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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do These Shoulder And Neck MRI Test Results Indicate?

Hi,Back in November I started having numbness on my right armpit and tingling. My pcp order an emg, of my right arm which came back negative. She then ordered an MRI of my right shoulder and neck. The neck MRI showed mild disc profusion a c5-6. The shoulder MRI showed a 70% of the depth of the tendon of the posterior fibers of the supraspinatus and anterior fibers of the infraspinatus, a type 3 downslopping acromion spur . I saw a PA today but i wasn t totally convinced with his evaluation, to begin he mentioned that the tear was of 50% then I asked about the spur he then told me that with PT the tendon can be deviated from the spur. Im totally confused. should i go for a second opinion?
Mon, 6 Nov 2017
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Orthopaedic Surgeon,  's  Response
Dear patient
your shoulder mri is suggestive of partial tear of supraspinatus and infraspinatus muscles extending upto 70 percent of tendon depth. This can progress to complete tear with minor trauma. Your acromio is type 3 meaning curved and might impinge on rotator cuff muscles resulting in pain and tear. you need to be examined by arthroscopic surgeon in details and he can guide you for proper treatment. sometimes partial tear needs repair to prevent progression of pain is significant and associated woth weakness. Physiotherapy helps in many ways if done properly under supervision of sports physiotherapist.
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What Do These Shoulder And Neck MRI Test Results Indicate?

Dear patient your shoulder mri is suggestive of partial tear of supraspinatus and infraspinatus muscles extending upto 70 percent of tendon depth. This can progress to complete tear with minor trauma. Your acromio is type 3 meaning curved and might impinge on rotator cuff muscles resulting in pain and tear. you need to be examined by arthroscopic surgeon in details and he can guide you for proper treatment. sometimes partial tear needs repair to prevent progression of pain is significant and associated woth weakness. Physiotherapy helps in many ways if done properly under supervision of sports physiotherapist.