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What Does The MRI Report Indicate?

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Posted on Mon, 24 Nov 2014
Question: mri states: calcification 14x7m involving the distal anterior supraspinatus tendon in the critical zone, no high grade tear. glenoid labrum, limited, no discrete tear, small glenohumeral joint effusion. acromoclavicular joint osteoarthritis and prominent subacromial/subdetoid fluid which could be secondary to the above calcific tendonitis or represent incompetent bursitis. what does all this mean? tendonitis? bursitis? I have had 2 cortisone injections and therapy and it doesn't seem to be getting any better.
doctor
Answered by Dr. Mukesh Chugh (1 hour later)
Brief Answer:
Shoulder arthroscopy (surgery) is the best option

Detailed Answer:
Hello
Thanks for posting
I have gone through your query carefully and understand your concern. There is inflammation associated with calcium deposit at bursa. Bursitis is the inflammation or irritation of the bursa. The bursas is a sac filled with lubricating fluid, located between tissues such as bone, muscle, tendons, and skin that decrease rubbing, friction, and irritation.
Tendinitis (also called tendonitis) is an inflammation or irritation of a tendon, a thick cord that attaches bone to muscle.
Based on your symptoms and already had Injection cortisone, my suggestion would be to consider minimal invasive surgery that is shoulder arthroscopy for definitive treatment.
Hope this answers your query.
Regards


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mukesh Chugh (5 hours later)
what exactly would be done in surgery? how soon before I would be able to go back to work? will this come back even after surgery? and are there any other choices besides surgery?
doctor
Answered by Dr. Mukesh Chugh (37 minutes later)
Brief Answer:
Joint cleaning along with removal of calcium

Detailed Answer:
Hello
It's good to see you.
In the arthroscopic procedure calcified body is removed along with loose degenerated tiisue causing pain.If required torn part of tendon is repaired.Returning back to normal activity will depend on the surgery done take for example if tendon is repaired then rest to arm for 3-4 weeks is must.A new rupture may or may not occur at different site.
The other option is physiotherapy, pain killer drugs and hot water fomentation along with local gel application.
Hope this helps.
Take care
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. Mukesh Chugh

Orthopaedic Surgeon, Joint Replacement

Practicing since :1997

Answered : 1619 Questions

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What Does The MRI Report Indicate?

Brief Answer: Shoulder arthroscopy (surgery) is the best option Detailed Answer: Hello Thanks for posting I have gone through your query carefully and understand your concern. There is inflammation associated with calcium deposit at bursa. Bursitis is the inflammation or irritation of the bursa. The bursas is a sac filled with lubricating fluid, located between tissues such as bone, muscle, tendons, and skin that decrease rubbing, friction, and irritation. Tendinitis (also called tendonitis) is an inflammation or irritation of a tendon, a thick cord that attaches bone to muscle. Based on your symptoms and already had Injection cortisone, my suggestion would be to consider minimal invasive surgery that is shoulder arthroscopy for definitive treatment. Hope this answers your query. Regards