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What Do The Following MRI Results Indicate?

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Posted on Fri, 4 Nov 2016
Question: MRI RESULTS TRANSLATED FROM GREEK LUNGUAGE

1) Subtotal rupture of the subscapularis tendon which causes dislocation of the tendon of the long head of the biceps and unrelenting atrophy of the subscapularis muscle.
2) Subtotal rupture of the supraspinatus tendon with an indication of punctuate calcification in the preserved front part of the supraspinatus tendon. (Correlation through x-ray)
3) Marked edema of the supraspinatus tendon as a result of injury or tendonitis .No indication of rupture.
4) Picture suggests fracture in the rear of the deltoeid muscle.
5) Very mild synovial effusion and mild bursitis of the subcoracoid burs


Based on the ABOVE conclusion of the MRI is there a possibility to avoid an operation. If yes what should i do to treat my problem?
doctor
Answered by Dr. Ralph Chambers (3 hours later)
Brief Answer:
Hello. Surgery is definitely indicated here

Detailed Answer:
Hello. While physical therapy should first be tried, unless you are in no way athletic and in no need of a fully functioning shoulder, the only way to restore that full function in this case would be surgery.

Please let me know if you need any more information.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ralph Chambers (21 minutes later)
Sorry i do not understand the detailed answer. Maybe is because English is not my first language. Can you please explain again in a more detailed and concise manner.

Thank you!
doctor
Answered by Dr. Ralph Chambers (7 minutes later)
Brief Answer:
You need surgery

Detailed Answer:
Sorry.
Physical therapy is what I would first offer you, that means a no surgery therapy. However you may have limited movement and function if you use it a lot. If you have a severe physical job you'd need surgery repair to give you a fully functioning shoulder for stressful physical jobs.

Hope I am understandable.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ralph Chambers

General & Family Physician

Practicing since :1976

Answered : 2130 Questions

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What Do The Following MRI Results Indicate?

Brief Answer: Hello. Surgery is definitely indicated here Detailed Answer: Hello. While physical therapy should first be tried, unless you are in no way athletic and in no need of a fully functioning shoulder, the only way to restore that full function in this case would be surgery. Please let me know if you need any more information.