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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Shows Mild Tendinosis, Mild Acromioclavicular Joint Osteoarthritis. Advised Surgery. Opinion?

i had an mri which showed: moderate grade partial thickness articular sided tear of junction posterior suprasinatus and interior infraspinatus tendons near footprint ....mildtendinosis suggestion poss tearing anterosuperior portion labrum versus normal variant sublabral forarm small glenohumeral jpint effusion mkild acromioclvicular joint osteoarthrosis. ? for you: does this mean surgery? just had a walk in order the mri and haven t seen an ortho doc yet. the walk in doc said it was major and required surgery. yes?
Sat, 13 Jul 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.
The initial management for AC joint arthrits and Partial thickness cuff tear is always conservative by following means -
FOR AC JOINT :-
* activity modification
* heat application
* Non steroidal antiinflammatory medications
* intra articular steroid injections
If the above measures fail to give symptom relief , then an open or arthroscopic excision of distal end of clavicle is indicated.

FOR PARTIAL CUFF TEAR :-
* Oral antiinflammatory medicines
* sub acromial corticosteroid injections
* activity modification
* physiotherapy for regaining motion and strengthening of rotator cuff muscles

Surgery is indicated if everything else fails

Hope this information is useful. Good day
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MRI Shows Mild Tendinosis, Mild Acromioclavicular Joint Osteoarthritis. Advised Surgery. Opinion?

Hi, thanks for writing to HCM. The initial management for AC joint arthrits and Partial thickness cuff tear is always conservative by following means - FOR AC JOINT :- * activity modification * heat application * Non steroidal antiinflammatory medications * intra articular steroid injections If the above measures fail to give symptom relief , then an open or arthroscopic excision of distal end of clavicle is indicated. FOR PARTIAL CUFF TEAR :- * Oral antiinflammatory medicines * sub acromial corticosteroid injections * activity modification * physiotherapy for regaining motion and strengthening of rotator cuff muscles Surgery is indicated if everything else fails Hope this information is useful. Good day