You can certainly diagnose an RC muscle tear, either full thickness or partial thickness, through orthopedic testing. Surgery??? No thanks, lol.
That wasn’t my experience. After hurting my shoulder I had full-on ortho testing from two top surgeons. Both said I had no tear based on my diagnostics. An arthrographic MRI eventually revealed a full thickness U-shaped tear with retraction. I went the surgery route and am now pieced together with five anchors. Without the surgery, I would have had major atrophy and arthritis since there was no tendon/bone attachment left.
I know you are an expert in your field, BBB. But because I had no bruising and still had decent ROM after I tore it and passed all diagnostics, I was told that it was just a strain. So I like to share with people that diagnostics are good for the majority but not everybody. [/quote]
Ok, thanks for your counterpoint, I’ll definitely take it on board.
I’m a little puzzled though, since a full thickness tear means that the muscle is effectively completely out of action and disconnected. How then could two top surgeons miss the fact that in the muscle-specific joint action performed by said muscle, you had zero active ROM?
Can i ask which muscle it was? In theory ALL the RC muscles have a specific action that can be directly tested for and if absent, would indicate a full thickness tear.
And I should have mentioned that whilst I consider surgery as a diagnostic tool, to be unnecessary, the use of an MRI is most definitely warranted.
Anyone will need surgery to correct a full thickness tear, just not to diagnose. Maybe I misunderstood you though
Hi. ‘Full thickness’ doesn’t mean a complete detachment, but rather, a tear in some of the fibers all the way through. Here is a little better image of a full-thickness (top) tear: http://www.howardluksmd.com/shoulder-faq/how-do-i-know-if-i-have-a-full-thickness-rotator-cuff-tear/ Some of the fibers can still hold on with a complete detatchment of others. [/quote
my pain is the worst at night while tryin to sleep. i have full range of motion, just with slight pain while reaching behind me. the link mentioned puttin on a belt. that hurts.