felt to be fairly swollen and after the anterior portal was made there was an arterial bleeder, so I abandoned the attempted arthroscopic repair. I did extend his anterior portal incision to about the the size 2.5 m to stop his small arterial bleeder, which was sone with electrcautrery device and mini-open repair was performed with a 4.5 lateral incision incorporating his lateral portals. Dissection was made with a #15 blade. The deltoid split is now detached from the acromial origin. The self-retaining retractors were inserted and bursa was removed. The L-shaped tear was repaired first with some margin convergence stitches from anterior to posterior with a #2 Ultrabraid and then 2 triple-loaded 5.5 mm TwinFix anchors were placed in the greater tuberosity and watertight closure was obtained of he supraspinatus. The biceps tenodesis was performed with a double-loaded 5 mm TwinFix anchors placed in the bicipital groove. The acromion was felt to be nice and smooth, so no need for acromioplasty. The wounds are irrigated with saline. The deltoid split was repaired with 2-0 Monocryl. The skin was closed with subcuticular stitches of 3-0 Monocryl. Steri-Strips were applied. Sterile compressive dressing was applied. He was place into a shoulder immobilizer and taken to the recovery room in stable condition.

    tenodesis - The surgical anchoring of a tendon, as to a bone.

    TwinFix anchors
    twinfix_suture_anchors_with_durabraid_su
  • paramoore

    Posts: 71

    Jun 22, 2012 4:39 AM GMT
    Man, I do not want to hear this. I know its in my future. I am a paraplegic, the pectoral girdle and shoulders are just not designed for the constant stress I put on them due to using a manual wheelchair.

    Yes, I incorporate a lot into my workout plan to specifically strengthen that area, but I have a feeling that Ill be seeing that surgery at some point in my life.

    Hope you heal up well.
  • EricLA

    Posts: 3461

    Jun 22, 2012 6:20 AM GMT
    Cas! Sorry to hear about the bad news. Speedy recovery!
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    Jun 22, 2012 6:50 AM GMT
    hectic. it sounds so complicated.
    rest and heal and hope you have a speedy recovery!
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    Jun 22, 2012 7:19 AM GMT
    Thanks, guys. The surgery was May 3. I only just got a copy of. My surgery report. I knew the surgeon found a bigger mess than was epect by the size of the incisions. I've Gitta ask about the biceps. What is the all about?

    The surgeon told me yesterday that he doesn't understand why I'm not feeling any pain. I didn't have any pain when I injured it and I didnt have any pain or swelling after surgery...well, the day after surgery it was quite sore. And no pain during physical therapy. I think I'm missing a whole set of nerves or something.
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    Jun 22, 2012 10:49 AM GMT
    paramoore saidMan, I do not want to hear this. I know its in my future. I am a paraplegic, the pectoral girdle and shoulders are just not designed for the constant stress I put on them due to using a manual wheelchair.

    Yes, I incorporate a lot into my workout plan to specifically strengthen that area, but I have a feeling that Ill be seeing that surgery at some point in my life.

    Hope you heal up well.

    Don't do bench presses with your arms straight out from your body...90 degree angle. ;-)
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    Jun 22, 2012 12:49 PM GMT
    Cass i've got to ask.... were you on high doses of Vitamin C. That will mask the pain if you were. It also speeds recovery. You may need to massage that area to break up the scar tissue.

    Heal quick.... you got a lot of things to do... take care...
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    Jun 22, 2012 2:05 PM GMT
    robbee333 saidCass i've got to ask.... were you on high doses of Vitamin C. That will mask the pain if you were. It also speeds recovery. You may need to massage that area to break up the scar tissue.

    Heal quick.... you got a lot of things to do... take care...

    I flatter myself thinking that it is the large amount of fresh veggies in my diet. I know my skin heals quickly ordinarily. The dr was astonished that I had NO swelling after my surgery. No swelling no pain :-) the doc is mystified. I think most Americans eat veggies like a garnish with their meals so their bodies have no natural anti-inflammatories already circulating.
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    Jun 22, 2012 3:29 PM GMT
    Yes... You would be one of the few. I get so upset when people talk about genetics and the way they are. Most times the genetic part comes from generations of eating habits. It makes a big difference.... you're on the right track.... you're a healing machine....
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    Jun 22, 2012 7:25 PM GMT
    robbee333 saidYes... You would be one of the few. I get so upset when people talk about genetics and the way they are. Most times the genetic part comes from generations of eating habits. It makes a big difference.... you're on the right track.... you're a healing machine....

    Robbee, this is my favorite nutrition site. It has great info about the phytonutrients in the various foods listed and info from studies on the effects of the foods on health.

    http://whfoods.com/foodstoc.php
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    Jun 23, 2012 12:46 AM GMT
    EricLA saidCas! Sorry to hear about the bad news. Speedy recovery!

    Thank you. I am very well on my way. It's funny to be out of the sling and yet the arm wont move but a few inches. To stand there and be trying to move my arm and it wont go is a bizarre experience. icon_eek.gif
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    Jun 23, 2012 12:47 AM GMT
    kingmo saidhectic. it sounds so complicated.
    rest and heal and hope you have a speedy recovery!

    Thanks! The resting is over. Out of the sling and now I have get out of the habit of having the arm bent, protected, and close to the body. icon_lol.gif
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    Jun 23, 2012 12:57 AM GMT
    I dunno....this just struck me as funny...especially the sales burb...."that meets the changing needs of the arthroscopic surgeon"....kinda like "that meets the changing needs of the busy housewife." ... icon_lol.gif


    new_inserter_handle.jpg

    TWINFIX◊ Ti and TWINFIX◊ AB SUTURE ANCHORS have a newly designed inserter handle that meets the changing needs of the arthroscopic surgeon. This robust handle provides new capabilities that give you more control in deploying Smith & Nephew suture anchors, when and where you need them.

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    Jun 25, 2012 2:15 AM GMT
    I have clicking shoulder joints (the left is worse than the right) and I'm wondering if this could be early signs of rotator cuff issues. I had clicking joints before I started lifting and my dad is currently having problems with his rotator cuff, so I'm definitely worried about this happening to me. I have really mild pain in my left shoulder joint from time to time and I don't have any pain in my right joint. I don't think giving it time to rest/heal is going to do anything considering I had this problem before I started lifting and I still have it even after taking over a month off from lifting.
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    Jun 25, 2012 2:38 AM GMT
    joe122 saidI have clicking shoulder joints (the left is worse than the right) and I'm wondering if this could be early signs of rotator cuff issues. I had clicking joints before I started lifting and my dad is currently having problems with his rotator cuff, so I'm definitely worried about this happening to me. I have really mild pain in my left shoulder joint from time to time and I don't have any pain in my right joint. I don't think giving it time to rest/heal is going to do anything considering I had this problem before I started lifting and I still have it even after taking over a month off from lifting.

    Go to an orthopedic surgeon and let him check it out. They can now do MRIs with contrast that are way too anatomically correct ....

    I posted one of my pics on here... http://www.realjock.com/gayforums/2330867

    After my cuff tore, I could feel the greater tubercle of the humerus banging around in its socket.