I’m wondering if there’s some kind souls out there that could please tell me if this MRI report of my shoulder is bad? I fell last Nov. and caught my upper body in the push up position. My shoulder never touched the ground, but for about a week I was babying it then decided to go to the doc, and she said get an x-ray. The X-ray showed a partial dislocated shoulder. She ordered an MRI and this is the report. I was told to go to PT or I could get a stitch. My shoulder was starting to feel better so I never went to PT.
Today I got a physical at cirque du soleil’s HQ’s and the physio put a red flag up for my shoulder. My training for my job has been put on hold until I get another MRI, tomorrow.
I’m just kinda freakin’ out. Do you think doing PT work is all I need? Or a single stitch that’ll take 6 months to heal? I have zero pain, full of motion. I just get pain when my arm is above my head and pushed back. I’m sure my muscles are super tight and weak… that’s all.
There is small Hill-Sachs deformity at the posterolateral humeral head,
There is 9 mm filling defect in the axillary recess consistent with loose body,
IMPRESSION;
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Findings are most consistent with sequela of shoulder dislocation including small Hill-Sachs deformity and attenuated appearance at the anterior inferior labrum suspicious for non displaced labral Bankart lesion, Adjacent capsular injury at the inferior glenohumeral ligament glenoid attachment is also suspected.
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Loose body in the axillary recess measuring 9 mm.
http://i61.tinypic.com/11qizqt.png
Chris, are you with Cirq? Did this happen at work in Vegas? PT might help. Surgery by the right doc will. I had both shoulders repaired at Hospital for Special Surgery. Go to the best doc you can find. If you need surgery, go back to HSS
OK, no – this happened prior to working for them.
Glad you have minimal pain!! So there is a chance that PT could help ensure that your shoulder is stable, functional and minimally painful - you could give it several months and see. This is not likely to be something that will only need a few visits! For the long term health of your shoulder you will need to ensure that your rotator cuff muscles are super strong, balanced with the rest of the shoulder and scapular musculature, you don’t have excessive tightness anteriorly (pec muscles), and ensure that these are functional for you whatever your job might be. If you have a high load bearing job (especially if you are doing a lot of traction things - hanging from stuff) - Cirq performer - you many not be able to do it with just PT.
I have poor shoulders genetically and then I beat on them with gymnastics, swimming, and now triathlon. I have had 3 reconstructive surgeries to work on my shoulder stability. As a PT and with access to lots of opinions, I did every exercises in the book for my shoulders. I was strong when tested in isolation, but still unable to stabilize my shoulders functionally (i.e. during work or triathlon) without surgery.
My recommendation is to get surgical opinions - more than one. They are just opinions. See what they are saying about what they want to do, research who you might want to go to (I am sure you get offers all the time, but I have a name or two as well), get your life in order in terms of what you would need after surgery. In the mean time - work with a PT who understands what you have to get back to work wise and fun wise, and work HARD at it. It took me several months to finally make the decision to have my latest surgery. I wanted to compete, didn’t want another surgery, etc, etc. So I got the best of both worlds, I worked hard, ensured I had done everything I could on my end for my shoulders, then had a great surgeon and was strong going into the operating room - and I had a great outcome.
I like to abuse myself as much as the next ST’er, but we are hopefully in these bodies for a long time - 6 months or even a year out of our lives to ensure that the next “x” number of years is more fun, less painful, etc is worth it IMO.
Good luck - keep us posted.
Chris, I can tell tell you this, I’ve had both shoulders repaired. With the first one I tried everything, PT, cortisone, accupunction, prayer, you name it before I had surgery which turned out to be for a torn rotor cuff, torn labrum and detached bicept tenten. With the second one, I had a small tear in the labrum. I said just fix it and it was fine in about two months with PT that started the same day as the surgery.
If they are keeping you out of work, find the best doc you can (HSS), get it fixed and get back.
Are you in Vegas, right now I’m at Caesars Palace.
OK – No, I’m in Montreal now, hopefully leaving this Saturday to Portland OR to join the touring show Totem (juggling in it, starting in the next city, Vancouver).
I just saw Dr. Marc Beauchamp, MD, FRCS… the dude was no joke… Just had a physical examination today, no MRI. He said the rotor cuff is fine, just some muscle imbalance, dysfunction and impingement. But surgery isn’t required, just PT for the next 4 weeks and forever…
I’m just waiting for a phone call to see when the big bosses read the update on the shoulder status and let me keep training i.e. (learn make-up, finale dance, character class, etc.)