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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Focal Partial Articular Surface Tear At Subscapularis Attachment And Mild Subacromial Bursitis

ultrasound on left shoulder, findings: There is a focal partial articular surface tear at subscapularis attachment with 8mm retraction of fibers. Remaining rotator cuff tendons are intact. Mild subacromial bursitis with bursal distortion and symptomatic impingement at 60 degrees abduction. AC and glenohumeral joints are relatively normal. I have been prescribed Tramadol but it doesn t seem to do anything. What should I do? Caleb
Mon, 22 Oct 2018
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Orthopaedic Surgeon 's  Response
Hi,

You have a partial tear of subscapularis; this may cause pain, spasms and impingement. If the injury is recent, go for anti-inflammatory painkillers and physiotherapy. If it is an old injury or pain of more than 4 weeks duration; I would prefer local injection of PRP or steroids.

Hope I have answered your query.
Let me know if I can assist you further.

Regards,
Dr. Gopal Goel,
Orthopaedic Surgeon
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Suggest Treatment For A Focal Partial Articular Surface Tear At Subscapularis Attachment And Mild Subacromial Bursitis

Hi, You have a partial tear of subscapularis; this may cause pain, spasms and impingement. If the injury is recent, go for anti-inflammatory painkillers and physiotherapy. If it is an old injury or pain of more than 4 weeks duration; I would prefer local injection of PRP or steroids. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon